Common use of Signature and Notarization Clause in Contracts

Signature and Notarization. The completed document must be signed by an authorized representative of the Contractor/Consultant/Vendor firm and notarized by a public notary prior to submission to ATL. DBE/SBE UTILIZATION CONTRACT CLOSE-OUT REPORT Instructions: This form must be signed by an authorized representative of the Contractor/Consultant/Vendor and notarized. Detailed instructions are provided on the previous page. ATL Contract No.: Project Name: Contractor/Consultant/Vendor Name: Contractor/Consultant/Vendor is: Non-DBE DBE SBE Part I: Summary Information Original Contract and Utilization Plan Approved Changes Final Total Actual Amount Paid Contract Amount $ $ $ $ DBE Amounts $ % $ $ % $ % DBE Race Original Contract and Utilization Plan Percentage Approved Changes Final Total Actual Amount Paid African American % Hispanic % Native American % Asian American % Other %

Signature and Notarization. The completed document must be signed by an authorized representative of the Contractor/Consultant/Vendor firm and notarized by a public notary prior to submission to ATLSRTA. DBE/SBE UTILIZATION CONTRACT CLOSE-OUT REPORT Instructions: This form must be signed by an authorized representative of the Contractor/Consultant/Vendor and notarized. Detailed instructions are provided on the previous page. ATL SRTA Contract No.: Project Name: Contractor/Consultant/Vendor Name: Contractor/Consultant/Vendor is: Non-DBE DBE SBE Part I: Summary Information Original Contract and Utilization Plan Approved Changes Final Total Actual Amount Paid Contract Amount $ $ $ $ DBE Amounts $ % $ $ % $ % DBE Race Original Contract and Utilization Plan Percentage Approved Changes Final Total Actual Amount Paid African American % Hispanic % Native American % Asian American % Other %

Signature and Notarization. The completed document must be signed by an authorized representative of the Contractor/Consultant/Vendor firm and notarized by a public notary prior to submission to ATL. DBE/SBE UTILIZATION CONTRACT CLOSE-OUT REPORT Instructions: This form must be signed by an authorized representative of the Contractor/Consultant/Vendor and notarized. Detailed instructions are provided on the previous page. ATL Contract No.: . Project Name: _ _ _ _ Contractor/Consultant/Vendor Name: _ _ Contractor/Consultant/Vendor is: Non-DBE DBE SBE Part I: Summary Information Original Contract and Utilization Plan Approved Changes Final Total Actual Amount Paid Contract Amount $ $ $ $ DBE Amounts $ % $ $ % $ % DBE Race Original Contract and Utilization Plan Percentage Approved Changes Final Total Actual Amount Paid African American % Hispanic % Native American % Asian American % Other %