744 Certificate of Contractor and Indemnity Agreement

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CERTIFICATE OF CONTRACTOR
AND INDEMNITY AGREEMENT

, certifies that

of

he is the *
TITLE OR DESIGNATION

, the Contractor, in a contract

NAME OF CONTRACTOR

No

date

Contractor and

-

-

entered into between the
, the Owner, for the

NAME OF RUS BORROWER

furnishing, delivery and installation of
** equipment and materials (hereinafter
called the Project), which bears the Rural Utilities Service Project Designation
; and that he is authorized to and does make

this Certificate and Indemnity Agreement on behalf of the Contractor in order to induce the Rural Utilities
Service to advance moneys to the Owner for the purpose of payment by the Owner to the Contractor and
to induce the Owner to make payment to the Contractor, in accordance with the provisions of the Contract.
Undersigned further certifies that all persons who have furnished labor in connection. with
the Project have been paid in full; that all manufacturers, materialmen and subcontractors which furnished
any materials or services, or both, for the Project have been paid in full; that no lien has been filed against
the Project and no person has any right to claim any lien against the Project.
If the Owner pays the Contractor the total amount due under the Contract, which the
Contractor agrees is $
, including $
for taxes paid by the
Contractor, the Contractor will indemnify and hold harmless and does hereby undertake and agree to
indemnify and hold harmless the Owner from any claim or lien arising out of the performance of the
Contract which may have been or may be filed against the Owner.

SIGNATURE

* President, Vice-President, Partner or Owner, or, if undersigned is other than one of foregoing, Power of Attorney
signed by one of the foregoing in favor of the undersigned should be attached. Indicate applicable designation.

**Insert applicable equipment: Central office, Radio, Carrier, or Repeater.
RUS Form 744 (Rev. 2-62)

Expires: XX/XX/20XX