Form Affirmation Clause Sample Clauses
A Form Affirmation Clause serves to confirm that the parties have reviewed, understood, and agreed to the specific form or template of a document being used in their agreement. Typically, this clause requires each party to acknowledge that the form presented is the correct and intended version, and that no unauthorized changes have been made. By including this clause, the agreement ensures that all parties are on the same page regarding the document's content and format, thereby reducing the risk of disputes over which version of a form was agreed upon.
Form Affirmation Clause. The Undersigned swears or affirms under the penalties of perjury that the undersigned has not altered, modified or changed the clauses 1‐25 of the Commissioners form contract in any way except for the following clauses which are named below: IN TESTIMONY WHEREOF, the parties hereto have executed this Agreement. VS Engineering, Inc. The Board of Commissioners of the County of Allen, Indiana By: By: ▇▇▇▇▇▇ ▇. ▇▇▇▇▇, P.E. ▇▇▇▇▇▇▇ ▇. ▇▇▇▇▇, President President By: Attest: ▇▇▇▇▇▇▇ ▇. ▇▇▇▇, ▇▇., Vice President By: By: ▇▇▇▇ ▇. Herald, P.E. F. ▇▇▇▇▇▇ ▇▇▇▇▇▇, Secretary Northern Region Director By: ▇▇▇▇▇ ▇▇▇▇▇, Allen County Deputy Auditor
Form Affirmation Clause. The Undersigned swears or affirms under the penalties of perjury that the undersigned has not altered, modified or changed the clauses 1-25 of the Commissioners form contract in any way except for the following clauses which are named below: IN TESTIMONY WHEREOF, the parties hereto have executed this Agreement. By: By: ▇▇▇▇▇ ▇. ▇▇▇▇▇▇▇▇, P.E. ▇▇▇▇▇▇▇ ▇. ▇▇▇▇, ▇▇., President Member/Director of Business Development By: Attest: F. ▇▇▇▇▇▇ ▇▇▇▇▇▇, Vice President By: By: ▇▇▇▇▇▇ ▇. ▇▇▇▇▇ ▇▇▇▇▇▇▇ ▇. ▇▇▇▇▇, Secretary Member/ Engineering Manager Attest: By: ▇▇▇▇▇ ▇▇▇▇▇, Allen County Deputy Auditor
Form Affirmation Clause. The Undersigned swears or affirms under the penalties of perjury that the undersigned has not altered, modified or changed the clauses 1-24 of the Commissioners form contract in any way except for the following clauses which are named below: IN TESTIMONY WHEREOF, the parties hereto have executed this Agreement. USI Consultants, Inc. The Board of Commissioners of the County of ▇▇▇▇▇, Indiana By: ▇▇▇▇▇▇ ▇. Beer II, PE, PS, F. ACEC President By:
Form Affirmation Clause. The Undersigned swears or affirms under the penalties of perjury that the undersigned has not altered, modified or changed the clauses 1-25 of the Commissioners form contract in any way except for the following clauses which are named below: IN TESTIMONY WHEREOF, the parties hereto have executed this Agreement. Apex Consulting and Surveying, Inc. The Board of Commissioners of the County of Allen, Indiana By: By: ▇▇▇▇ ▇▇▇▇▇ ▇▇▇▇▇▇▇ ▇. ▇▇▇▇▇, President President By: Attest: ▇▇▇▇▇▇▇ ▇. ▇▇▇▇, ▇▇., Vice President By: By: ▇▇▇▇▇▇ ▇▇▇▇▇▇▇▇▇ ▇. ▇▇▇▇▇▇ ▇▇▇▇▇▇, Secretary Vice President By: ▇▇▇▇▇ ▇▇▇▇▇, Allen County Deputy Auditor
Form Affirmation Clause. The Undersigned swears or affirms under the penalties of perjury that the undersigned has not altered, modified or changed the clauses 1-24 of the Commissioners form contract in any way except for the following clauses which are named below: IN TESTIMONY WHEREOF, the parties hereto have executed this Agreement. CONSULTANT LOCAL PUBLIC AGENCY DLZ Indiana, LLC The Board of Commissioners of the County of Allen, Indiana By: By: ▇▇▇▇▇▇ ▇. ▇▇▇▇▇▇▇, ▇▇ ▇. ▇▇▇▇▇▇ ▇▇▇▇▇▇, President Vice President By: Attest: ▇▇▇▇▇▇▇ ▇. ▇▇▇▇▇, Vice President By: By: ▇▇▇▇▇▇ ▇. ▇▇▇▇▇▇, P.E. ▇▇▇▇▇▇▇ ▇. ▇▇▇▇, ▇▇., Secretary Project Engineer By: ▇▇▇▇▇ ▇▇▇▇▇, Allen County Chief of Staff – Board of Commissioners APPENDIX "A" SERVICES BY CONSULTANT The CONSULTANT shall provide the following services and phases to complete the project development. An opinion of probable cost will be prepared at each design phase prior to bidding. Each section is itemized according to specific design elements. DLZ will provide the services of qualified professional engineers and technical staff to perform the identified services. Specific tasks may include:
1. Visually review the existing conditions of the equipment and components to be replaced.
Form Affirmation Clause. The Undersigned swears or affirms under the penalties of perjury that the undersigned has not altered, modified or changed the clauses 1-24 of the Commissioners form contract in any way except for the following clauses which are named below: IN TESTIMONY WHEREOF, the parties hereto have executed this Agreement. By: By: ▇▇▇▇▇ ▇. ▇▇▇▇▇▇▇, P.E. F. ▇▇▇▇▇▇ ▇▇▇▇▇▇, President Vice President By: Attest: ▇▇▇▇▇▇▇ ▇. ▇▇▇▇▇, Vice President By: By:
Form Affirmation Clause. The Undersigned swears or affirms under the penalties of perjury that the undersigned has not altered, modified or changed the clauses 1-21 of the Commissioners form contract in any way except for the following clauses which are named below: IN TESTIMONY WHEREOF, the parties hereto have executed this Agreement.
Form Affirmation Clause. The Undersigned swears or affirms under the penalties of perjury that the undersigned has not altered, modified or changed the clauses 1-24 of the Commissioners form contract in any way except for the following clauses which are named below: IN TESTIMONY WHEREOF, the parties hereto have executed this Agreement. GAI Consultants, Inc. The Board of Commissioners of the County of ▇▇▇▇▇, Indiana Digitally signed by ▇▇▇▇▇ ▇. ▇▇▇▇▇▇▇ DN: cn=▇▇▇▇▇ ▇. ▇▇▇▇▇▇▇, email=▇.▇▇▇▇▇▇▇@gaiconsultants .com By: ▇▇▇▇▇ ▇. ▇▇▇▇▇▇▇, PE ▇▇▇▇▇▇▇ ▇. ▇▇▇▇, ▇▇., President Vice President By: Attest: F. ▇▇▇▇▇▇ ▇▇▇▇▇▇, Vice President By: By: ▇▇▇▇▇ ▇▇▇▇▇▇▇▇, PE ▇▇▇▇▇▇▇ ▇. ▇▇▇▇▇, Secretary Director of Transportation Services, Midwest By: ▇▇▇▇▇ ▇▇▇▇▇, ▇▇▇▇▇ County Deputy Auditor
Form Affirmation Clause. The Undersigned swears or affirms under the penalties of perjury that the undersigned has not altered, modified or changed the clauses 1-24 of the Commissioners form contract in any way except for the following clauses which are named below: IN TESTIMONY WHEREOF, the parties hereto have executed this Agreement. Lochmueller Group, Inc. The Board of Commissioners of the County of ▇▇▇▇▇, Indiana By: By: ▇▇▇▇▇▇▇ ▇. ▇▇▇▇▇, PE ▇▇▇▇▇▇▇ ▇▇▇▇▇, President Northern Indiana Regional Leader By: ▇▇▇▇▇▇▇ ▇. ▇▇▇▇, ▇▇., Vice President By: By: ▇▇▇▇▇▇▇ ▇▇▇▇▇▇▇▇▇ ▇. ▇▇▇▇▇▇ ▇▇▇▇▇▇, Secretary Fort ▇▇▇▇▇ Region Manager By: ▇▇▇▇▇ ▇▇▇▇▇, Chief of Staff
1. GENERAL PROJECT DESIGN:
1.1. Project limits are along the ▇▇▇▇▇▇▇ ▇▇▇▇▇▇▇▇ Regulated Drain starting near the Sunnymede Subdivision located near the intersection of New Haven Avenue and Indiana 930. The Sheridan Drain then commences east to a point approximately 460’ east of Maplecrest Road where the drain then crosses Indiana 930 to the north. The drain then meanders under Old Maumee Ave, Norfolk Southern Railroad tracks and discharges into an open ditch south of ▇▇▇▇▇▇▇ Road. The open ditch discharges into the Maumee River at River Road between Portola Avenue and Waverly Drive. A map of the Sheridan Drain can be found in Attachment “A”, which is attached hereto and incorporated herein by reference.
1.2. A second alternative will be evaluated that will discharge to the Trier Upper. This alternative will require crossing of Maplecrest Road to the south, southeast of the Sunnymede Subdivision. The Trier Upper location can be seen in “Attachment B”, which is attached hereto and incorporated herein by reference.
Form Affirmation Clause. The Undersigned swears or affirms under the penalties of perjury that the undersigned has not altered, modified or changed the clauses 1-24 of the Commissioners form contract in any way except for the following clauses which are named below: IN TESTIMONY WHEREOF, the parties hereto have executed this Agreement. DLZ Indiana, LLC The Board of Commissioners of the County of ▇▇▇▇▇, Indiana By: By: ▇▇▇▇▇▇ ▇. ▇▇▇▇▇▇▇, PE ▇▇▇▇▇▇▇ ▇. ▇▇▇▇▇, President Vice President By: Attest: ▇▇▇▇▇▇▇ ▇. ▇▇▇▇, ▇▇., Vice President By: By: ▇▇▇▇▇▇▇ ▇. ▇▇▇▇▇▇▇, ▇▇ ▇. ▇▇▇▇▇▇ ▇▇▇▇▇▇, Secretary Bridge Division Manager By: ▇▇▇▇▇ ▇▇▇▇▇, ▇▇▇▇▇ County Deputy Auditor Final Plans were prepared for the widening of ▇▇▇▇▇ County Bridge #601 to accommodate a pedestrian trail in 2017. DLZ will update these plans to current specifications, submit any applicable permits, and perform the necessary utility coordination. A bridge load rating will also be provided, and if necessary, the bridge design will be revised to avoid “posting” the bridge with a load limit. The CONSULTANT shall provide the following services and phases to complete the project development. An opinion of probable cost will be prepared at each design phase prior to bidding. Each section is itemized according to specific design elements.