Submit By E-mail (pdf with signature) To [No.] of the Contract, this completed Certificate of Incumbency of the Supplier is submitted to the Buyer. Pursuant to Section Capitalized terms not defined herein have the meanings ascribed thereto in the Contract. Date Name of Supplier (the “Supplier”) Name of Contract Facility Contract Title Contract Date I, the undersigned, do hereby certify for and on behalf of the Supplier, in my capacity as an officer of the Supplier, and not in my personal capacity that the following persons are duly appointed directors or officers of the Supplier holding the respective offices set opposite their names and that the signatures set forth opposite their names are their genuine signatures: Name Office Signature And [Name of Individuals Above] has/have the authority to execute on behalf of the Supplier the [Name of Contract] dated as of [Contract Date] (the between the Supplier and the Buyer and any other related document under the Contract. “Contract”) DATED this [day] day of [month], [year] Name: [Name] [Title] I, [Name], being the [Title] of the Supplier hereby certify for and on behalf of the Supplier in my capacity as an officer of the Supplier, and not in my personal capacity that [Name of First Signatory] is the duly appointed [Title] of the Supplier and that the signature appearing beside his or her name above is his or her genuine signature. DATED this [day] day of [month], [year] Name: [Name] Title: [Title]
Submit By E-mail (pdf with signature) To Pursuant to Section [No.] of the Contract, this completed Certificate of Incumbency of the Supplier is submitted to the Buyer. Capitalized terms not defined herein have the meanings ascribed thereto in the Contract. Date Name of Supplier (the “Supplier”) Name of Contract Facility Contract Title Contract Date I, the undersigned, do hereby certify for and on behalf of the Supplier, in my capacity as an officer of the Supplier, and not in my personal capacity that the following persons are duly appointed directors or officers of the Supplier holding the respective offices set opposite their names and that the signatures set forth opposite their names are their genuine signatures: Name Office Signature And [Name of Individuals Above] has/have the authority to execute on behalf of the Supplier the [Name of Contract] dated as of [Contract Date] (the “Contract”) between the Supplier and the Buyer and any other related document under the Contract. DATED this [day] day of [month], [year] Name: [Name] [Title] I, [Name], being the [Title] of the Supplier hereby certify for and on behalf of the Supplier in my capacity as an officer of the Supplier, and not in my personal capacity that [Name of First Signatory] is the duly appointed [Title] of the Supplier and that the signature appearing beside his or her name above is his or her genuine signature. DATED this [day] day of [month], [year] Name: [Name] Title: [Title]