Agreement for Engineering Services

Instructions for RD1942-0019

AGREEMENT FOR ENGINEERING SERVICES

Loan applicants and engineering firms complete this form.  Loan applicants and engineering firms use this form to obtain design and construction services for any project requiring engineering services.

Submit the original of the completed form in hard copy or facsimile to the Rural Development servicing office where the application was made.

 

Features for transmitting the form electronically are available to those customers with access credentials only.  If you would like to establish online access credentials with USDA, follow the instructions provided at the USDA eForms web site.

The applicant and the engineering firm must complete all of the items specified in the following table.

Fld Name / Item No.	Instruction
1 Day	Enter the day of the month when the engineering agreement is completed.
2 Month	Enter the month when the engineering agreement is completed.
3 Year	Enter the year when the engineering agreement is completed.
4 Name	Enter the name of the person or organization obtaining engineering services.
5 Name	Enter the business name of the engineering firm or the name of the engineer who will provide engineering services.
6 Description	Enter description of facility to be built or improved.
7 County	Enter the name of the county where the facility is being built.
8 State	Enter the name of the state where the facility is being built.
9 Number of Days	Enter the number of days for preparation of and delivery of preliminary engineering reports negotiated between the owner and engineer.
10 Number of Days	Enter the number of days for completion and delivery of final plans and specifications negotiated between the owner and engineer.
11 & 12 Amount	Enter the amount negotiated for compensation of preliminary engineering work in words and numbers.
13 & 14 Amount	If the owner and engineer agree on a fixed price for final design and the remaining engineering services, enter the amount in words and numbers.
15 Number of Days	Enter the estimated number of days to complete construction of the proposed project.
16 Amount	Enter an estimated amount for compensation to complete inspections during construction.
17 Section D 9 Amount	Enter the amount negotiated for preparation of the operating and maintenance manual.
18 Amount	Enter the maximum amount estimated for the cost of all engineering services covered by Section D.
19 Interest Rate	Enter the interest rate negotiated by the owner and engineer for a late payment charge for the owner�s failure to make payments within 60 days.
20 Owner: by	Signature of the owner�s authorized representative is required.
21 Attest	Signature of person attesting to signature of owner�s representative and verifying the representative is authorized to sign the agreement.
22 Type name	Enter the name of the person signing as the owner�s representative.
23 Title	Enter the title of the person signing as representative of the owner.
24 Type name:	Enter the name of the person attesting to the owner representative�s signature.
25 Date	Enter the month, day, and year when the owner�s representative signs the engineering agreement.
26 Title	Enter the title of the person attesting to owner representative�s signature.
27 Engineer: by	Signature of the engineer�s authorized representative is required.
28 Attest	Signature of the person attesting to the signature of engineer representative and verifying the representative is authorized to sign the agreement.
29 Type name	Enter the name of person signing as the engineer�s representative.
30 Title	Enter the title of the person signing as representative of the engineer.
31 Type name	Enter the name of the person attesting to the engineer representative�s signature.
32 Date	Enter the month, day, and year when the engineer�s representative signs the engineering agreement.
33 Title	Enter the title of the person attesting to engineer representative�s signature.
34 Rural Develop­ment: by	Leave blank.
35 Type name	Leave blank.
36 Title	Leave blank.
37 Date	Leave blank.

 

Interim Agreement

Fld Name / Item No.	Instruction
1 Day	If used, enter the day of the month when the engineering agreement was completed.
2 Month	If used, enter the month when the engineering agreement was completed.
3 Year	If used, enter the year when the engineering agreement was completed.
4 Day	If used, enter the day of the month when the interim agreement is signed.
5 Month	If used, enter the month when the interim agreement is signed.
6 Year	If used, enter the year when the interim agreement is signed.