Common use of State Boilerplate Affirmation Clause Clause in Contracts

State Boilerplate Affirmation Clause. I swear or affirm under the penalties of perjury that I have not altered, modified, changed or deleted the State's standard contract clauses (as contained in the 2022 SCM Template) in any way except as follows: Amendments -added Grant Funding-modified HIPAA Compliance-added Compliance with Audit and Reporting Requirements; Maintenance of Records-modified Provision Applicable to Grants with tax-funded State Educational Institutions: "Separateness" of the Parties -Deleted All references to Grant Application removed Non-Collusion, Acceptance In The undersigned attests, subject to the penalties for perjury, that the undersigned is the Grantee, or that the undersigned is the properly authorized representative, agent, member or officer of the Grantee. Further, to the undersigned's knowledge, neither the undersigned nor any other member, employee, representative, agent or officer of the Grantee, directly or indirectly, has entered into or been offered any sum of money or other consideration for the execution of this Grant Agreement other than that which appears upon the face hereof. Furthermore, if the undersigned has knowledge that a state officer, employee, or special state appointee, as those terms are defined in IC § 4-2-6-1, has a financial interest in the Grant, the Grantee attests to compliance with the disclosure requirements in IC § 4-2-6-10.5.

State Boilerplate Affirmation Clause. I swear or affirm under the penalties of perjury that I have not altered, modified, changed or deleted the State's standard contract clauses (as contained in the 2022 2021 OAG/ IDOA Professional Services Contract Manual or the 2021 SCM Template) in any way except as follows: _ Amendments -added Grant Funding-modified HIPAA Compliance-added – Added Compliance with Audit and Reporting Requirements; Maintenance of Records. – Modified Grant Funding – Modified Federal and State Third-modified Party Contract Provisions - Deleted HIPAA Compliance – Added Payment of Claims – Modified Provision Applicable to Grants with tax-funded State Educational Institutions: "Separateness" of the Parties -Deleted All references to Grant Application removed - Deleted Non-Collusion, Acceptance In The undersigned attests, subject to the penalties for perjury, that the undersigned is the Grantee, or that the undersigned is the properly authorized representative, agent, member or officer of the Grantee. Further, to the undersigned's knowledge, neither the undersigned nor any other member, employee, representative, agent or officer of the Grantee, directly or indirectly, has entered into or been offered any sum of money or other consideration for the execution of this Grant Agreement other than that which appears upon the face hereof. Furthermore, if the undersigned has knowledge that a state officer, employee, or special state appointee, as those terms are defined in IC § 4-2-6-1, has a financial interest in the Grant, the Grantee attests to compliance with the disclosure requirements in IC § 4-2-6-10.5.

State Boilerplate Affirmation Clause. I swear or affirm under the penalties of perjury that I have not altered, modified, changed or deleted the State's standard contract clauses (as contained in the 2022 2019 OAG/ IDOA Professional Services Contract Manual or the 2019 SCM Template) in any way except as follows: Amendments -added Grant Funding-modified HIPAA Compliance-added Modified Compliance with Audit and Reporting Requirements; Maintenance of Records-modified Provision Provisions Applicable to Grants with tax-funded State Educational Institutions: "Separateness" of the Parties -Deleted All references to Grant Application removed “Separateness”-deleted HIPAA Compliance-added Amendments-added Non-Collusion, Acceptance In The undersigned attests, subject to the penalties for perjury, that the undersigned is the Grantee, or that the undersigned is the properly authorized representative, agent, member or officer of the Grantee. Further, to the undersigned's knowledge, neither the undersigned nor any other member, employee, representative, agent or officer of the Grantee, directly or indirectly, has entered into or been offered any sum of money or other consideration for the execution of this Grant Agreement other than that which appears upon the face hereof. Furthermore, if the undersigned has knowledge that a state officer, employee, or special state appointee, as those terms are defined in IC § 4-2-6-1, has a financial interest in the Grant, the Grantee attests to compliance with the disclosure requirements in IC § 4-2-6-10.5.

State Boilerplate Affirmation Clause. I swear or affirm under the penalties of perjury that I have not altered, modified, changed or deleted the State's standard contract clauses (as contained in the 2022 2018 OAG/ IDOA Professional Services Contract Manual or the 2018 SCM Template) in any way except as follows: Amendments -added Grant Funding-modified HIPAA Compliance-added Compliance with Audit and Reporting Requirements; Maintenance of Records-modified Records HIPAA Compliance Provision Applicable to Grants with tax-funded State Educational Institutions: "Separateness" of the Parties -Deleted All references to Grant Application removed THE REMAINDER OF THIS PAGE HAS BEEN INTENTIONALLY LEFT BLANK Non-Collusion, Acceptance In The undersigned attests, subject to the penalties for perjury, that the undersigned is the Grantee, or that the undersigned is the properly authorized representative, agent, member or officer of the Grantee. Further, to the undersigned's knowledge, neither the undersigned nor any other member, employee, representative, agent or officer of the Grantee, directly or indirectly, has entered into or been offered any sum of money or other consideration for the execution of this Grant Agreement other than that which appears upon the face hereof. Furthermore, if the undersigned has knowledge that a state officer, employee, or special state appointee, as those terms are defined in IC § 4-2-6-1, has a financial interest in the Grant, the Grantee attests to compliance with the disclosure requirements in IC § 4-2-6-10.5.

State Boilerplate Affirmation Clause. I swear or affirm under the penalties of perjury that I have not altered, modified, changed or deleted the State's standard contract clauses (as contained in the 2022 SCM Template) in any way except as follows: Amendments -added Grant Funding-modified HIPAA Compliance-added Compliance with Audit and Reporting Requirements; Maintenance of Records-modified Provision Applicable to Grants with tax-funded State Educational Institutions: "Separateness" of the Parties -Deleted All references to Grant Application removed Non-Collusion, Acceptance In The undersigned attests, subject to the penalties for perjury, that the undersigned is the Grantee, or that the undersigned is the properly authorized representative, agent, member or officer of the Grantee. Further, to the undersigned's knowledge, neither the undersigned nor any other member, employee, representative, agent or officer of the Grantee, directly or indirectly, has entered into or been offered any sum of money or other consideration for the execution of this Grant Agreement other than that which appears upon the face hereof. Furthermore, if the undersigned has knowledge that a state officer, employee, or special state appointee, as those terms are defined in IC § 4-2-6-1, has a financial interest in the Grant, the Grantee attests to compliance with the disclosure requirements in IC § 4-2-6-10.5.

State Boilerplate Affirmation Clause. I swear or affirm under the penalties of perjury that I have not altered, modified, changed or deleted the State's standard contract clauses (as contained in the 2022 2019 OAG/ IDOA Professional Services Contract Manual or the 2019 SCM Template) in any way except as follows: Amendments -added Grant Funding-modified HIPAA Compliance-added Compliance with Audit and Reporting Requirements; Maintenance of Records-modified Provision Applicable to Grants with taxGrant Funding- modified HIPAA Compliance-funded State Educational Institutions: "Separateness" added Implementation of and reporting on the Project -modified Order of Precedence incorporation by Reference-modified Payment of Claims-modified Project Monitoring-modified Representations and Warranties of the Parties -Deleted All references to Grant Application removed Grantee-modified Non-Collusion, Acceptance In The undersigned attests, subject to the penalties for perjury, that the undersigned is the Grantee, or that the undersigned is the properly authorized representative, agent, member or officer of the Grantee. Further, to the undersigned's knowledge, neither the undersigned nor any other member, employee, representative, agent or officer of the Grantee, directly or indirectly, has entered into or been offered any sum of money or other consideration for the execution of this Grant Agreement other than that which appears upon the face hereof. Furthermore, if the undersigned has knowledge that a state officer, employee, or special state appointee, as those terms are defined in IC § 4-2-6-1, has a financial interest in the Grant, the Grantee attests to compliance with the disclosure requirements in IC § 4-2-6-10.5.