Certification Regarding Suspension or Debarment. Contractor certifies under the pains and penalties of perjury that, as of the date this contract amendment is signed, neither Contractor nor Contractor’s principals (officers, directors, owners, or partners) are presently debarred, suspended, proposed for debarment, declared ineligible or excluded from participation in federal programs, or programs supported in whole or in part by federal funds. Contractor further certifies under pains and penalties of perjury that, as of the date this contract amendment is signed, Contractor is not presently debarred, suspended, nor named on the State’s debarment list at: xxxx://xxx.xxxxxxx.xxx/purchasing-contracting/debarment This document consists of 2 pages. Except as modified by this Amendment No. 2, all provisions of the Contract remain in full force and effect. The signatures of the undersigned indicate that each has read and agrees to be bound by this Amendment to the Contract. STATE OF VERMONT XXXXXX AIR SYSTEMS, INC. By: By: Name: Name: Title: Title: Date: Date: Contract #37375 Amendment #1 STATE OF VERMONT CONTRACT AMENDMENT It is hereby agreed by and between the State of Vermont, Department of Buildings & General Services (the "State") and Xxxxxx Air Systems, Inc. with a principal place of business in S. Burlington, VT (the "Contractor") that the contract between them originally dated as of November 1, 2018, Contract #37375, as amended to date, (the “Contract”) is hereby amended as follows:
Certification Regarding Suspension or Debarment. Contractor certifies under the pains and penalties of perjury that, as of the date this contract amendment is signed, neither Contractor nor Contractor’s principals (officers, directors, owners, or partners) are presently debarred, suspended, proposed for debarment, declared ineligible or excluded from participation in federal programs, or programs supported in whole or in part by federal funds. Contractor further certifies under pains and penalties of perjury that, as of the date this contract amendment is signed, Contractor is not presently debarred, suspended, nor named on the State’s debarment list at: xxxx://xxx.xxxxxxx.xxx/purchasing-contracting/debarment This document consists of 2 pages. Except as modified by this Amendment No. 2, all provisions of the Contract remain in full force and effect. The signatures of the undersigned indicate that each has read and agrees to be bound by this Amendment to the Contract. State of Vermont Xxxxxxx X Xxxxxx, Xx. dba N-Tech By: Name: _Xxxxxxxx Xxxxx By: Name: Title: Acting Commissioner - Buildings and Title: General Services Date: Date: Contract #37349 Amendment #1 STATE OF VERMONT CONTRACT AMENDMENT It is hereby agreed by and between the State of Vermont, Department of Buildings & General Services (the "State") and Xxxxxxx X Xxxxxx, Xx. dba N-Tech with a principal place of business in Essex Junction, VT (the "Contractor") that the contract between them originally dated as of November 1, 2018, Contract #37349, as amended to date, (the “Contract”) is hereby amended as follows:
Certification Regarding Suspension or Debarment. Contractor certifies under the pains and penalties of perjury that, as of the date this SOW Amendment is signed, neither Contractor nor Contractor’s principals (officers, directors, owners, or partners) are presently debarred, suspended, proposed for debarment, declared ineligible or excluded from participation in federal programs, or programs supported in whole or in part by federal funds. Contractor further certifies under pains and penalties of perjury that, as of the date this SOW Amendment is signed, Contractor is not presently debarred, suspended, nor named on the State’s debarment list at: xxxx://xxx.xxxxxxx.xxx/purchasing/debarment.
Certification Regarding Suspension or Debarment. Contractor certifies under the pains and penalties of perjury that, as of the date this SOW Agreement is signed, neither Contractor nor Contractor’s principals (officers, directors, owners, or partners) are presently debarred, suspended, proposed for debarment, declared ineligible or excluded from participation in federal programs, or programs supported in whole or in part by federal funds. Contractor further certifies under pains and penalties of perjury that, as of the date this SOW Agreement is signed, Contractor is not presently debarred, suspended, nor named on the State’s debarment list at: xxxx://xxx.xxxxxxx.xxx/purchasing/debarment. Child Support (Applicable to natural persons only; not applicable to corporations, partnerships or LLCs). Contractor certifies that it is under no obligation to pay child support or is in good standing with respect to or in full compliance with a plan to pay any and all child support payable under a support order as of the date of this amendment. REQUIRED PRIOR APPROVALS All SOW Agreements, regardless of value, shall be approved by the Vermont Chief Information Officer/Secretary of the Agency of Digital Services prior to execution. CIO Approval Date All SOW Agreements valued at $25,000 or more per year shall be certified by the Vermont Office of the Attorney General in accordance with 3 V.S.A. § 342 prior to execution. Further, there shall be no limitation of liability, including a waiver of consequential, indirect, special, punitive or exemplary damages, or disclaimers of warranty without approval from the Office of the Attorney General. Certified by Date WE THE UNDERSIGNED PARTIES AGREE TO BE BOUND BY THIS SOW AGREEMENT. <Insert SOW contractor Name> Signature Date STATE OF VERMONT, <Insert Requesting Agency or business unit> Signature Date Attachment D3: Form SOW Amendment SOW AMENDMENT SOW-AGREEMENT #_ PRE-QUALIFICATION CONTRACT # Amendment No. (“Master Agreement”) It is hereby agreed by and between the State of Vermont, AGENCY/DEPARTMENT (the "State") and CONTRACTOR NAME, with a principal place of business in CITY, STATE (the "Contractor") that the above SOW Agreement between them originally dated as of SOW START DATE, as amended to date, (the “SOW Agreement”) is hereby amended as follows: REMOVE/EXPAND/REVISE THE BELOW AMENDMENT ITEMS, AS APPLICABLE
Certification Regarding Suspension or Debarment. Contractor certifies under the pains and penalties of perjury that, as of the date this contract amendment is signed, neither Contractor nor Contractor’s principals (officers, directors, owners, or partners) are presently debarred, suspended, proposed for debarment, declared ineligible or excluded from participation in federal programs, or programs supported in whole or in part by federal funds. Contractor further certifies under pains and penalties of perjury that, as of the date this contract amendment is signed, Contractor is not presently debarred, suspended, nor named on the State’s debarment list at: xxxx://xxx.xxxxxxx.xxx/purchasing-contracting/debarment Sole Source Contract for Services. This Contract results from a “sole source” procurement under State of Vermont Administrative Bulletin 3.5 process and Contractor hereby certifies that it is and will remain in compliance with the campaign contribution restrictions under 17 V.S.A. § 2950. This document consists of 2 pages. Except as modified by this Amendment No. 3, all provisions of the Contract remain in full force and effect. The signatures of the undersigned indicate that each has read and agrees to be bound by this Amendment to the Contract. Revision Date: 05/30/2019 STATE OF VERMONT XXXXX ELECTRIC By: Name: Xxxxxxxx Xxxxx Title: Commissioner - Buildings and General Services Date: By: Name: Title: Date: Revision Date: 05/30/2019 STATE OF VERMONT CONTRACT AMENDMENT It is hereby agreed by and between the State of Vermont, Department of Buildings and General Services (the "State") and Xxxxx Electric, Inc., with a principal place of business in Colchester, VT (the "Contractor") that the contract between them originally dated as of November 1, 2018, Contract #37366, as amended to date, (the “Contract”) is hereby amended as follows:
Certification Regarding Suspension or Debarment. Contractor certifies under the pains and penalties of perjury that, as of the date this contract amendment is signed, neither Contractor nor Contractor's principals (officers, directors, owners, or partners) are presently debarred, suspended, proposed for debarment, declared ineligible or excluded from participation in federal programs, or programs supported in whole or in part by federal funds. Contractor further certifies under pains and penalties of perjury that, as of the date this contract amendment is signed, Contractor is not presently debarred, suspended, nor named on the State's debarment list at: xxxx://xxx.xxxxxxx.xxx/purchasing-contracting/debarment This document consists of 5 pages. Except as modified by this Amendment No. 4, all provisions of the Contract remain in full force and effect. . STATE OF VERMONT CONTACT: XXXX XXXXXX PURCHASING AGENT 000-000-0000 FAX 000-000-0000 XXXX.XXXXXX@Xxxxxxx.xxx Unit Xxx Xxx Line # Item ID Item Desc UOM Price Qty Amt WE THE UNDERSIGNED PARTIES AGREE TO BE BOUND BY THIS CONTRACT By the STATE of VERMONT By the CONTRACTOR Date: Signature: Name: Date: Signature: Name: Title: Email: Title: Email: Line # Item ID Item Desc UOM Unit Price Max Qty Max Amt 1 SNOWPLOW BLADE CUTTING EDGES. CONTACT CONTRACTOR FOR PRICE QUOTE EA 0.01000 0.00 0.00 BLADES PER THE ATTACHED LIST STANDARD CONTRACT FOR SNOWPLOWBLADE CUTTING EDGES
Certification Regarding Suspension or Debarment. Contractor certifies under the pains and penalties of perjury that, as of the date this contract amendment is signed, neither Contractor nor Contractor’s principals (officers, directors, owners, or partners) are presently debarred, suspended, proposed for debarment, declared ineligible or excluded from participation in federal programs, or programs supported in whole or in part by federal funds. Contractor further certifies under pains and penalties of perjury that, as of the date this contract amendment is signed, Contractor is not presently debarred, suspended, nor named on the State’s debarment list at: xxxx://xxx.xxxxxxx.xxx/purchasing-contracting/debarment SOV Cybersecurity Standard 19-01. All products and service provided to or for the use of the State under this Contract shall be in compliance with State of Vermont Cybersecurity Standard 19-01, which Contractor acknowledges has been provided to it, and is available on-line at the following URL:xxxxx://xxxxxxxxxxxxxxx.xxxxxxx.xxx/cybersecurity/cybersecurity-standards-and- directives Contract #34361 Amendment #2 This document consists of 2 pages. Except as modified by this Amendment No. 2, all provisions of the Contract remain in full force and effect. The signatures of the undersigned indicate that each has read and agrees to be bound by this Amendment to the Contract. STATE OF VERMONT ATA SERVICES, INC. By: By: Name: Name: Title: Title: Date: Date: STATE OF VERMONT PARTICIPATING ADDENDUM NO. 34361 TEMPORARY EMPLOYMENT SERVICES NEW MEXICO NASPO VALUEPOINT MASTER AGREEMENT NO. 50-000-15-00058- AB
Certification Regarding Suspension or Debarment. Contractor certifies under the pains and penalties of perjury that, as of the date this contract amendment is signed, neither Contractor nor Contractor’s principals (officers, directors, owners, or partners) are presently debarred, suspended, proposed for debarment, declared ineligible or excluded from participation in federal programs, or programs supported in whole or in part by federal funds. Contractor further certifies under pains and penalties of perjury that, as of the date this contract amendment is signed, Contractor is not presently debarred, suspended, nor named on the State’s debarment list at: xxxx://xxx.xxxxxxx.xxx/purchasing-contracting/debarment Revision Date: 05/30/2019 The signatures of the undersigned indicate that each has read and agrees to be bound by this Amendment to the Contract. STATE OF VERMONT SONEPAR DISTRIBUTION NE INC. By: By: Name: Name: Title: Title: Date: Date: Revision Date: 05/30/2019 Line # Item ID Item Desc UOM Unit Price Max Qty Max Amt 1 POWER AND CONTROL WIRES, ELECTRIC EA 0.01000 0.00 0.00 (APPROXIMATELY 24 GA TO 600Kcmil) AND MATERIALS (COPPER, ALUMINUM, GOLD...) AND THEIR ASSOCIATED MAINTENANCE AND ACCESSORY PARTS (WIRE, NUTS, LUGS, COUPLERS, ETC). 50-85% OFF RETAIL 2 SUPPLY PANELS FOR MULTIPLE SIZE FEEDS, ELECTRIC EA 0.01000 0.00 0.00 (100AMP, 800 AMP, ETC.) AND THEIR ASSOCIATED PROTECTION, MAINTENANCE AND ACCESSORY PARTS (CIRCUIT BREAKERS, VOLTAGE PROTECTION, CONNECTOR LUGS, ETC.) 15-65% OFF RETAIL 3 CONDUIT EA 0.01000 0.00 0.00 (1/2" TO 4") AND CORRESPONDING JUNCTION BOXES WITH ASSOCIATED MAINTENANCE AND ACCESSORY PARTS (CONNECTOR LUGS, ETC.). 15-65% OFF RETAIL 4 FINISH DEVICES AND SURFACE MOUNT SYSTEMS, ELECTRICAL EA 0.01000 0.00 0.00 (RECEPTACLES, COVER PLATES, SURFACE RACEWAYS, BOXES FOR TERMINATION OF DATA AND OR ELECTRICAL, ETC). 20-90% OFF RETAIL 5 TOOLS EA 0.01000 0.00 0.00 NECESSARY FOR WORKING WITH ITEM GROUPS IDENTIFIED ABOVE. 15-85% OFF RETAIL
Certification Regarding Suspension or Debarment. Contractor certifies under the pains and penalties of perjury that, as of the date this contract amendment is signed, neither Contractor nor Contractor’s principals (officers, directors, owners, or partners) are presently debarred, suspended, proposed for debarment, declared ineligible or excluded from participation in federal programs, or programs supported in whole or in part by federal funds. Contractor further certifies under pains and penalties of perjury that, as of the date this contract amendment is signed, Contractor is not presently debarred, suspended, nor named on the State’s debarment list at: xxxx://xxx.xxxxxxx.xxx/purchasing/debarment. This document consists of 2 pages. Except as modified by this Amendment No. 2 all provisions of the Contract remain in full force and effect. The signatures of the undersigned indicate that each has read and agrees to be bound by this Amendment to the Contract. STATE OF VERMONT Competitive Computing Inc By: By: Name: Name: Title: Title: Date: Date: ATTACHMENT C: STANDARD STATE PROVISIONS FOR CONTRACTS AND GRANTS Revised December 15, 2017
Certification Regarding Suspension or Debarment. Contractor certifies under the pains and penalties of perjury that, as of the date this contract amendment is signed, neither Contractor nor Contractor’s principals (officers, directors, owners, or partners) are presently debarred, suspended, proposed for debarment, declared ineligible or excluded from participation in federal programs, or programs supported in whole or in part by federal funds. Contractor further certifies under pains and penalties of perjury that, as of the date this contract amendment is signed, Contractor is not presently debarred, suspended, nor named on the State’s debarment list at: xxxx://xxx.xxxxxxx.xxx/purchasing-contracting/debarment This document consists of 2 pages. Except as modified by this Amendment No. 1, all provisions of the Contract remain in full force and effect. The signatures of the undersigned indicate that each has read and agrees to be bound by this Amendment to the Contract. STATE OF VERMONT CONTROL TECHNOLOGIES, INC. By: By: Name: Name: Title: Title: Date: Date: State of Vermont Buildings and General Services Engineering Division 2 Gov Aiken Ave Drawer 33 Montpelier VT 05633 CONTRACT USA Vendor ID 0000003032 Control Technologies Inc 000 Xxxx Xxx Xxx 00 Xxxxxxxxx XX 00000 XXX Phone #: Line # Item ID Item Desc UOM Unit Price Max Qty Max Amt 1 Retainer - HVAC & Plumbing Services JOB 0.01000 0.00 300,000.00 Contract ID 0000000000000000000037351 Page 1 of 2 Contract Dates 11/01/2018 to 10/31/2019 Origin CPS Description: HVAC & Plumbing Services Contract Maximum$300,000.00 Buyer Name Buyer Phone Xxxx Xxxxx Xxxxxxx Contract Status Approved CONTRACT TERMS AND ADDITIONAL INFORMATION STANDARD CONTRACT FOR SERVICES
