RUS Form 181,Certificate of Completion

RUS-181.pdf

Telecommunications System Construction Policies and Procedures

RUS Form 181,Certificate of Completion

OMB: 0572-0059

Document [pdf]
Download: pdf | pdf
According to the Paperwork Reduction Act of 1995, an agency may not conduct or sponsor, and a person is not required to respond to, a collection of
information unless it displays a valid OMB control number. The valid OMB control number for this information collection is 0572-0107. The time
required to complete this information collection is estimated to average .1 of an hour per response, including the time for reviewing instructions,
searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information.

U.S. Department of Agriculture
Rural Utilities Service

CERTIFICATE OF COMPLETION
CONTRACT CONSTRUCTION FOR BUILDINGS
PROJECT DESIGNATION

I, the undersigned Architect of the above-designated Rural Utilities Service Project, hereby certify that:
1. The construction provided for pursuant to Construction Contract No.
dated

I

I

including all approved amendments, (hereinafter called the

''Project'), between

(hereinafter

called the "Owner') and
(hereinafter called the "Contractor') has been completed as of
, and
is in all respects in strict compliance with the provisions of the Loan Contract and the Construction Contract,
including the Plans and Specifications and all modifications and amendments thereto.
I

2. To the best of my knowledge, payment in full has been made to all persons who have furnished labor for the
Project.
3. The Contractor has, to the best of my knowledge, obtained valid releases of lien ftom all Manufacturers,
materialmen, and subcontractors that furnished materials or services or both which were employed by the
Contractor in the performance of the Construction Contract, and that such releases have been delivered to the Owner.
4. All defects in workmanship and materials reported during the period of construction of the Project have
been corrected.
5. The final Contract Price of the Project as completed is
dollars ($

DATE

REPRESENTATIVE OF ARCHITECT

).

TITLE

ACCEPTANCE

DATE

REPRESENTATIVE OF CONTRACTOR

TITLE

DATE

NAME OF OWNER

PRESIDENT - BOARD OF DIRECTORS

RUS Form 181 (Rev. 2-95)


File Typeapplication/pdf
File TitleContract Construction for Buildings
File Modified2001-09-13
File Created2001-09-13

© 2024 OMB.report | Privacy Policy