395a RUS Form 395a - CERTIFICATE OF COMPLETION

New Equipment Contract (Form 395) for Telecommunications and Broadband Borrowers

Form 395a FINAL

New Equipment Contract (RUS Contract Form 395) for Telecommunications and Broadband Borrowers

OMB: 0572-0149

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OMB Control No. 0572-xxxx

Expiration Date: xx, 20xx



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CERTIFICATE OF COMPLETION

(Including Installation)








PROJECT DESIGNATION



In connection with the above referenced RUS financed project, the undersigned certify to the best of their respective knowledge and belief that:




1. The installation of equipment provided for pursuant to Contract No.


dated


,


including all approved amendments, (hereinafter called the ''Project'') between



(Buyer) and


(Seller) has been completed as of


and is in all respects in strict compliance

with all the provisions of the Loan Contract, including specifications drawings, and all modifications thereof.




2. The Seller has delivered to the Buyer a Certificate of Seller certifying 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.




3. All the required acceptance tests have been made on the equipment; results were satisfactory, and the Seller has furnished in writing to the Buyer the results of all tests.




4. All defects in workmanship and materials reported during the period of construction of the Project have been corrected.




5. The total cost of the Project as completed is



Dollars

(

$


)

Including $__________ in taxes paid by the Seller and $____________ in taxes paid by the Buyer





Dated this


day of



20



.







NAME OF BUYER



NAME OF ENGINEER





By




By



BUYER’S SIGNATURE




ENGINEER’S SIGNATURE







RUS FORM 395a (Issued )

File Typeapplication/vnd.openxmlformats-officedocument.wordprocessingml.document
File TitleDEPARTMENT OF AGRICULTURE
Authornorberto.esteves
File Modified0000-00-00
File Created2021-01-15

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