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<br />The undersigned, for and on behalf of \[NAME OF PURCHASER/REPRESENTATIVE\] (the <br />nd other underwriters listed below (collectively, the <br />nd issuance of the General Obligation Improvement <br />the original aggregate principal amount of $1,335,000, certifies as follows: <br /> <br />1. Initial Offering Price for the Bonds. <br /> <br />(a) The \[Purchaser\] \[Underwriting Group\] offered each Maturity of the Bonds to the Public <br />for purchase at the respective initial offering prices listed in EXHIBIT A <br />valent communication for the Bonds is also attached <br />hereto in EXHIBIT A. Capitalized terms used herein that are otherwise not defined shall have the <br />meanings assigned to such terms in Section 5 hereof. <br /> <br />(b) As set forth in the Notice of Sale and the bid award, the \[Purchaser has\] \[members of the <br />Underwriting Group have\] agreed in writing that, (i) for each Maturity of the Bonds, \[it\] \[they\] would <br />neither offer nor sell any of the Bonds of such Maturity to any person at a price that is higher than the <br />Initial Offering Price for such Maturity during the <br />ement shall contain the agreement of each dealer <br />who is a member of the selling group, and any retail distribution agreement shall contain the agreement of <br />each broker-dealer who is a party to the retail distribution agreement, to comply with the Hold-the- <br />Offering-Price Rule. Pursuant to such agreement, no Underwriter has offered or sold any Maturity of the <br />Bonds at a price that is higher than the respective Initial Offering Price for that Maturity of the Bonds <br />during the Holding Period. <br /> <br /> 2. Purchase Price. The \[Purchaser\] \[Representative\] acknowledges that it is purchasing the <br />Bonds for an aggregate purchase price of $_______________ (par amount of Bonds of $1,335,000 plus <br />original issue premium of $_______, less original is <br />d interest in the amount of $____________. <br /> 3. Receipt of Bonds. The undersigned hereby acknowledges receipt of $1,335,000 in <br />original aggregate principal amount of the Bonds from the Issuer, fully executed and authenticated. \[The <br />\[Purchaser\] \[Representative\] has paid to \[NAME OF INSURER\] the sum of $______________ as a <br />premium for an insurance policy for the Bonds.\] <br /> <br /> 4. Representations. The representations set forth in this Certificate of Purchaser (the <br />thing in this Certificate represents the interpretation <br />by the \[Purchaser\] \[Representative\] of any laws, including specifically Sections 103 and 148 of the <br />Internal Revenue Code of 1986, as amended, and the Treasury Regulations promulgated thereunder. The <br />undersigned understands that the foregoing information will be relied upon by: (i) the Issuer with respect <br />to certain of the representations set forth in a tax certificate of the Issuer executed on the date hereof with <br />respect to compliance with the federal income tax rules affecting the Bonds; and (ii) Kennedy & Graven, <br />Chartered, in connection with rendering its opinion that the interest on the Bonds is excluded from gross <br />income for federal income tax purposes, the preparation of Information Return for Tax-Exempt <br />Governmental Obligations, Form 8038-G, and other federal income tax advice that it may give to the <br />Issuer from time to time relating to the Bonds. <br />A-A-3 <br />CE155-29-699697.v1 <br /> <br />