CONTRACTOR Signature. Signature: Name: Date Name: Date Title: Title: CONTRACTING AGENCY Contract Manager Contracting Officer Signature: Signature: Name: Date Name: Date Title: Title:
CONTRACTOR Signature. Date: Homeowner Signature: Date: CONTRACT ADDENDUM Contractor: Homeowner(s): Xxxxxx Xxxxx Xxxxx Contact: License: Address: 000 XX 00xx Xxxxx Address: Xxxxx Xxxxx, XX 00000 Phone: 561‐ Phone: Phone: E‐Mail: N/A E‐Mail: Contractor and Owner entered into a construction contract (the "Contract"), by and through a program offered by Palm Beach County, Florida, under which Contractor shall furnish a certain scope of labor, services and materials in exchange for payment. This addendum to the Contract shall provide Owner certain statutory notices required under Florida law. Florida Lien Law Notice under Section 713.015, Fla. Stat. ACCORDING TO FLORIDA'S CONSTRUCTION LIEN LAW (SECTIONS 713.001- 713.37, FLORIDA STATUTES), THOSE WHO WORK ON YOUR PROPERTY OR PROVIDE MATERIALS AND SERVICES AND ARE N O T P A I D I N FULL H A V E A RIGHT TO ENFORCE THEIR CLAIM FOR PAYMENT AGAINST YOUR PROPERTY. THIS CLAIM I S KNOWN A S A CONSTRUCTION LIEN. IF YOUR CONTRACTOR OR SUBCONTRACTOR FAILS TO PAY SUBCONTRACTORS, SUB SUBCONTRACTORS, OR MATERIAL SUPPLIERS, THOSE PEOPLE WHO ARE OWED MONEY MAY LOOK TO YOUR PROPERTY FOR PAYMENT, EVEN IF YOU HAVE ALREADY PAID Y O U R CONTRACTOR IN FULL. IF YOU F A I L TO P A Y YOUR CONTRACTOR, YOUR CONTRACTOR MAY ALSO HAVE A LIEN ON YOUR PROPERTY. THIS MEANS IF A LIEN IS FILED YOUR PROPERTY COULD BE SOLD AGAINST YOUR WILL TO PAY F O R L A B O R , MATERIALS, OR O T H E R SERVICES THAT YOUR CONTRACTOR OR A SUBCONTRACTOR MAY HAVE FAILED TO PAY. TO PROTECT YOURSELF, YOU SHOULD STIPULATE IN THIS CONTRACT THAT BEFORE ANY PAYMENT IS MADE, YO U R C O N T R A C T O R IS REQUIRED TO PROVIDE YOU WITH A WRITTEN RELEASE OF LIEN FROM ANY PERSON OR COMPANY THAT HAS PROVIDED TO YOU A "NOTICE TO OWNER." FLORIDA'S CONSTRUCTION LIEN LAW IS COMPLEX, AND IT IS RECOMMENDED THAT YOU CONSULT AN ATTORNEY. Contractor Xxxxxx Xxxxx Xxxxx Statutory Notices: Construction Defect Notice Under Chapter 558, Florida Statute ANY CLAIMS FOR CONS T R UCTIO N DEFECTS ARE SUBJECT TO THE NOTICE AND CURE PROVISIONS OF CHAPTER 558, FLORIDA STATUTES. Notice of Florida Homeowner's Recovery Fund Section 489.1425, Florida Statute FLORIDA HOMEOWNERS' CONSTRUCTION RECOVERY FUND PAYMENT, UP T O A LIMITED AMOUNT, MAY BE AVAILABLE FR OM THE FLORIDA HOMEOWNERS' CONSTRUCTION RECOVERY FUND IF YOU LOSE MONEY ON A PROJECT PERFORMED UNDER CONTRACT , WHERE THE L O S S RESULTS FROM SPECIFIED VIOLATIONS OF FLORIDA LAW BY A LICENSED CONTRACTOR. FOR INFORMATION ABOUT THE RECOVERY FUND AND FILING A CLAIM, CONTACT T...
CONTRACTOR Signature. Date: Approvals: Budget Manager (Print Name) Date: Xxxx/Director Date: By signing below, COLLEGE agrees to all of the above terms and conditions of this agreement. Further, I have reviewed the information provided on this form and contacted the department/unit representative for additional information as I deemed necessary. Based upon my review, I have determined that the individual named in Part I qualifies does not qualify (must check one, and only one) as an Independent Contractor as that term is defined by the Internal Revenue Code. COLLEGE President or Designee: Date: Questions or concerns regarding this form should be directed to Purchasing at (800) 966-7943 ext. 4047 For Cochise College use only
Examples of CONTRACTOR Signature in a sentence
Date CONTRACTOR Signature 000 Xxxxx Xxxxx Xxxxxx, Xxxxx 000, Xxxxx, XX 00000 Address of CONTRACTOR EXHIBIT E Mendocino County Health and Human Services Agency “Healthy People, Healthy Communities” Xxxxxx Xxxxx ⬩ Director Mental Health Xxx Xxxxxxxxxx ❖ Interim Mental Health Director Providing Mental Health Services Ukiah Offices: Mental Health • 000 X.
CONTRACTOR Signature: Xxxxxx Xxxxxx COUNTY OF TIPPECANOE STATE OF INDIANA BY: Xxxxx Xxxxx, President Board of Commissioners Attest: Date: Date: Xxxxxx X.
CONTRACTOR Signature: Printed Name: Date: Title: (Company Name) Authorized Representative SCHOOL BOARD OF LEON COUNTY, FLORIDA Principal/District Administrator Divisional Director/Elementary or Secondary School Management Signature: Signature: Date: Date: Printed Name: Printed Name: Title: Title: Superintendent, Deputy Superintendent, or Asst.
Date CONTRACTOR Signature 0000 Xxxxxxxx Xx., Xxxxxxxxxx, XX 00000 Address of CONTRACTOR Appendix A CERTIFICATION REGARDING DEBARMENT, SUSPENSION, and OTHER RESPONSIBILITY MATTERS LOWER TIER COVERED TRANSACTIONS This certification is required by the regulations implementing Executive Order 12549, Debarment and Suspension, 29 CFR Part 98, Section 98.510, Participants’ responsibilities.
PARTICIPATING ENTITY CONTRACTOR Signature: Signature: Name: Name: Title: Title: Date: Date: [Removable Instruction: Additional signatures may be added if required by the Participating Entity.] For questions regarding NASPO ValuePoint Participating Addendums, please contact the Cooperative Contract Coordinator team at xxxx@xxxxxxxxxxxxxxx.xxx.
More Definitions of CONTRACTOR Signature
CONTRACTOR Signature. Signature: Name: XXXXXX Date Name: Date Title: Title: CONTRACTING AGENCY Contract Manager Executive Director Signature: Signature: Name: Date Name: Date Title: Contracting Officer Title: AEA Executive Director
CONTRACTOR Signature. Date: ________ Title of Authorized Signer: __________________________________________ Contractor Name Printed: __________________________________________ Please send an executed copy of this Agreement to the Purchasing Department. 3 of 3
CONTRACTOR Signature. Initials: Date: Place Contract: Xxxxx Xxxxxx – Lic# 1024657 – Bathtub Refinishing And Fiberglass Expert
CONTRACTOR Signature. Date: Print: Driver’s License Number: Address: City, State, Zip: The Love Story Media, Inc. Authorizing Agent: Signature: Associate Producer’s Addendum 1) Release Form; 2) Disbursement Guidelines; and 3) Non-Disclosure Agreement This Agreement is made on , by and between , hereby known as “the Associate Producer” or “Storyteller” and The Love Story Media, Inc., hereby known as the “Institution, ”having its principal place of busi- ness at 0000 Xxxxx Xxxx Xxxx. #000, Xxxxx Xxxxxx, XX 00000.
CONTRACTOR Signature. Date: Printed Name: Company Name:
CONTRACTOR Signature. Date: Entity: IF YOUR FIRM DOES NOT HAVE CURRENT WORKERS’ COMPENSATION INSURANCE, CONTRACTOR MUST COMPLETE THE FOLLOWING INDEPENDENT CONTRACTOR CERTIFICATION STATEMENT: As an independent contractor, I certify that I meet the following standards:
CONTRACTOR Signature. The Contractor agrees to perform all the services set forth in the Agreement and Work Statement. This Contract shall henceforth be referred to as Agreement No. ADHS17-132851 The Contractor is hereby cautioned not to commence any billable work or provide any material, service or construction under this Contract until Contractor receives a fully executed copy of the Contract. Signature of Person Authorized to Sign Date State of Arizona Signed this day of , 20 Print Name and Title Chief Procurement Officer CONTRACTOR ATTORNEY SIGNATURE: Pursuant to A.R.S. § 11-952, the undersigned Contractor’s Attorney has determined that this Intergovernmental Agreement is in proper form and is within the powers and authority granted under the laws of Arizona. Attorney General Contract, No. P0012014000078, which is an Agreement between public agencies, has been reviewed pursuant to A.R.S. § 11-952 by the undersigned Assistant Attorney General, who has determined that it is in the proper form and is within the powers granted under the laws of the State of Arizona to those parties to the Agreement represented by the Attorney General. The Attorney General, By: Signature Date Assistant Attorney General: Signature of Person Authorized to Sign Date Print Name and Title AGREEMENT NUMBER INTERGOVERNMENTAL AGREEMENT TERMS AND CONDITIONS ADHS17-132851