VACCINATION CERTIFICATION Sample Clauses

VACCINATION CERTIFICATION. 🞎 I hereby certify that all (Contractor Name) employees and subcontractors who will be working on Contract No. are fully vaccinated against COVID- 19, being tested on a weekly basis, or are exempt pursuant to a valid reasonable accommodation under state or federal law. Please do not include any of your employees’ medical documentation, including vaccination records or test results. Date: Signature: Printed Name: Title: EXHIBIT CONTRACTOR COVID-19 VACCINATION QUARTERLY COMPLIANCE CERTIFICATION By Email: Please complete the report below and return it to: xxxxxxxxxxxxxxxxxxxxx@xxxxxxxxxxx.xx. 🞎 I hereby certify that all (Contractor Name) employees and subcontractors working on Contract No. are fully vaccinated against COVID-19, being tested on a weekly basis, or are exempt pursuant to a valid reasonable accommodation under state or federal law. Please do not include any of your employees’ medical documentation, including vaccination records or test results. Date: Signature: Printed Name and Title: Company Name:
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VACCINATION CERTIFICATION. Pursuant to Proclamation 21-14 – COVID-19 Vaccination Requirement (dated August 9, 2021) as amended by Proclamation 21-14.1 – COVID-19 Vaccination Requirement (dated August 20, 2021) (“Proclamation”) all contractors and any of their employees and/or subcontractors who provide contracted services on-site must certify that they are fully vaccinated against the COVID-19 virus, unless properly excepted or exempted for disability or sincerely held religious beliefs as set forth in the Proclamation. Contractors who cannot so certify are prohibited from contracting with the state.
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VACCINATION CERTIFICATION. 🞎 I hereby certify that I Xx. Xxxxx Xxxxxxxxxxxx, MD working on Contract No. 21-DHS-EP-405 am fully vaccinated against COVID- 19, or being tested on a weekly basis, or are exempt pursuant to a valid reasonable accommodation under state or federal law. 9/9/2022 Date: Signature: Printed Name: Xx. Xxxxxxxxxxxx Title: Physician EXHIBIT G CONTRACTOR COVID-19 VACCINATION QUARTERLY COMPLIANCE CERTIFICATION By Email: Please complete the report below and return it to: xxxxxxxxxxxxxxxxxxxxx@xxxxxxxxxxx.xx. 🞎 I hereby certify that Xx. Xxxxx Xxxxxxxxxxxx, MD fully vaccinated against COVID-19, or being tested on a weekly basis, or are exempt pursuant to a valid reasonable accommodation under state or federal law. Date: 9/9/2022 Signature: Printed Name and Title: Dr. PutchakayaPlhaysician Company Name: _Xxxxx Xxxxxxxxxxxx, MD, PLLC
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VACCINATION CERTIFICATION. 🞎 I hereby certify that all National Capital Treatment & Recovery employees and subcontractors who will be working on Contract No. 20-052-RFP-1-LW are fully vaccinated against COVID- 19, or being tested on a weekly basis, or are exempt pursuant to a valid reasonable accommodation under state or federal law. Please do not include any of your employees’ medical documentation, including vaccination records or test results. Date: Signature: Printed Name: Title: EXHIBIT H CONTRACTOR COVID-19 VACCINATION QUARTERLY COMPLIANCE CERTIFICATION By Email: Please complete the report below and return it to: xxxxxxxxxxxxxxxxxxxxx@xxxxxxxxxxx.xx. 🞎 I hereby certify that all National Capital Treatment & Recovery employees and subcontractors working on Contract No. 20-052-RFP-1-LW are fully vaccinated against COVID-19, or being tested on a weekly basis, or are exempt pursuant to a valid reasonable accommodation under state or federal law. Please do not include any of your employees’ medical documentation, including vaccination records or test results. Date: Signature: Printed Name and Title: Company Name:
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VACCINATION CERTIFICATION. 🞎 Arlington Public Schools I hereby certify that all (Contractor Name) employees and subcontractors who will be working on Contract No. 22-DHS-EP-20 are fully vaccinated against COVID- 19, or being tested on a weekly basis, or are exempt pursuant to a valid reasonable accommodation under state or federal law. Please do not include any of your employees’ medical documentation, including vaccination records or test results. 6/28/2022 Date: Signature: Printed Name: Dr. Xxxxxxxxx Xxxxx Title: Superintendent EXHIBIT F CONTRACTOR COVID-19 VACCINATION QUARTERLY COMPLIANCE CERTIFICATION By Email: Please complete the report below and return it to: xxxxxxxxxxxxxxxxxxxxx@xxxxxxxxxxx.xx. 🞎 I hereby certify that all Arlington Public Schools (Contractor Name) employees and subcontractors working on Contract No. or being 22-DHS-EP-20 are fully vaccinated against COVID-19, tested on a weekly basis, or are exempt pursuant to a valid reasonable accommodation under state or federal law. Please do not include any of your employees’ medical documentation, including vaccination records or test results. Date: 6/28/2022 Signature: Printed Name and Title: Dr. FranciscoSDuuprearnintendent Company Name: _Arlington Public Schools
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Related to VACCINATION CERTIFICATION

  • COMPENSATION CERTIFICATION Labor Code Section 3700 in relevant part provides: Every employer except the State shall secure the payment of compensation in one or more of the following ways: • By being insured against liability to pay compensation by one or more insurers duly authorized to write compensation insurance in this State. • By securing from the Director of Industrial Relations a certificate of consent to self-insure, which may be given upon furnishing satisfactory proof to the Director of Industrial Relations of ability to self-insure and to pay any compensation that may become due to its employees. I am aware of the provisions of Section 3700 of the Labor Code which require every employer to be insured against liability for workers’ compensation or to undertake self-insurance in accordance with the provisions of that code, and I will comply with such provisions before commencing the performance of the Work of this Contract. Date: Name of Consultant: Signature: Print Name and Title: (In accordance with Article 5 – commencing at Section 1860, Chapter 1, part 7, Division 2 of the Labor Code, the above certificate must be signed and filed with the District prior to performing any Work under this Contract.)

  • Completion Certificate Upon completion of Construction Works and the Independent Engineer determining the Tests to be successful, it shall forthwith issue to the Concessionaire and the Authority a certificate substantially in the form set forth in Schedule-J (the “Completion Certificate”).

  • AS9100 Certification ‌ AS9100 Certification, specifies requirements for a quality management system to demonstrate the Contractor’s ability to consistently meet the customer requirements as well as statutory and regulatory requirements for the aerospace industry. An AS9100 Certification, is not mandatory; however, Contractors who desire to compete for work within the aerospace industry are encouraged to have AS9100 Certification, during the entire term of OASIS. The Contractor shall notify the OASIS CO, in writing, if there are any changes in the status of their AS9100 Certification, and provide the reasons for the change and copies of audits from an AS9100 Certification Body, as applicable. If only part of a Contractor’s organization is AS9100, certified, the Contractor shall make the distinction between which business units or sites and geographic locations have been certified.

  • Contractor’s Federal Employment Verification Certification The Contractor is registered with, authorized to use, is using and will continue to use, the federal work authorization program throughout the term of the contract, and holds the following authorization: User Identification Number: Date of Authorization: Date WITNESSETH, that the Contractor and the Owner, for the consideration set forth herein, the adequacy and sufficiency of which is hereby acknowledged by each party, agree as follows:

  • DEBARMENT AND SUSPENSION CERTIFICATION 2 A. CONTRACTOR certifies that it and its principals:

  • Lobbying Certification By execution of this contract with the Agency the Contractor thereby certifies, to the best of his or her knowledge and belief, that:

  • Contractor Certification The Department may, at its option, terminate the Contract if the Contractor is found to have submitted a false certification as provided under section 287.135(5), F.S., or been placed on the Scrutinized Companies with Activities in Sudan List or the Scrutinized Companies with Activities in the Iran Petroleum Energy Sector List, or been engaged in business operations in Cuba or Syria, or to have been placed on the Scrutinized Companies that Boycott Israel List or is engaged in a boycott of Israel.

  • TRUTH IN NEGOTIATION CERTIFICATE Signature of this Contract by the CONTRACTOR shall act as the execution of the truth-in- negotiation certificate certifying that the wage rates and costs used to determine the compensation provided for in this Contract are accurate, complete and current as of the date of the Contract and no higher than those charged the CONTRACTOR’S most favored customer for the same or substantially similar service. The said rates and costs shall be adjusted to exclude any significant sums should the COUNTY determine that the rates and costs were increased due to inaccurate, incomplete or non-current wage rates or due to inaccurate representations of fees paid to outside Contractors. The COUNTY shall exercise its right under this “Certificate” within one (1) year following final payment.

  • Drug-Free Workplace Certification As required by Executive Order No. 90-5 dated April 12, 1990, issued by the Governor of Indiana, the Contractor hereby covenants and agrees to make a good faith effort to provide and maintain a drug-free workplace. The Contractor will give written notice to the State within ten (10) days after receiving actual notice that the Contractor, or an employee of the Contractor in the State of Indiana, has been convicted of a criminal drug violation occurring in the workplace. False certification or violation of this certification may result in sanctions including, but not limited to, suspension of contract payments, termination of this Contract and/or debarment of contracting opportunities with the State for up to three (3) years. In addition to the provisions of the above paragraph, if the total amount set forth in this Contract is in excess of $25,000.00, the Contractor certifies and agrees that it will provide a drug-free workplace by:

  • Exhibit D - Debarment Certification By signing and submitting this Contract, the Contractor is agreeing to abide by the debarment requirements as set out below. • The certification in this clause is a material representation of fact relied upon by County. • The Contractor shall provide immediate written notice to County if at any time the Contractor learns that its certification was erroneous or has become erroneous by reason of changed circumstances. • Contractor certifies that none of its principals, affiliates, agents, representatives or contractors are excluded, disqualified or ineligible for the award of contracts by any Federal agency and Contractor further certifies to the best of its knowledge and belief, that it and its principals: • Are not presently debarred, suspended, proposed for debarment, declared ineligible, or voluntarily excluded by any Federal Department or Agency; • Have not been convicted within the preceding three-years of any of the offenses listed in 2 CFR 180.800(a) or had a civil judgment rendered against it for one of those offenses within that time period; • Are not presently indicted for or otherwise criminally or civilly charged by a governmental entity (Federal, State, or Local) with commission of any of the offenses listed in 2 CFR 180.800(a); • Have not had one or more public transactions (Federal, State, or Local) terminated within the preceding three-years for cause or default. • The Contractor agrees by signing this Contract that it will not knowingly enter into any subcontract or covered transaction with a person who is proposed for debarment, debarred, suspended, declared ineligible, or voluntarily excluded from participation in this covered transaction. • Any subcontractor will provide a debarment certification that includes the debarment clause as noted in preceding bullets above, without modification.

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