Common use of CONTRACTOR'S DECLARATION Clause in Contracts

CONTRACTOR'S DECLARATION. I hereby declare that I have not, during the period , 20 , to , 20 , performed any work, furnished any materials, sustained any loss, damage or delay, or otherwise done anything in addition to the regular items (or executed change orders) set forth in the Contract titled , for which I shall ask, demand, sue for, or claim compensation or extension of time from the City, except as I hereby make claim for additional compensation or extension of time as set forth on the attached itemized statement. I further declare that I have paid all payroll obligations related to this Contract that have become due during the above period and that all invoices related to this Contract received more than 30 days prior to this declaration have been paid in full except as listed below. There is/is not (Contractor please circle one and strike one as appropriate) an itemized statement attached regarding a request for additional compensation or extension of time. Contractor Date By (Signature) Its (Title of Office) Past due invoices, if any, are listed below.