Common use of Agency Certification Clause in Contracts

Agency Certification. “In addition to the acceptance of this contract, I also certify that original copies of this signature page will be attached to all other exact copies of this contract.” POWER AUTHORITY OF THE STATE OF NEW YORK THE STATE UNIVERSITY OF NEW YORK CAMPUS NAME By: By: Name: Name: Title: Title: Date: Date: State University of New York Notary Acknowledgement (ACKNOWLEDGEMENT BY UNINCORPORATED ASSOCIATION) STATE OF NEW YORK ) COUNTY OF ) ss.: On this __________ day of ____________________, 20___, before me personally came _______________________________________________________, to me known and known to me to be the person who executed the above instrument, who, being duly sworn by me, did for himself/herself depose and say that he/she is a member of the firm of _________________________________________________ and that he/she executed the foregoing instrument in the firm name of _________________________________________ and that he/she had authority to sign same, and he/she did duly acknowledge to me that he/she executed the same as the act and deed of said firm of _______________________________________________ for the uses and purposes mentioned therein. Notary Public (ACKNOWLEDGEMENT BY CORPORATION) STATE OF NEW YORK ) COUNTY OF ) ss.: On this ___ day of ________________, 20__, before me personally came ______________________________, to me known, who being duly sworn, did depose and say that he/she resides in ________________________________; that he/she is the ____________________________ (title) of __________________________________________ (firm), the corporation described in and which executed the foregoing instrument; that he/she knows the seal of said corporation; that the seal affixed to said instrument is such corporate seal; that it was so affixed by the order of the Board of Directors of said corporation, and that he/she signed his/her name thereto by like order. Notary Public

Agency Certification. “In addition to the acceptance of this contractContract, I also certify that original copies of this signature page will be attached to all other exact copies of this contract.” POWER AUTHORITY OF THE STATE OF NEW YORK THE STATE UNIVERSITY OF NEW YORK CAMPUS NAME By: By: Name: Name: Title: Title: Date: Date: State University of New York Notary Contract. Dated Dated Agency Signature Contractor Signature Agency Signatory Name (Printed) Contractor Signatory Name (Printed) Agency Signatory Title Contractor Signatory Title Corporate, Partnership Or Individual Acknowledgement (ACKNOWLEDGEMENT BY UNINCORPORATED ASSOCIATION) STATE OF NEW YORK ) ) SS.: COUNTY OF ) ss.: [Check One] ( If an individual): On this __________ day of ____________________, 20___20 , before me personally came _______________________________________________________, to me known and known to me to be the person described in and who executed the foregoing instrument and (s)he acknowledged to me that (s)he executed the same. ( If a corporation): On this day of , 20 , before me personally came , to me known who being duly sworn, did depose and say that (s)he resides in ; that (s)he is the of the , the corporation described in and which executed the foregoing instrument; that (s)he knew the seal of said corporation; that the seal affixed to said instrument was such corporate seal; that it was so affixed by the order of the Board of Directors of said corporation, and that (s)he signed her/his name thereto by like order. ( If a partnership): On this day of , 20 , before me personally came , to me known and known to me to be the person who executed the above instrument, who, being duly sworn by me, did for himselfherself/herself himself depose and say that he/she (s)he is a member of the firm of _________________________________________________ , and that he/she (s)he executed the foregoing instrument in the firm name of _________________________________________ , and that he/she (s)he had authority to sign same, and he/she (s)he did duly acknowledge to me that he/she (s)he executed the same as the act and deed of said firm of _______________________________________________ , for the uses and purposes mentioned therein. Notary Public (ACKNOWLEDGEMENT BY CORPORATION) STATE OF NEW YORK ) COUNTY OF ) ss.Approved as to Form: On this ___ day of ________________, 20__, before me personally came ______________________________, to me known, who being duly sworn, did depose and say that he/she resides in ________________________________; that he/she is the ____________________________ (title) of __________________________________________ (firm), the corporation described in and which executed the foregoing instrument; that he/she knows the seal of said corporation; that the seal affixed to said instrument is such corporate seal; that it was so affixed by the order of the Board of Directors of said corporation, and that he/she signed his/her name thereto by like order. Notary PublicApproved: Xxxxxxx Xxxxx Xxxxxx X. XxXxxxxx Attorney General State Comptroller By: By:

Agency Certification. “In addition to the acceptance of this contract, I also certify that original copies of this signature page will be attached to all other exact copies of this contract.” POWER AUTHORITY OF THE STATE OF NEW YORK THE STATE UNIVERSITY OF NEW YORK CAMPUS NAME . By: Xxxx, Vice President, Chair (Name Typed Here) By: NameXxxxx X. Xxxxxx, Associate Vice President & Controller Contractor Certification: Date: Date: I certify that all information provided to the University at Albany, SUNY regarding my firm or any and all subcontractors, is complete, true and accurate with regard to (i) any prior non-responsibility determinations within the past four years based upon impermissible contacts or other violations of State Finance Law §139-j, as amended, and §139-k, as amended, (ii) is not found on the prohibited entities list developed as a result of the Iran Divestment Act of 2012, NY State Finance Law §165-a, or (iii) the intentional provisions of false or incomplete information to the University at Albany, SUNY. By: Date: Name: Title: TitleContractor: Address: Approved as to Form Approved and Filed Date Date: DateXxxx X. Xxxxxxxxxxxx Xxxxxx X. XxXxxxxx Attorney General State Comptroller By: State University of New York Notary Acknowledgement (ACKNOWLEDGEMENT By: SAMPLE Assistant Attorney General For the Comptroller ACKNOWLEDGMENT BY UNINCORPORATED ASSOCIATION) INDIVIDUAL‌ STATE OF NEW YORK ) SS.: COUNTY OF ) ss.: On this __________ day of ____________________, 20___20 , before me personally came _______________________________________________________, to me known and known to me to be the person described in and who executed the foregoing instrument and he/she acknowledged to me that he/she executed the same. Notary Public ACKNOWLEDGMENT BY UNINCORPORATED ASSOCIATION STATE OF NEW YORK SS.: COUNTY OF ) On this day of , 20 , before me personally came , to me known and known to me to be the person described in and who executed the above instrument, who, being duly sworn by me, did for himself/herself depose and say that he/she is a member of the firm of _________________________________________________ and that he/she executed the foregoing instrument in the firm name of _________________________________________ , and that he/she had authority to sign same, and he/she did duly acknowledge to me that he/she executed the same as the act and deed of said firm of _______________________________________________ , for the uses and purposes mentioned therein. Notary Public (ACKNOWLEDGEMENT ACKNOWLEDGMENT BY CORPORATION) CORPORATION STATE OF NEW YORK ) SS.: COUNTY OF ) ss.: On this ___ day of ________________, 20__in the year 20 , before me personally came ______________________________, to me known, who who, being by me duly sworn, sworn did depose and say that he/she resides in ________________________________; that he/she is the ____________________________ (title) of __________________________________________ (firm)the , the corporation described in and which executed the foregoing above instrument; that he/she knows the seal of said corporation; that the seal affixed to said instrument is such corporate seal; , that it was so affixed by the order of the Board of Directors of said corporation, and that he/she signed his/her name thereto by like order. Notary PublicPublic Standard Contract Clauses‌ State University of New York EXHIBIT A February 11, 2014 The parties to the attached contract, license, lease, amendment or other agreement of any kind (hereinafter, "contract") agree to be bound by the following clauses which are hereby made a part of the contract (the word "Contractor" herein refers to any party other than the State, whether a Contractor, licensor, licensee, lessor, lessee or any other party):

Agency Certification. “In addition to the acceptance of this contract, I also certify that original copies of this signature page will be attached to all other exact copies of this contract.” POWER AUTHORITY OF THE STATE OF NEW YORK THE STATE UNIVERSITY OF NEW YORK CAMPUS NAME . SAMPLE By: Xxxx, Vice President, Chair (Name Typed Here) By: NameXxxxx X. Xxxxxx, Associate Vice President & Controller Consultant Certification: Date: Date: I certify that all information provided to the University at Albany, SUNY is complete, true and accurate with regard to prior non-responsibility determinations within the past four years based upon (i) impermissible contacts or other violations of State Finance Law §139-j, as amended, and §139-k, as amended, or (ii) the intentional provisions of false or incomplete information to the University at Albany, SUNY. By: Date: Name: Title: TitleConsultant: Address: Approved as to Form Approved and Filed Date: Date: Xxxx X. Xxxxxxxxxxxx Xxxxxx X. XxXxxxxx Attorney General State University of New York Notary Acknowledgement (ACKNOWLEDGEMENT Comptroller By: By: Assistant Attorney General ACKNOWLEDGMENT BY UNINCORPORATED ASSOCIATION) INDIVIDUAL‌ STATE OF NEW YORK ) SS.: COUNTY OF ) ss.: On this __________ day of ____________________, 20___20 , before me personally came _______________________________________________________, to me known and known to me to be the person described in and who executed the foregoing instrument and he/she acknowledged to me that he/she executed the same. Notary Public ACKNOWLEDGMENT BY UNINCORPORATED ASSOCIATION STATE OF NEW YORK SS.: COUNTY OF ) On this day of , 20 , before me personally came , to me known and known to me to be the person described in and who executed the above instrument, who, being duly sworn by me, did for himself/herself depose and say that he/she is a member of the firm of _________________________________________________ and that he/she executed the foregoing instrument in the firm name of _________________________________________ , and that he/she had authority to sign same, and he/she did duly acknowledge to me that he/she executed the same as the act and deed of said firm of _______________________________________________ , for the uses and purposes mentioned therein. Notary Public (ACKNOWLEDGEMENT ACKNOWLEDGMENT BY CORPORATION) CORPORATION STATE OF NEW YORK ) SS.: COUNTY OF ) ss.: On this ___ day of ________________, 20__in the year 20 , before me personally came ______________________________, to me known, who who, being by me duly sworn, sworn did depose and say that he/she resides in ________________________________; that he/she is the ____________________________ (title) of __________________________________________ (firm)the , the corporation described in and which executed the foregoing above instrument; that he/she knows the seal of said corporation; that the seal affixed to said instrument is such corporate seal; , that it was so affixed by the order of the Board of Directors of said corporation, and that he/she signed his/her name thereto by like order. Notary PublicPublic Standard Contract Clauses‌ State University of New York EXHIBIT A February 11, 2014 The parties to the attached contract, license, lease, amendment or other agreement of any kind (hereinafter, "contract") agree to be bound by the following clauses which are hereby made a part of the contract (the word "Contractor" herein refers to any party other than the State, whether a Contractor, licensor, licensee, lessor, lessee or any other party):