Common use of Statement of Information Clause in Contracts

Statement of Information. The undersigned, as a duly authorized representative for _, states that to the best of his/her knowledge the District property, for use of which this application is hereby made, will not be used for the commission of any crime or any act which is prohibited by law. This Agreement shall be signed by persons authorized to sign on behalf of Permittee and bind the Permittee to the terms of this Agreement. The Permittee, by its duly authorized officer, also xxxxxx accepts and agrees to abide by the preceding terms and conditions. The District reserves the right to cancel or revoke this permit at any time based on non-compliance with the terms and conditions stated herein or referenced by attachment or addendum. The District will be entitled to recover all legal fees, costs and other expenses incident to securing performance or incurred as a consequence of nonperformance. For purposes of this Agreement, the following persons are the authorized representatives for the District and the Permittee: DISTRICT PERMITTEE Xxxxxx Xxxxxxxx Name: Facilities Scheduling Specialist Title: Cerritos Community College District Organization: 00000 Xxxxxxx Xxxx. Xxxxxxx: Xxxxxxx, XX 00000 City: (000)000-0000 Ext. 2303 State/Zip: xxxxxxxx@xxxxxxxx.xxx Ph. email: The undersigned certifies that (s) he is authorized to sign this Agreement on behalf of the Permittee and that the Permittee acknowledges and accepts the terms and conditions herein and attached hereto. Date: Date: Xxxxxxx Xxxxxx Name: Director of Physical Plant & Construction Services Cerritos Community College District

Statement of Information. The undersigned, as a duly authorized representative for _, states that to the best of his/her knowledge the District property, for use of o f which this application is hereby made, made will not be used for the commission of any an y crime or any act which is prohibited by law. This Agreement shall agreement must be signed by persons authorized to sign sig n on behalf of Permittee the organization and bind the Permittee organization to the terms of this Agreementagreement. The Permittee, by its duly authorized officer, also xxxxxx hereby accepts and agrees to abide by the preceding terms and conditions. The District reserves the right to cancel or revoke this permit at any time based on nonno n-compliance with the terms and conditions stated herein or referenced by attachment or addendum. The District will be entitled to recover rec over all legal fees, costs and other expenses incident to securing performance or incurred as a consequence of nonperformance. For purposes of this Agreementagreement, the following persons are the authorized representatives for the District and the Permittee: DISTRICT PERMITTEE Xxxxxx Xxxxxxxx Name: Facilities Scheduling Specialist Title: Cerritos Community College District Organization: 00000 Xxxxxxx Xxxx. Xxxxxxx: Xxxxxxxthe, XX 00000 City: (000)000-0000 Ext. 2303 State/Zip: xxxxxxxx@xxxxxxxx.xxx Ph. emailentity respectively: The undersigned certifies that (s) he is authorized to sign this Agreement on behalf of the Permittee and that the Permittee acknowledges and accepts the terms and conditions herein and attached hereto. Date: Date: DISTRICT PERMITTEE Xxxxxxx Xxxxxx Xxxxxxx Name: Director of Physical Plant & Construction Services Cerritos Long Beach Community College DistrictDistrict Organization: 0000 X. Xxxxxx Street Address: Xxxx Xxxxx, XX 00000 City: CA Zip: Ph: 000.000.0000 Fax: 000.000.0000 Ph: Fax: Director, District Facilities Date Permittee Date

Statement of Information. The undersigned, as a duly authorized representative for _, states that to the best of his/her knowledge the District property, for use of o f which this application is hereby made, made will not be used for the commission of any an y crime or any act which is prohibited by law. This Agreement shall agreement must be signed by persons authorized to sign sig n on behalf of Permittee the organization and bind the Permittee organization to the terms of this Agreementagreement. The Permittee, by its duly authorized officer, also xxxxxx accepts and agrees to abide by the preceding terms and conditions. The District reserves the right to cancel or revoke this permit at any time based on nonno n-compliance with the terms and conditions stated herein or referenced by attachment or addendum. The District will be entitled to recover rec over all legal fees, costs and other expenses incident to securing performance or incurred as a consequence of nonperformance. For purposes of this Agreementagreement, the following persons are the authorized representatives for the District and the Permittee: DISTRICT PERMITTEE Xxxxxx Xxxxxxxx Name: Facilities Scheduling Specialist Title: Cerritos Community College District Organization: 00000 Xxxxxxx Xxxx. Xxxxxxx: Xxxxxxxthe, XX 00000 City: (000)000-0000 Ext. 2303 State/Zip: xxxxxxxx@xxxxxxxx.xxx Ph. emailentity respectively: The undersigned certifies that (s) he is authorized to sign this Agreement on behalf of the Permittee and that the Permittee acknowledges and accepts the terms and conditions herein and attached hereto. Date: Date: DISTRICT PERMITTEE Xxxxxxx Xxxxxx Xxxxxxx Name: Director of Physical Plant & Construction Services Cerritos Long Beach Community College DistrictDistrict Organization: 0000 X. Xxxxxx Street Address: Xxxx Xxxxx, XX 00000 City: CA Zip: Ph: 000.000.0000 Fax: 000.000.0000 Ph: Fax: Director, District Facilities Date Permittee Date

Statement of Information. The undersigned, as a duly authorized representative for _, states that to the best of his/her knowledge the District property, for use of which this application is hereby made, will not be used for the commission of any crime or any act which is prohibited by law. This Agreement shall be signed by persons authorized to sign on behalf of Permittee and bind the Permittee to the terms of this Agreement. The Permittee, by its duly authorized officer, also xxxxxx hereby accepts and agrees to abide by the preceding terms and conditions. The District reserves the right to cancel or revoke this permit at any time based on non-compliance with the terms and conditions stated herein or referenced by attachment or addendum. The District will be entitled to recover all legal fees, costs and other expenses incident to securing performance or incurred as a consequence of nonperformance. For purposes of this Agreement, the following persons are the authorized representatives for the District and the Permittee: DISTRICT PERMITTEE Xxxxxx Xxxxxxxx Name: Facilities Scheduling Specialist Title: Cerritos Community College District Organization: 00000 Xxxxxxx Xxxx. Xxxxxxx: Xxxxxxx, XX 00000 City: (000)000-0000 Ext. 2303 State/Zip: xxxxxxxx@xxxxxxxx.xxx Ph. email: The undersigned certifies that (s) he is authorized to sign this Agreement on behalf of the Permittee and that the Permittee acknowledges and accepts the terms and conditions herein and attached hereto. Date: Date: Xxxxxxx Xxxxxx X. Xxxxx Name: Director Vice President of Physical Plant & Construction Services Cerritos Community College DistrictBusiness Services/ Assistant Superintendent