LPA CERTIFICATE VERSION 8 1 15.DOC

LEAD PUBLIC AGENCY CERTIFICATE
I hereby acknowledge, on behalf of _______________ (the “Lead Public Agency”) that I have read and
agree to the general terms and conditions set forth in the enclosed Master Intergovernmental Cooperative
Purchasing Agreement, (MICPA) regulating the use of the Master Agreements and purchase of Products
that from time to time are made available by Lead Public Agency to Participating Public Agencies
nationwide through U.S. Communities. Copies of Master Agreements and any amendments thereto made
available by Lead Public Agency will be provided to Suppliers and U.S. Communities to facilitate use by
Participating Public Agencies.
I understand that the purchase of one or more Products under the provisions of the MICPA is at the sole
and complete discretion of the Participating Public Agency.
___________________________________
Authorized Signature, Lead Public Agency
_______________________
Date
MICPA Version 8.1.15