Orange County NC Website
15 <br /> <br />ATTACHMENT B: CERTIFICATION OF FINANCIAL CONDITION <br /> <br />Name of Vendor: _______________________________________________________________ <br /> <br />The undersigned hereby certifies that: [check all applicable boxes] <br /> <br /> The Vendor is in sound financial condition and, if applicable, has received an unqualified audit <br />opinion for the latest audit of its financial statements. <br /> <br /> Date of latest audit: __________________________ <br /> <br /> The Vendor has no outstanding liabilities, including tax and judgment liens, to the Internal Revenue <br />Service or any other government entity. <br /> <br /> The Vendor is current in all amounts due for payments of federal and state taxes and required <br />employment-related contributions and withholdings. <br /> <br /> The Vendor is not the subject of any current litigation or findings of noncompliance under federal <br />or state law. <br /> <br /> The Vendor has not been the subject of any past or current litigation, findings in any past litigation, <br />or findings of noncompliance under federal or state law that may impact in any way its ability to <br />fulfill the requirements of this Contract. <br /> <br /> He or she is authorized to make the foregoing statements on behalf of the Vendor. <br /> <br />Note: This is a continuing certification and Vendor shall notify the Contract Lead within 15 days of <br />any material change to any of the representations made herein. <br /> <br />If any one or more of the foregoing boxes is NOT checked, Vendor shall explain the reason in the <br />space below: <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br />______________________________________________________________________________ <br />Signature Date <br /> <br />______________________________________________________________________________ <br />Printed Name Title <br /> <br />[This Certification must be signed by an individual authorized to speak for the Vendor] <br /> <br /> <br />NetPlanner Systems, Inc. <br />not applicable <br />December 17, 2020 <br />Mike Dycus, RCDD Vice President <br />✔ <br />✔ <br />✔ <br />✔ <br />✔ <br />✔ <br />23 <br />January 6, 2021 <br />DocuSign Envelope ID: 78B556CA-C028-4315-8EF4-948059C1C6F0DocuSign Envelope ID: E0C7DD5C-4FA6-4C9E-85B9-3CA337445269