Business Forms > Construction Management
Contractors Declaration To Procure Payment - Business Forms
| Contractors Declaration To Procure Payment Form. This is a Business Forms form and can be used in Construction Management . |
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CONTRACTORECARAITONTOPROCUREPAYMIENT FROM: PROJECT: (Name o esoFim /Makig Declaatio) (Name o oject) (Steet Addess) (Addess o oject)/ (City, State, Zip) (City, State, Zip) TO: (Name o esoFim /to Whom Declaatio i/s Made) (Steet Addess) (City, State, Zip) ECARATON (ThisisnotalienrIelease) The ollowig is a complete list o all pesos ad ims who have uished subcotact wok, equipmet o mateials to theabove-amed im o the/ poject descibed abo/ve. Full paymet o/ all wok, equipme/t ad mateials /supplied to date has beemade except as othewi/se stated below. I declae ude pealty/ o pejuy that the abo/ve statemet is tue /ad coect. Siged o 19 at (Date) (City) (Sigatue o idividua/l who is makig decl/aatio) (Name o Subcotacto/ o Supplie) (Type o Wok o Matei/als Fuished) RELEASE ATTACHED $ FULL CONDITIONAL (Addess) (Amout Upaid - I Full aymet Has Bee Made, Wite "Noe" (State, City, Zip) (Name o Subcotacto/ o Supplie) (Type o Wok o Matei/als Fuished) RELEASE ATTACHED $ (Addess) (Amout Upaid - IFULL CONDITIONAL Full aymet Has Bee Made, Wite "Noe" (State, City, Zip) (Name o Subcotacto/ o Supplie) (Type o Wok o Matei/als RELEASE ATTACHED $ FULL CONDITIONAL (Addess) (Amout Upaid - I Full aymet Has Bee Made, Wite "Noe" (State, City, Zip) Continueonpage2ifneeIded 2001 American LegalNet, Inc.<<<<<<<<<********>>>>>>>>>>>>> 2 (Name o Subcotacto/ o Supplie) (Type o Wok o Matei/als Fuished) RELEASE ATTACHED $ FULL CONDITIONAL (Addess) (Amout Upaid - I Full aymet Has Bee Made, Wite "Noe" (State, City, Zip C/ode) (Name o Subcotacto/ o Supplie) (Type o Wok o Matei/als Fuished) RELEASE ATTACHED $ FULL CONDITIONAL (Addess) (Amout Upaid - I Full aymet Has Bee Made, Wite "Noe" (State, City, Zip C/ode) (Name o Subcotacto/ o Supplie) (Type o Wok o Matei/als Fuished) RELEASE ATTACHED $ FULL CONDITIONAL (Addess) (Amout Upaid - I Full aymet Has Bee Made, Wite "Noe" (State, City, Zip C/ode) (Name o Subcotacto/ o Supplie) (Type o Wok o Matei/als Fuished) RELEASE ATTACHED $ (Addess) FULL CONDITIONAL(Amout Upaid - I Full aymet Has Bee Made, Wite "Noe" (State, City, Zip C/ode) (Name o Subcotacto/ o Supplie) (Type o Wok o Matei/als Fuished) RELEASE ATTACHED $ (Addess) FULL CONDITIONAL(Amout Upaid - I Full aymet Has Bee Made, Wite "Noe" (State, City, Zip C/ode) NTRUCTONFORUEOIFCONTRACTORECARAITONTOPROCUREPAYMIENT PURPOEOFTHE"CONTIRACTORECARATONITOPROCUREPAYMENTI" PROPERUEOFTHEFOIRM: A peso holdig a co/stuctio ud should /eve make paymets o/ wok doe (a) Wheeve a equest /o costuctio ud pa/ymets ae made theto impove the subject /popety uless he is a/ssued that all peso/s cotibutigpeso holdig the ud /should equie that the /declaatio be execute/d.to that impovemet ha/ve bee o will be paid/ o thei mateials /o sevices. (b) Upo eceipt o the /declaatio, the pes/o holdig the ud ca/ disbuse i oe o the /ollowig maes: This declaatio has t/he eect o miimizi/g the exposue to ukow/ lie claims. (1) I ull to the dec/laat; The declaat must sta/te the ames o all /pesos o ims that /did wok o him (o (2) Requie that the de/claat obtai ull e/leases (omsupplies him with ma/teials) o the ame/d poject. Omissio /o ay ames ca esult i posecutio o/ the declaat as we/ll as o pejuy. I ad/ditio, he is o coditioal elea/ses (om ) pio to paymet;subject to disciplia/y actio by the Cot/actos State Lices/e Boad o his state. (3) Make joit chec/ks to the declaat /ad all pesos liste/d as upaid The declaatio gives /the peso makig the /paymet a basis o d/ecidig whethe o ot he wats to eq/uie eleases, make /paymet diectly to /declaat, make CAUTION: To obtai the be/st esults om the us/e o this om the pes/opaymet to the pesos/ amed i the declaa/tio ad the declaa/t o a joit eceivig the om shou/ld be sue that thee /is a ull o patial /eleasecheck, etc. attached o each am/e o the list. A co/veiet space o oti/g that the elease has bee ece/ived is povided alog/ side o each ame s/pace. 2001 American LegalNet, Inc.
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