Common use of Contract Number Clause in Contracts

Contract Number. Department: {Campus: enter campus name and name of person(s) who should receive this report} Prime Contractor: Date Contract Completed: Contract Award Amount: FEIN Number: Date Final Payment Received: Contract Received Amount: Phone Number: Address: Email Address: List all Disabled Veteran Business Enterprise firms involved with this contract. DVBE Subcontractor(s) Name DVBE Subcontractor(s) Address DVBE Number Total Contracted Amount to DVBE Total Payment Amount to DVBE Variance 0 Number of DVBE Subcontractors Grand Total $ - $ - $ - $ - $ - $ - $ - $ - $ - $ - $ - $ - $ - $ - Use next tab for additional lines I declare under penalty of perjury under the laws of the State of California that all information submitted is true and correct. Prime Contractor Print Name: Date: Signature: Return within 60 days from receipt of final payment.

Contract Number. Department: {Campus: enter campus name and name of person(s) who should receive this report} Prime Contractor: Date Contract Completed: Contract Award Amount: FEIN Number: Date Final Payment Received: Contract Received Amount: Phone Number: Address: Email Address: List all Disabled Veteran Business Enterprise firms involved with this contract. DVBE Subcontractor(s) Name DVBE Subcontractor(s) Address DVBE Number Total Contracted Amount to DVBE Total Payment Amount to DVBE Variance 0 Number of DVBE Subcontractors Grand Total $ - $ - $ - $ - $ - $ - $ - $ - $ - $ - $ - $ - $ - $ - Use next tab for additional lines I declare under penalty of perjury under the laws of the State of California that all information submitted is true and correct. Prime Contractor Print Name: Date: Signature: Return within 60 days from receipt of final payment.: