Common use of Filing Process Clause in Contracts

Filing Process. Staring on January 1, 2016, the commission made available on its website a new filing application that must be used to file Form 1295. A business entity must use the application to enter the required information on Form 1295 and print a copy of the completed form, which will include a certification of filing that will contain a unique certification number. An authorized agent of the business entity must sign the printed copy of the form. The completed Form 1295 with the certification of filing must be filed with the governmental body or state agency with which the business entity is entering into the contract. The governmental entity or state agency must notify the commission, using the commission’s filing application, of the receipt of the filed Form 1295 with the certification of filing not later than the 30th day after the date the contract binds all parties to the contract. This process is known as acknowledging the certificate. The commission will post the acknowledged Form 1295 to its website within seven business days after receiving notice from the governmental entity or state agency. The posted acknowledged form does not contain the declaration of signature information provided by the business. A certificate will stay in the pending state until it is acknowledged by the governmental agency. Only acknowledged certificates are posted to the commission’s website. Electronic Filing Application: xxxxx://xxx.xxxxxx.xxxxx.xx.xx/whatsnew/elf_info_form1295.htm Frequently Asked Questions: xxxxx://xxx.xxxxxx.xxxxx.xx.xx/resources/FAQs/FAQ_Form1295.php Changes to Form 1295: xxxxx://xxx.xxxxxx.xxxxx.xx.xx/data/filinginfo/1295Changes.pdf Xxxxxxxx X, XXX # 0 Texas Government Code 2270 Verification Form House Xxxx 89 (85R Legislative Session), which adds Chapter 2270 to the Texas Government Code, provides that a governmental entity may not enter into a contract with a company without verification that the contracting vendor does not and will not boycott Israel during the term of the contract. Furthermore, Senate Xxxx 252 (85R Legislative Session), which amends Chapter 2252 of the Texas Government Code to add Subchapter F, prohibits contracting with a company engaged in business with Iran, Sudan or a foreign terrorist organization identified on a list prepared by the Texas Comptroller. I, Xxxxxxxx X. Xxxxxxx , as an authorized representative of Comcast Cable Communications Management, LLC engaged by , a contractor Insert Name of Company Region 4 Education Service Center, 0000 Xxxx Xxxxxxx Xxxx, Houston, TX 77092, verify by this writing that the above-named company affirms that it (1) does not boycott Israel; and (2) will not boycott Israel during the term of this contract, or any contract with the above-named Texas governmental entity in the future. Also, our company is not listed on and we do not do business with companies that are on the Texas Comptroller of Public Accounts list of Designated Foreign Terrorists Organizations found at xxxxx://xxxxxxxxxxx.xxxxx.xxx/purchasing/docs/foreign-terrorist.pdf. I further affirm that if our company's position on this issue is reversed and this affirmation is no longer valid, that the above-named Texas governmental entity will be notified in writing within one

Filing Process. Staring on January 1, 2016, the commission made available on its website a new filing application that must be used to file Form 1295. A business entity must use the application to enter the required information on Form 1295 and print a copy of the completed form, which will include a certification of filing that will contain a unique certification number. An authorized agent of the business entity must sign the printed copy of the form. The completed Form 1295 with the certification of filing must be filed with the governmental body or state agency with which the business entity is entering into the contract. The governmental entity or state agency must notify the commission, using the commission’s filing application, of the receipt of the filed Form 1295 with the certification of filing not later than the 30th day after the date the contract binds all parties to the contract. This process is known as acknowledging the certificate. The commission will post the acknowledged Form 1295 to its website within seven business days after receiving notice from the governmental entity or state agency. The posted acknowledged form does not contain the declaration of signature information provided by the business. A certificate will stay in the pending state until it is acknowledged by the governmental agency. Only acknowledged certificates are posted to the commission’s website. Electronic Filing Application: xxxxx://xxx.xxxxxx.xxxxx.xx.xx/whatsnew/elf_info_form1295.htm Frequently Asked Questions: xxxxx://xxx.xxxxxx.xxxxx.xx.xx/resources/FAQs/FAQ_Form1295.php Changes to Form 1295: xxxxx://xxx.xxxxxx.xxxxx.xx.xx/data/filinginfo/1295Changes.pdf Xxxxxxxx X, XXX # 0 Texas Government Code 2270 Verification Form House Xxxx 89 (85R Legislative Session), which adds Chapter 2270 to the Texas Government Code, provides that a governmental entity may not enter into a contract with a company without verification that the contracting vendor does not and will not boycott Israel during the term of the contract. Furthermore, Senate Xxxx 252 (85R Legislative Session), which amends Chapter 2252 of the Texas Government Code to add Subchapter F, prohibits contracting with a company engaged in business with Iran, Sudan or a foreign terrorist organization identified on a list prepared by the Texas Comptroller. I, Xxxxxxx Xxxxxxxx X. Xxxxxxx , as an authorized representative of Comcast Cable Communications Management, LLC D2L Ltd. engaged by , a contractor Insert Name of Company , a contractor Region 4 Education Service Center, 0000 Xxxx Xxxxxxx Xxxx, Houston, TX 77092, verify by this writing that the above-named company affirms that it (1) does not boycott Israel; and (2) will not boycott Israel during the term of this contract, or any contract with the above-named Texas governmental entity in the future. Also, our company is not listed on and we do not do business with companies that are on the Texas Comptroller of Public Accounts list of Designated Foreign Terrorists Organizations found at xxxxx://xxxxxxxxxxx.xxxxx.xxx/purchasing/docs/foreign-terrorist.pdf. I further affirm that if our company's position on this issue is reversed and this affirmation is no longer valid, that the above-named Texas governmental entity will be notified in writing within one

Filing Process. Staring on January 1, 2016, the commission made available on its website a new filing application that must be used to file Form 1295. A business entity must use the application to enter the required information on Form 1295 and print a copy of the completed form, which will include a certification of filing that will contain a unique certification number. An authorized agent of the business entity must sign the printed copy of the form. The completed Form 1295 with the certification of filing must be filed with the governmental body or state agency with which the business entity is entering into the contract. The governmental entity or state agency must notify the commission, using the commission’s filing application, of the receipt of the filed Form 1295 with the certification of filing not later than the 30th day after the date the contract binds all parties to the contract. This process is known as acknowledging the certificate. The commission will post the acknowledged Form 1295 to its website within seven business days after receiving notice from the governmental entity or state agency. The posted acknowledged form does not contain the declaration of signature information provided by the business. A certificate will stay in the pending state until it is acknowledged by the governmental agency. Only acknowledged certificates are posted to the commission’s website. Electronic Filing Application: xxxxx://xxx.xxxxxx.xxxxx.xx.xx/whatsnew/elf_info_form1295.htm Frequently Asked Questions: xxxxx://xxx.xxxxxx.xxxxx.xx.xx/resources/FAQs/FAQ_Form1295.php Changes to Form 1295: xxxxx://xxx.xxxxxx.xxxxx.xx.xx/data/filinginfo/1295Changes.pdf Xxxxxxxx X, XXX # 0 Texas Government Code 2270 Verification Form House Xxxx Bill 89 (85R Legislative Session), which adds Chapter 2270 to the Texas Government Code, provides that a governmental entity may not enter into a contract with a company without verification that the contracting vendor does not and will not boycott Israel during the term of the contract. Furthermore, Senate Xxxx Bill 252 (85R Legislative Session), which amends Chapter 2252 of the Texas Government Code to add Subchapter F, prohibits contracting with a company engaged in business with Iran, Sudan or a foreign terrorist organization identified on a list prepared by the Texas Comptroller. I, Xxxxxxxx Xxxxxxx X. Xxxxxxx Xxxxxxxxx, COO , as an authorized representative of Comcast Cable Communications ManagementBMK Ventures, LLC engaged by Inc. , a contractor engaged by Insert Name of Company Region 4 Education Service Center, 0000 Xxxx Xxxxxxx Xxxx, Houston, TX 77092, verify by this writing that the above-named company affirms that it (1) does not boycott Israel; and (2) will not boycott Israel during the term of this contract, or any contract with the above-named Texas governmental entity in the future. Also, our company is not listed on and we do not do business with companies that are on the Texas Comptroller of Public Accounts list of Designated Foreign Terrorists Organizations found at xxxxx://xxxxxxxxxxx.xxxxx.xxx/purchasing/docs/foreign-terrorist.pdf. I further affirm that if our company's position on this issue is reversed and this affirmation is no longer valid, that the above-named Texas governmental entity will be notified in writing within one

Filing Process. Staring on January 1, 2016, the commission made available on its website a new filing application that must be used to file Form 1295. A business entity must use the application to enter the required information on Form 1295 and print a copy of the completed form, which will include a certification of filing that will contain a unique certification number. An authorized agent of the business entity must sign the printed copy of the form. The completed Form 1295 with the certification of filing must be filed with the governmental body or state agency with which the business entity is entering into the contract. The governmental entity or state agency must notify the commission, using the commission’s filing application, of the receipt of the filed Form 1295 with the certification of filing not later than the 30th day after the date the contract binds all parties to the contract. This process is known as acknowledging the certificate. The commission will post the acknowledged Form 1295 to its website within seven business days after receiving notice from the governmental entity or state agency. The posted acknowledged form does not contain the declaration of signature information provided by the business. A certificate will stay in the pending state until it is acknowledged by the governmental agency. Only acknowledged certificates are posted to the commission’s website. Electronic Filing Application: xxxxx://xxx.xxxxxx.xxxxx.xx.xx/whatsnew/elf_info_form1295.htm Frequently Asked Questions: xxxxx://xxx.xxxxxx.xxxxx.xx.xx/resources/FAQs/FAQ_Form1295.php Changes to Form 1295: xxxxx://xxx.xxxxxx.xxxxx.xx.xx/data/filinginfo/1295Changes.pdf Xxxxxxxx X, XXX # 0 Texas Government Code 2270 Verification Form House Xxxx Bill 89 (85R Legislative Session), which adds Chapter 2270 to the Texas Government Code, provides that a governmental entity may not enter into a contract with a company without verification that the contracting vendor does not and will not boycott Israel during the term of the contract. Furthermore, Senate Xxxx Bill 252 (85R Legislative Session), which amends Chapter 2252 of the Texas Government Code to add Subchapter F, prohibits contracting with a company engaged in business with Iran, Sudan or a foreign terrorist organization identified on a list prepared by the Texas Comptroller. I, Xxxxxxx Xxxxxxxx X. Xxxxxxx , as an authorized representative of Comcast Cable Communications Management, LLC D2L Ltd. engaged by , a contractor Insert Name of Company , a contractor Region 4 Education Service Center, 0000 Xxxx Xxxxxxx Xxxx, Houston, TX 77092, verify by this writing that the above-named company affirms that it (1) does not boycott Israel; and (2) will not boycott Israel during the term of this contract, or any contract with the above-named Texas governmental entity in the future. Also, our company is not listed on and we do not do business with companies that are on the Texas Comptroller of Public Accounts list of Designated Foreign Terrorists Organizations found at xxxxx://xxxxxxxxxxx.xxxxx.xxx/purchasing/docs/foreign-terrorist.pdf. I further affirm that if our company's position on this issue is reversed and this affirmation is no longer valid, that the above-named Texas governmental entity will be notified in writing within one

Filing Process. Staring on January 1, 2016, the commission made will make available on its website a new filing application that must be used to file Form 1295. A business entity must use the application to enter the required information on Form 1295 and print a copy of the completed form, which will include a certification of filing that will contain a unique certification number. An authorized agent of the business entity must sign the printed copy of the formform and have the form notarized. The completed Form 1295 with the certification of filing must be filed with the governmental body or state agency with which the business entity is entering into the contract. The governmental entity or state agency must notify the commission, using the commission’s filing application, of the receipt of the filed Form 1295 with the certification of filing not later than the 30th day after the date the contract binds all parties to the contract. This process is known as acknowledging the certificate. The commission will post the acknowledged completed Form 1295 to its website within seven business days after receiving notice from the governmental entity or state agency. Information regarding how to use the filing application will be available on this site starting on January 1, 2016. xxxxx://xxx.xxxxxx.xxxxx.xx.xx/whatsnew/elf_info_form1295.htm Last Revision: February 16, 2016 DOC #7 XXXXX CERTIFICATIONS ADDENDUM FOR AGREEMENT FUNDED BY U.S. FEDERAL GRANT TO WHOM IT MAY CONCERN: REGION 4 EDUCATION SERVICE CENTER is in the process of ensuring that all policies and procedures involving the expenditure of federal funds are compliant with the new Education Department General Administrative Guidelines (“XXXXX”). Part of this process involves ensuring that all current vendors agree to comply with XXXXX. You must complete this form and return to REGION 4 EDUCATION SERVICE CENTER along with you proposal. The posted acknowledged form does not following certifications and provisions are required and apply when REGION 4 EDUCATION SERVICE CENTER expends federal funds for any contract resulting from this procurement process. Pursuant to 2 C.F.R. § 200.326, all contracts, including small purchases, awarded by the Agency and the Agency’s subcontractors shall contain the declaration procurement provisions of signature information provided by the business. A certificate will stay in the pending state until it is acknowledged by the governmental agency. Only acknowledged certificates are posted Appendix II to the commission’s website. Electronic Filing Application: xxxxx://xxx.xxxxxx.xxxxx.xx.xx/whatsnew/elf_info_form1295.htm Frequently Asked Questions: xxxxx://xxx.xxxxxx.xxxxx.xx.xx/resources/FAQs/FAQ_Form1295.php Changes to Form 1295: xxxxx://xxx.xxxxxx.xxxxx.xx.xx/data/filinginfo/1295Changes.pdf Xxxxxxxx X, XXX # 0 Texas Government Code 2270 Verification Form House Xxxx 89 (85R Legislative Session), which adds Chapter 2270 to the Texas Government Code, provides that a governmental entity may not enter into a contract with a company without verification that the contracting vendor does not and will not boycott Israel during the term of the contract. Furthermore, Senate Xxxx 252 (85R Legislative Session), which amends Chapter 2252 of the Texas Government Code to add Subchapter F, prohibits contracting with a company engaged in business with Iran, Sudan or a foreign terrorist organization identified on a list prepared by the Texas Comptroller. I, Xxxxxxxx X. Xxxxxxx Part 200, as an authorized representative of Comcast Cable Communications Management, LLC engaged by , a contractor Insert Name of Company Region 4 Education Service Center, 0000 Xxxx Xxxxxxx Xxxx, Houston, TX 77092, verify by this writing that the aboveapplicable. REQUIRED CONTRACT PROVISIONS FOR NON-named company affirms that it (1) does not boycott Israel; and (2) will not boycott Israel during the term of this contract, or any contract with the above-named Texas governmental entity in the future. Also, our company is not listed on and we do not do business with companies that are on the Texas Comptroller of Public Accounts list of Designated Foreign Terrorists Organizations found at xxxxx://xxxxxxxxxxx.xxxxx.xxx/purchasing/docs/foreign-terrorist.pdf. I further affirm that if our company's position on this issue is reversed and this affirmation is no longer valid, that the above-named Texas governmental entity will be notified in writing within oneFEDERAL ENTITY CONTRACTS UNDER FEDERAL AWARDS APPENDIX II TO 2 CFR PART 200 _

Filing Process. Staring on January 1, 2016, the commission made will make available on its website a new filing application that must be used to file Form 1295. A business entity must use the application to enter the required information on Form 1295 and print a copy of the completed form, which will include a certification of filing that will contain a unique certification number. An authorized agent of the business entity must sign the printed copy of the formform and have the form notarized. The completed Form 1295 with the certification of filing must be filed with the governmental body or state agency with which the business entity is entering into the contract. The governmental entity or state agency must notify the commission, using the commission’s filing application, of the receipt of the filed Form 1295 with the certification of filing not later than the 30th day after the date the contract binds all parties to the contract. This process is known as acknowledging the certificate. The commission will post the acknowledged completed Form 1295 to its website within seven business days after receiving notice from the governmental entity or state agency. Information regarding how to use the filing application will be available on this site starting on January 1, 2016. xxxxx://xxx.xxxxxx.xxxxx.xx.xx/whatsnew/elf_info_form1295.htm Last Revision: February 16, 2016 DOC #7 XXXXX CERTIFICATIONS ADDENDUM FOR AGREEMENT FUNDED BY U.S. FEDERAL GRANT TO WHOM IT MAY CONCERN: REGION 4 EDUCATION SERVICE CENTER is in the process of ensuring that all policies and procedures involving the expenditure of federal funds are compliant with the new Education Department General Administrative Guidelines (“XXXXX”). Part of this process involves ensuring that all current Offerors agree to comply with XXXXX. You must complete this form and return to REGION 4 EDUCATION SERVICE CENTER along with you proposal. The posted acknowledged form does not following certifications and provisions are required and apply when REGION 4 EDUCATION SERVICE CENTER expends federal funds for any contract resulting from this procurement process. Pursuant to 2 C.F.R. § 200.326, all contracts, including small purchases, awarded by the Agency and the Agency’s subcontractors shall contain the declaration procurement provisions of signature information provided by the business. A certificate will stay in the pending state until it is acknowledged by the governmental agency. Only acknowledged certificates are posted Appendix II to the commission’s website. Electronic Filing Application: xxxxx://xxx.xxxxxx.xxxxx.xx.xx/whatsnew/elf_info_form1295.htm Frequently Asked Questions: xxxxx://xxx.xxxxxx.xxxxx.xx.xx/resources/FAQs/FAQ_Form1295.php Changes to Form 1295: xxxxx://xxx.xxxxxx.xxxxx.xx.xx/data/filinginfo/1295Changes.pdf Xxxxxxxx X, XXX # 0 Texas Government Code 2270 Verification Form House Xxxx 89 (85R Legislative Session), which adds Chapter 2270 to the Texas Government Code, provides that a governmental entity may not enter into a contract with a company without verification that the contracting vendor does not and will not boycott Israel during the term of the contract. Furthermore, Senate Xxxx 252 (85R Legislative Session), which amends Chapter 2252 of the Texas Government Code to add Subchapter F, prohibits contracting with a company engaged in business with Iran, Sudan or a foreign terrorist organization identified on a list prepared by the Texas Comptroller. I, Xxxxxxxx X. Xxxxxxx Part 200, as an authorized representative of Comcast Cable Communications Management, LLC engaged by , a contractor Insert Name of Company Region 4 Education Service Center, 0000 Xxxx Xxxxxxx Xxxx, Houston, TX 77092, verify by this writing that the above-named company affirms that it (1) does not boycott Israel; and (2) will not boycott Israel during the term of this contract, or any contract with the above-named Texas governmental entity in the futureapplicable. Also, our company is not listed on and we do not do business with companies that are on the Texas Comptroller of Public Accounts list of Designated Foreign Terrorists Organizations found at xxxxx://xxxxxxxxxxx.xxxxx.xxx/purchasing/docs/foreign-terrorist.pdf. I further affirm that if our company's position on this issue is reversed and this affirmation is no longer valid, that the above-named Texas governmental entity will be notified in writing within oneREQUIRED CONTRACT PROVISIONS FOR NON‐FEDERAL ENTITY CONTRACTS UNDER FEDERAL AWARDS APPENDIX II TO 2 CFR PART 200

Filing Process. Staring on January 1, 2016, the commission made available on its website a new filing application that must be used to file Form 1295. A business entity must use the application to enter the required information on Form 1295 and print a copy of the completed form, which will include a certification of filing that will contain a unique certification number. An authorized agent of the business entity must sign the printed copy of the form. The completed Form 1295 with the certification of filing must be filed with the governmental body or state agency with which the business entity is entering into the contract. The governmental entity or state agency must notify the commission, using the commission’s filing application, of the receipt of the filed Form 1295 with the certification of filing not later than the 30th day after the date the contract binds all parties to the contract. This process is known as acknowledging the certificate. The commission will post the acknowledged Form 1295 to its website within seven business days after receiving notice from the governmental entity or state agency. The posted acknowledged form does not contain the declaration of signature information provided by the business. A certificate will stay in the pending state until it is acknowledged by the governmental agency. Only acknowledged certificates are posted to the commission’s website. Electronic Filing Application: xxxxx://xxx.xxxxxx.xxxxx.xx.xx/whatsnew/elf_info_form1295.htm Frequently Asked Questions: xxxxx://xxx.xxxxxx.xxxxx.xx.xx/resources/FAQs/FAQ_Form1295.php Changes to Form 1295: xxxxx://xxx.xxxxxx.xxxxx.xx.xx/data/filinginfo/1295Changes.pdf Xxxxxxxx X, XXX # 0 Texas Government Code 2270 Verification Form House Xxxx 89 (85R Legislative Session), which adds Chapter 2270 to the Texas Government Code, provides that a governmental entity may not enter into a contract with a company without verification that the contracting vendor does not and will not boycott Israel during the term of the contract. Furthermore, Senate Xxxx 252 (85R Legislative Session), which amends Chapter 2252 of the Texas Government Code to add Subchapter F, prohibits contracting with a company engaged in business with Iran, Sudan or a foreign terrorist organization identified on a list prepared by the Texas Comptroller. I, Xxxxxxxx Xxxxxxx X. Xxxxxxx Xxxxxxxxx , as an authorized representative of Comcast Cable Communications Management, LLC engaged by BMK Ventures, a contractor Inc. Insert Name of Company , a contractor Region 4 Education Service Center, 0000 Xxxx Xxxxxxx Xxxx, Houston, TX 77092, verify by this writing that the above-named company affirms that it (1) does not boycott Israel; and (2) will not boycott Israel during the term of this contract, or any contract with the above-named Texas governmental entity in the future. Also, our company is not listed on and we do not do business with companies that are on the Texas Comptroller of Public Accounts list of Designated Foreign Terrorists Organizations found at xxxxx://xxxxxxxxxxx.xxxxx.xxx/purchasing/docs/foreign-terrorist.pdf. I further affirm that if our company's position on this issue is reversed and this affirmation is no longer valid, that the above-named Texas governmental entity will be notified in writing within one

Filing Process. Staring on January 1, 2016, the commission made will make available on its website a new filing application that must be used to file Form 1295. A business entity must use the application to enter the required information on Form 1295 and print a copy of the completed form, which will include a certification of filing that will contain a unique certification number. An authorized agent of the business entity must sign the printed copy of the formform and have the form notarized. The completed Form 1295 with the certification of filing must be filed with the governmental body or state agency with which the business entity is entering into the contract. The governmental entity or state agency must notify the commission, using the commission’s filing application, of the receipt of the filed Form 1295 with the certification of filing not later than the 30th day after the date the contract binds all parties to the contract. This process is known as acknowledging the certificate. The commission will post the acknowledged completed Form 1295 to its website within seven business days after receiving notice from the governmental entity or state agency. The posted acknowledged form does not contain Information regarding how to use the declaration filing application will be available on this site starting on January 1, 2016. xxxxx://xxx.xxxxxx.xxxxx.xx.xx/whatsnew/elf_info_form1295.htm Last Revision: February 16, 2016 CERTIFICATE OF INTERESTED PARTIES FORM 1295 Complete Nos. 1 - 4 and 6 if there are interested parties. OFFICE USE ONLY Complete Nos. 1, 2, 3, 5, and 6 if there are no interested parties. CERTIFICATION OF FILING 1 Name of signature information provided by business entity filing form, and the city, state and country of the business entity's place Certificate Number: of business. A certificate will stay in the pending 2018-419103 KEV Group, Inc. Fort Worth, TX United States Date Filed: 2 Name of governmental entity or state until it agency that is acknowledged by the governmental agency. Only acknowledged certificates are posted a party to the commission’s websitecontract for which the form is 10/25/2018 being filed. Electronic Filing Application: xxxxx://xxx.xxxxxx.xxxxx.xx.xx/whatsnew/elf_info_form1295.htm Frequently Asked Questions: xxxxx://xxx.xxxxxx.xxxxx.xx.xx/resources/FAQs/FAQ_Form1295.php Changes to Form 1295: xxxxx://xxx.xxxxxx.xxxxx.xx.xx/data/filinginfo/1295Changes.pdf Xxxxxxxx X, XXX # 0 Texas Government Code 2270 Verification Form House Xxxx 89 (85R Legislative Session), which adds Chapter 2270 to the Texas Government Code, provides that a governmental entity may not enter into a contract with a company without verification that the contracting vendor does not and will not boycott Israel during the term of the contract. Furthermore, Senate Xxxx 252 (85R Legislative Session), which amends Chapter 2252 of the Texas Government Code to add Subchapter F, prohibits contracting with a company engaged in business with Iran, Sudan or a foreign terrorist organization identified on a list prepared by the Texas Comptroller. I, Xxxxxxxx X. Xxxxxxx , as an authorized representative of Comcast Cable Communications Management, LLC engaged by , a contractor Insert Name of Company Region 4 Education Service CenterCenter Date Acknowledged: 3 Provide the identification number used by the governmental entity or state agency to track or identify the contract, 0000 Xxxx Xxxxxxx Xxxxand provide a description of the services, Houstongoods, TX 77092or other property to be provided under the contract. Solicitation 19-01 Online Registration and Automated Payment Solutions Nature of interest Name of Interested Party City, verify by this writing State, Country (place of business) (check applicable) Controlling Intermediary Serent Capital San Francisco, CA United States X 5 Check only if there is NO Interested Party. □ (�� 6 UNSWORN DECLARATION Ste_ CA, .�v. My name is ,Xxxx-..� ;t , and my date of birth is ifoV JS:I (Cfcf'() My address is <:(./��� Av f0A/"'4 JA.6C:2 t..C (street) (city) (state) (zip code) (country) �---- I declare under penalty of perjury that the above-named company affirms that it (1) does not boycott Israel; foregoing is true and (2) will not boycott Israel during the term correct. Executed in Ta� County, State of this contract, or any contract with the above-named Texas governmental entity in the future. Also, our company is not listed on and we do not do business with companies that are uAI on the 1f__day of D(meonf-th) , 20 I 9. (year) �ature of authorized agent of contracting business entity (Declarant) Forms provided by Texas Comptroller of Public Accounts list of Designated Foreign Terrorists Organizations found at xxxxx://xxxxxxxxxxx.xxxxx.xxx/purchasing/docs/foreign-terrorist.pdf. I further affirm that if our company's position on this issue is reversed and this affirmation is no longer validEthics Commission xxx.xxxxxx.xxxxx.xx.xx Version Vl.0.6711 TAB 7 National IPA Response to a National Program (Appendix D, that the above-named Texas governmental entity will be notified in writing within oneExhibit A)

Filing Process. Staring on January 1, 2016, the commission made available on its website a new filing application that must be used to file Form 1295. A business entity must use the application to enter the required information on Form 1295 and print a copy of the completed form, which will include a certification of filing that will contain a unique certification number. An authorized agent of the business entity must sign the printed copy of the form. The completed Form 1295 with the certification of filing must be filed with the governmental body or state agency with which the business entity is entering into the contract. The governmental entity or state agency must notify the commission, using the commission’s filing application, of the receipt of the filed Form 1295 with the certification of filing not later than the 30th day after the date the contract binds all parties to the contract. This process is known as acknowledging the certificate. The commission will post the acknowledged Form 1295 to its website within seven business days after receiving notice from the governmental entity or state agency. The posted acknowledged form does not contain the declaration of signature information provided by the business. A certificate will stay in the pending state until it is acknowledged by the governmental agency. Only acknowledged certificates are posted to the commission’s website. Electronic Filing Application: xxxxx://xxx.xxxxxx.xxxxx.xx.xx/whatsnew/elf_info_form1295.htm Frequently Asked Questions: xxxxx://xxx.xxxxxx.xxxxx.xx.xx/resources/FAQs/FAQ_Form1295.php Changes to Form 1295: xxxxx://xxx.xxxxxx.xxxxx.xx.xx/data/filinginfo/1295Changes.pdf Xxxxxxxx X, XXX # 0 Texas Government Code 2270 Verification Form House Xxxx Bill 89 (85R Legislative Session), which adds Chapter 2270 to the Texas Government Code, provides that a governmental entity may not enter into a contract with a company without verification that the contracting vendor does not and will not boycott Israel during the term of the contract. Furthermore, Senate Xxxx Bill 252 (85R Legislative Session), which amends Chapter 2252 of the Texas Government Code to add Subchapter F, prohibits contracting with a company engaged in business with Iran, Sudan or a foreign terrorist organization identified on a list prepared by the Texas Comptroller. I, Xxxxxxxx Xxxxxxx X. Xxxxxxx Xxxxxxxxx , as an authorized representative of Comcast Cable Communications Management, LLC engaged by BMK Ventures, a contractor Inc. Insert Name of Company , a contractor Region 4 Education Service Center, 0000 Xxxx Xxxxxxx Xxxx, Houston, TX 77092, verify by this writing that the above-named company affirms that it (1) does not boycott Israel; and (2) will not boycott Israel during the term of this contract, or any contract with the above-named Texas governmental entity in the future. Also, our company is not listed on and we do not do business with companies that are on the Texas Comptroller of Public Accounts list of Designated Foreign Terrorists Organizations found at xxxxx://xxxxxxxxxxx.xxxxx.xxx/purchasing/docs/foreign-terrorist.pdf. I further affirm that if our company's position on this issue is reversed and this affirmation is no longer valid, that the above-named Texas governmental entity will be notified in writing within one

Filing Process. Staring on January 1, 2016, the commission made will make available on its website a new filing application that must be used to file Form 1295. A business entity must use the application to enter the required information on Form 1295 and print a copy of the completed form, which will include a certification of filing that will contain a unique certification number. An authorized agent of the business entity must sign the printed copy of the formform and have the form notarized. The completed Form 1295 with the certification of filing must be filed with the governmental body or state agency with which the business entity is entering into the contract. The governmental entity or state agency must notify the commission, using the commission’s filing application, of the receipt of the filed Form 1295 with the certification of filing not later than the 30th day after the date the contract binds all parties to the contract. This process is known as acknowledging the certificate. The commission will post the acknowledged completed Form 1295 to its website within seven business days after receiving notice from the governmental entity or state agency. Information regarding how to use the filing application will be available on this site starting on January 1, 2016. xxxxx://xxx.xxxxxx.xxxxx.xx.xx/whatsnew/elf_info_form1295.htm Last Revision: February 16, 2016 DOC #7 XXXXX CERTIFICATIONS ADDENDUM FOR AGREEMENT FUNDED BY U.S. FEDERAL GRANT TO WHOM IT MAY CONCERN: REGION 4 EDUCATION SERVICE CENTER is in the process of ensuring that all policies and procedures involving the expenditure of federal funds are compliant with the new Education Department General Administrative Guidelines (“XXXXX”). Part of this process involves ensuring that all current vendors agree to comply with XXXXX. You must complete this form and return to REGION 4 EDUCATION SERVICE CENTER along with you proposal. The posted acknowledged form does not following certifications and provisions are required and apply when REGION 4 EDUCATION SERVICE CENTER expends federal funds for any contract resulting from this procurement process. Pursuant to 2 C.F.R. § 200.326, all contracts, including small purchases, awarded by the Agency and the Agency’s subcontractors shall contain the declaration procurement provisions of signature information provided by the business. A certificate will stay in the pending state until it is acknowledged by the governmental agency. Only acknowledged certificates are posted Appendix II to the commission’s website. Electronic Filing Application: xxxxx://xxx.xxxxxx.xxxxx.xx.xx/whatsnew/elf_info_form1295.htm Frequently Asked Questions: xxxxx://xxx.xxxxxx.xxxxx.xx.xx/resources/FAQs/FAQ_Form1295.php Changes to Form 1295: xxxxx://xxx.xxxxxx.xxxxx.xx.xx/data/filinginfo/1295Changes.pdf Xxxxxxxx X, XXX # 0 Texas Government Code 2270 Verification Form House Xxxx 89 (85R Legislative Session), which adds Chapter 2270 to the Texas Government Code, provides that a governmental entity may not enter into a contract with a company without verification that the contracting vendor does not and will not boycott Israel during the term of the contract. Furthermore, Senate Xxxx 252 (85R Legislative Session), which amends Chapter 2252 of the Texas Government Code to add Subchapter F, prohibits contracting with a company engaged in business with Iran, Sudan or a foreign terrorist organization identified on a list prepared by the Texas Comptroller. I, Xxxxxxxx X. Xxxxxxx Part 200, as an authorized representative of Comcast Cable Communications Management, LLC engaged by , a contractor Insert Name of Company Region 4 Education Service Center, 0000 Xxxx Xxxxxxx Xxxx, Houston, TX 77092, verify by this writing that the aboveapplicable. REQUIRED CONTRACT PROVISIONS FOR NON-named company affirms that it (1) does not boycott Israel; and (2) will not boycott Israel during the term of this contract, or any contract with the above-named Texas governmental entity in the future. Also, our company is not listed on and we do not do business with companies that are on the Texas Comptroller of Public Accounts list of Designated Foreign Terrorists Organizations found at xxxxx://xxxxxxxxxxx.xxxxx.xxx/purchasing/docs/foreign-terrorist.pdf. I further affirm that if our company's position on this issue is reversed and this affirmation is no longer valid, that the above-named Texas governmental entity will be notified in writing within oneFEDERAL ENTITY CONTRACTS UNDER FEDERAL AWARDS APPENDIX II TO 2 CFR PART 200_ _ _ _ _ _ _ _ __ _

Filing Process. Staring on January 1, 2016, the commission made available on its website a new filing application that must be used to file Form 1295. A business entity must use the application to enter the required information on Form 1295 and print a copy of the completed form, which will include a certification of filing that will contain a unique certification number. An authorized agent of the business entity must sign the printed copy of the form. The completed Form 1295 with the certification of filing must be filed with the governmental body or state agency with which the business entity is entering into the contract. The governmental entity or state agency must notify the commission, using the commission’s filing application, of the receipt of the filed Form 1295 with the certification of filing not later than the 30th day after the date the contract binds all parties to the contract. This process is known as acknowledging the certificate. The commission will post the acknowledged Form 1295 to its website within seven business days after receiving notice from the governmental entity or state agency. The posted acknowledged form does not contain the declaration of signature information provided by the business. A certificate will stay in the pending state until it is acknowledged by the governmental agency. Only acknowledged certificates are posted to the commission’s website. Electronic Filing Application: xxxxx://xxx.xxxxxx.xxxxx.xx.xx/whatsnew/elf_info_form1295.htm Frequently Asked Questions: xxxxx://xxx.xxxxxx.xxxxx.xx.xx/resources/FAQs/FAQ_Form1295.php Changes to Form 1295: xxxxx://xxx.xxxxxx.xxxxx.xx.xx/data/filinginfo/1295Changes.pdf Xxxxxxxx X, XXX # 0 Texas Government Code 2270 Verification Form House Xxxx 89 (85R Legislative Session), which adds Chapter 2270 to the Texas Government Code, provides that a governmental entity may not enter into a contract with a company without verification that the contracting vendor does not and will not boycott Israel during the term of the contract. Furthermore, Senate Xxxx 252 (85R Legislative Session), which amends Chapter 2252 of the Texas Government Code to add Subchapter F, prohibits contracting with a company engaged in business with Iran, Sudan or a foreign terrorist organization identified on a list prepared by the Texas Comptroller. I, Xxxxxxxx Xxxxxxx X. Xxxxxxx Xxxxxxxxx, COO , as an authorized representative of Comcast Cable Communications ManagementBMK Ventures, LLC engaged by Inc. , a contractor engaged by Insert Name of Company Region 4 Education Service Center, 0000 Xxxx Xxxxxxx Xxxx, Houston, TX 77092, verify by this writing that the above-named company affirms that it (1) does not boycott Israel; and (2) will not boycott Israel during the term of this contract, or any contract with the above-named Texas governmental entity in the future. Also, our company is not listed on and we do not do business with companies that are on the Texas Comptroller of Public Accounts list of Designated Foreign Terrorists Organizations found at xxxxx://xxxxxxxxxxx.xxxxx.xxx/purchasing/docs/foreign-terrorist.pdf. I further affirm that if our company's position on this issue is reversed and this affirmation is no longer valid, that the above-named Texas governmental entity will be notified in writing within one

Filing Process. Staring on January 1, 2016, the commission made available on its website a new filing application that must be used to file Form 1295. A business entity must use the application to enter the required information on Form 1295 and print a copy of the completed form, which will include a certification of filing that will contain a unique certification number. An authorized agent of the business entity must sign the printed copy of the form. The completed Form 1295 with the certification of filing must be filed with the governmental body or state agency with which the business entity is entering into the contract. The governmental entity or state agency must notify the commission, using the commission’s filing application, of the receipt of the filed Form 1295 with the certification of filing not later than the 30th day after the date the contract binds all parties to the contract. This process is known as acknowledging the certificate. The commission will post the acknowledged Form 1295 to its website within seven business days after receiving notice from the governmental entity or state agency. The posted acknowledged form does not contain the declaration of signature information provided by the business. A certificate will stay in the pending state until it is acknowledged by the governmental agency. Only acknowledged certificates are posted to the commission’s website. xxxxx://xxx.xxxxxx.xxxxx.xx.xx/whatsnew/elf_info_form1295.htm Electronic Filing Application: xxxxx://xxx.xxxxxx.xxxxx.xx.xx/whatsnew/elf_info_form1295.htm Frequently Asked Questions: xxxxx://xxx.xxxxxx.xxxxx.xx.xx/resources/FAQs/FAQ_Form1295.php Changes to Form 1295: xxxxx://xxx.xxxxxx.xxxxx.xx.xx/data/filinginfo/1295Changes.pdf Xxxxxxxx XAppendix C, XXX DOC # 0 4 Texas Government Code 2270 Verification Form House Xxxx Bill 89 (85R Legislative Session), which adds Chapter 2270 to the Texas Government Code, provides that a governmental entity may not enter into a contract with a company without verification that the contracting vendor does not and will not boycott Israel during the term of the contract. Furthermore, Senate Xxxx Bill 252 (85R Legislative Session), which amends Chapter 2252 of the Texas Government Code to add Subchapter F, prohibits contracting with a company engaged in business with Iran, Sudan or a foreign terrorist organization identified on a list prepared by the Texas Comptroller. I, Xxxxxxxx X. Xxxxxxx , as an authorized representative of Comcast Cable Communications Management, LLC engaged by , a contractor Insert Name of Company Region 4 Education Service Center, 0000 Xxxx Xxxxxxx Xxxx, Houston, TX 77092, verify by this writing that the above-named company affirms that it (1) does not boycott Israel; and (2) will not boycott Israel during the term of this contract, or any contract with the above-named Texas governmental entity in the future. Also, our company is not listed on and we do not do business with companies that are on the Texas Comptroller of Public Accounts list of Designated Foreign Terrorists Organizations found at xxxxx://xxxxxxxxxxx.xxxxx.xxx/purchasing/docs/foreign-terrorist.pdf. I further affirm that if our company's position on this issue is reversed and this affirmation is no longer valid, that the above-named Texas governmental entity will be notified in writing within one