Contractor By Clause Samples
Contractor By. Date Title STATEMENT OF THE CONTRACT COMPLIANCE SPECIALIST I have checked this Application for Payment and, to the best of my knowledge and belief, the statement of work performed and statement of materials stored on site by the Contractor are supported by my observations Name Contract Compliance Specialist. Date: CERTIFICATE OF THE DESIGN PROFESSIONAL I certify that I have verified this Application for Payment and, to the best of my knowledge and belief, it is a true and correct statement of work performed and statement of materials stored on site by the Contractor and that the Contractor's certified statement of his account and the amount due him is correct and just. I further certify that all work has been performed and materials have been supplied in full accordance with the terms and conditions of the Contract Documents and authorized changes thereto. Name Design Professional. Date: SCHEDULE OF CHANGE ORDERS In support of Application for Payment No. Project No. Period Ending: Contractor: CHANGE ORDERS ADDITIONS DEDUCTIONS Number (1) Date (2) Authorized Amount (3) Amount this Period (4) Completed Previous Periods (5) Authorized Deductions (6)
Contractor By submission of its bid or proposal and/or execution of this contract and by the submission of any bills, invoices or requests for payment pursuant to the contract, certifies and represents that it has not violated any of these Contractor Integrity Provisions in connection with the submission of the bid or proposal, during any contract negotiations or during the term of the contract, to include any extensions thereof. Contractor shall immediately notify the Commonwealth in writing of any actions for occurrences that would result in a violation of these Contractor Integrity Provisions. Contractor agrees to reimburse the Commonwealth for the reasonable costs of investigation incurred by the Office of the State Inspector General for investigations of the Contractor’s compliance with the terms of this or any other agreement between the Contractor and the Commonwealth that results in the suspension or debarment of the Contractor. Contractor shall not be responsible for investigative costs for investigations that do not result in the Contractor’s suspension or debarment.