CORPORATE NAME-CHANGE AGREEMENT

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Note: Two (2) executed originals required. CORPORATE NAME-CHANGE AGREEMENT , "Contractor," a corporation duly organized and existing under the and the State of Louisiana, Division of Administration, Office of State Purchasing, laws of , 2009. "State," entered into this agreement on THE PARTIES AGREE TO THE FOLLOWING FACTS: 1. The State has entered into a contract (attached) with the Contractor. The term )the contracts( as used in this agreement means the above contract and purchase order and all other contracts, purchase orders, including all modifications made by the State and the Contractor before the effective date of this agreement (whether or not performance and payment have been completed and releases executed if the State or the Contractor has any remaining rights, duties or obligations under these contracts and purchase orders). , 2009 Contractor, by an amendment to its Certificate of Incorporation dated has changed its corporate name from ____________________________________________________________________ . to This amendment accomplishes a change of corporate name only and all rights and obligations of the State and of the Contractor under the contracts are unaffected by this change. Documentary evidence of this corporate name change has been filed with the State of Louisiana and is attached hereto. 2. 3. 4. IN CONSIDERATION OF THESE FACTS, THE PARTIES AGREE THAT, 1. The contract's proceeds covered by this agreement are amended by substituting the name “__________________ __________________________” for the name “_____________________________________________________________” wherever it appears in the contracts; and Each party has executed this agreement as of the day and year first above written. ___________________________________________________ By: Denise M. Lea, Director Name: State of Louisiana Title: Office of State Purchasing-DOA Address: _________________________________________ Post Office Box 94095 Baton Rouge, LA 70804-9095 __________________________________________________ {CORPORATE SEAL} 2. STATE OF LOUISIANA By: _________________________________________ CERTIFICATE OF ACKNOWLEDGMENT State of Parish/County of ) ) ) , 2009, before me, personally appeared , On personally known to me to be the person whose name is subscribed to the within instrument and acknowledged to me that he executed the same in his authorized capacity and that by his signature on this instrument the person, or the entity upon behalf of which the person acted, executed this instrument. Witness my hand and official seal. ______________________________________ NOTARY PUBLIC

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