Instructions to Contractor. ENTER THE WORD "NONE" OR LIST THE NAMES OF CLAIMANTS
2. The undersigned further certifies that to the best of his knowledge and belief there are no unsatisfied claims for damages resulting from injury or death to any employees, Subcontractors, or the public at large arising out of the performance of the contract, or any suits or claims for any other damage of any kind, nature, or description which might constitute a lien upon the property of the Owner.
3. The undersigned makes this affidavit for the purpose of receiving final payment in full settlement of all claims against the Owner arising under or by virtue of the contract, and acceptance of such payment is acknowledged as a release of the Owner from any and all claims arising under or by virtue of the contract. This day of , 20 . Signature Title Firm COUNTY OF STATE OF Personally before me, the undersigned authority, appeared (NAME OF PERSON SIGNING THE AFFIDAVIT) who is known to me to be an official of the firm of , (NAME OF CONTRACTOR) and who, after being duly sworn, stated on his oath that he had read the above statement and that the same is true and correct. Notary Public My Commission expires This day of , 20 . Firmly Bound. Know all men by these presents, that we, (“Contractor”) as Principal, and (Name of Surety), as Surety, are held and firmly bound unto (Insert Name of Owner) Owner, in the sum of Dollars ($ ) for the payment of which well and truly to be made and done, we bind ourselves, our executors and administrators, our successors and assigns, jointly and severally, by these presents.
Instructions to Contractor. ENTER THE WORD "NONE" OR LIST THE NAMES OF CLAIMANTS
2. The undersigned further certifies that to the best of his knowledge and belief there are no unsatisfied claims for damages resulting from injury or death to any employees, Subcontractors, or the public at large arising out of the performance of the contract, or any suits or claims for any other damage of any kind, nature, or description which might constitute a lien upon the property of the Owner.
3. The undersigned makes this affidavit for the purpose of receiving final payment in full settlement of all claims against the Owner arising under or by virtue of the contract, and acceptance of such payment is acknowledged as a release of the Owner from any and all claims arising under or by virtue of the contract. This ______ day of ____________________________, 20___________. ___________________________________(L.S.) Signature ___________________________________________ Title ___________________________________________ Firm COUNTY OF _______________________________ STATE OF ________________________________ Personally before me, the undersigned authority, appeared____________________________________________ (NAME OF PERSON SIGNING THE AFFIDAVIT) who is known to me to be an official of the firm of ___________________________________________________, (NAME OF CONTRACTOR) and who, after being duly sworn, stated on his oath that he had read the above statement and that the same is true and correct. ________________________________________________ Notary Public My Commission expires __________________________ This______ day of __________________________, 20____. COUNTY OF ______________________________ Firmly Bound. Know all men by these presents, that we, ________________ (“Contractor”) as Principal, and (Name of Surety), as Surety, are held and firmly bound unto ______________________________________________________________________________, (Insert Name of Owner) Owner, in the sum of____________ Dollars ($______________) for the payment of which well and truly to be made and done, we bind ourselves, our executors and administrators, our successors and assigns, jointly and severally, by these presents. Condition of Obligation. The condition of the above obligation is such that WHEREAS Contractor has entered into a Contract with Owner dated_________________ (enter date of contract), for construction of Project No.________________.
Instructions to Contractor. A. To expedite the processing of invoices submitted to the DSH for distribution of funds, all invoice(s) shall be submitted to the DSH for review and approval at either:
B. Contractor shall submit one original and three copies of each invoice, unless emailed.
C. Contractor shall type, not handwrite, each invoice on company letterhead. The DSH may provide an invoice template, if requested, which may be used in lieu of company letterhead.
D. Contractor shall clearly note Contractor’s name and address on each invoice. The name on the invoice must match the Payee Data Record (Std. 204) and the name listed on this Agreement.
E. Contractor shall list and itemize in accordance with the Budget Detail, all services or deliverables provided on each invoice.
F. Contractor shall include the following on each submitted invoice:
i. Date(s) during which the services or deliverables were provided and the date in which the invoice was generated.
ii. Agreement number, which can be found on the Standard Agreement Form (Std. 213).
iii. Small Business certification number, if applicable iv. Professional license number, if applicable
Instructions to Contractor. A. To expedite the processing of invoices submitted to DSH for distribution of funds, all invoices shall be submitted to the DSH for review and approval at either:
B. Contractor shall submit one (1) original and three (3) copies of each invoice, unless emailed.
C. Contractor shall type, not handwrite, each invoice on company letterhead. DSH may provide an invoice template, if requested, which may be used in lieu of company letterhead. (See Exhibit B, Attachment 1 for sample invoice template.)
D. Contractor shall clearly note Contractor’s name and address on each invoice. The name on the invoice must match the Payee Data Record (Std. 204) and the name listed on this Agreement.
E. Contractor shall list and itemize in accordance with the Budget Detail, Provision 5, disbursement number provided on each invoice.
F. Contractor shall include the following on each submitted invoice:
i. Date(s) during which the services or deliverables were provided and the date in which the invoice was generated.
ii. Agreement number, which can be found on the Standard Agreement Form (Std. 213).
iii. Invoice Total
iv. Disbursement Number (Exhibit B, Budget Detail, invoice number one through six v. Signature (may be e-signature or wet signature)
Instructions to Contractor. The Contractor shall obey and comply with all reasonable demands, decisions and directions of, and notices given by the Company or the Company’s Representative pursuant to the Contract. Unless otherwise specifically provided in this Contract the Contractor shall supply all labour, tools, equipment, transport and medical care for its workforce, and other services necessary for it to complete the Work in accordance with this Contract. The Company’s facilities shall not be available to the Contractor unless otherwise specifically provided in this Contract. The Contractor shall at all times maintain its work areas in an orderly and safe condition, and on completion leave work areas fit for immediate use. The Contractor shall perform all work as an independent Contractor and not as an agent or employee of the Company. The Contractor shall observe the provisions of all applicable occupational health and safety legislation.
Instructions to Contractor. A. To expedite the processing of invoices submitted to DSH for distribution of funds, all invoices shall be submitted to the DSH for review and approval at either:
Instructions to Contractor. A. To expedite the processing of invoices submitted to the DSH for payment, all invoice(s) shall be submitted to the DSH for review and approval at either: Department of State Hospitals Attn: Accounts Payable 0000 0 Xxxxxx, XX-0 Xxxxxxxxxx, XX 00000 OR E-Mail: XXXXxx.XxxxxxxxXxxxxxx@xxx.xx.xxx
B. Contractor shall submit one original and one (1) copy of each invoice, unless emailed.
C. Contractor must utilize the most current DSH approved 1ST invoice template provided by DSH. The .Contractor shall type, not handwrite, each invoice. Step by step instructions to complete the invoice will be provided by DSH.
D. DSH Administrators will provide the Contractor with the most current approved 1ST Invoice template and detailed Invoice instructions. Agreement Number: 21-76003-029 A1 Exhibit B,Budget Detail and Payment Provisions
E. Contractor shall clearly note Contractor's name and address on each invoice. The name on the invoice must match the Payee Data Record (Std. 204) and the name listed on this Agreement.
F. Contractor shall list and itemize in accordance with section 5, Budget Detail, all services or deliverables provided on each invoice.
G. Contractor shall include the following on each submitted invoice:
i. Date(s) during which the services or deliverables were provided and the date in which the invoice was generated;
ii. Agreement number, which can be found on the Standard Agreement Form (Std. 213); iii. First initial and last name of 1ST Defendant evaluated;
iv. Invoice total;
Instructions to Contractor. The Engineer shall provide necessary interpretations and clarifications of contract documents, review change orders and make recommendations as to the acceptability of the work, at the request of the OWNER.
Instructions to Contractor. A. To expedite the processing of invoices submitted to the DSH for payment, all invoice(s) shall be submitted to the DSH for review and approval at either: E-Mail: XXXXxx.XxxxxxxxXxxxxxx@xxx.xx.xxx
B. Contractor shall submit one original and one (1) copy of each invoice, unless emailed.
C. Contractor must utilize the most current DSH approved IST invoice template provided by DSH. The Contractor shall type, not handwrite, each invoice. Step by step instructions to complete the invoice will be provided by DSH.
D. DSH Administrators will provide the Contractor with the most current approved IST Invoice template and detailed Invoice instructions.
E. Contractor shall clearly note Contractor’s name and address on each invoice. The name on the invoice must match the Payee Data Record (Std. 204) and the name listed on this Agreement.
F. Contractor shall list and itemize in accordance with section 5, Budget Detail, all services or deliverables provided on each invoice.
G. Contractor shall include the following on each submitted invoice:
i. Date(s) during which the services or deliverables were provided and the date in which the invoice was generated;
ii. Agreement number, which can be found on the Standard Agreement Form (Std. 213); iii. First initial and last name of IST Defendant evaluated;
