RUS Form 231 Certificate of Contractor

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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, which expires on XXXX. The time required to complete this information collection is estimated to average 1 minute per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection information. All responses to this collection of information are voluntary. Any questions on this burden can be sent to [email protected]

U.S. Department of Agriculture Rural Utilities Service

CERTIFICATE OF CONTRACTOR

certifies that he/she is the^,

of ,

TITLE NAME OF CONTRACTOR

the Contractor, in a Construction Contract No. _,

dated ,20 _, entered into between the Contractor and

, RUS designation ^,

NAME OF RUS BORROWER

the Owner, and that he or she is authorized to and does make this certification on behalf of said Contractor in order to induce the Owner to make payment to the Contractor, in accordance with the provisions of said Construction Contract.

Undersigned further says that all persons who have furnished labor in connection with said construction have been paid in full, that the names of manufacturers, material suppliers, and subcontractors that furnished material or services or both in connection with such construction and the kind or kinds of material or services or both so furnished are:

NAME

KIND OF MATERIAL AND SERVICE

and that the releases of liens executed by all such manufacturer material suppliers and subcontractors have been furnished the Owner.

Date

By

President

This Certificate must be signed with the full name of the Contractor. If the Contractor is a partnership, this Certificate must be signed in the partnership name by a partner. If the Contractor is a corporation, this Certificate must be signed in the corporate name by a duly authorized officer.

Expires: XX/XX/20XX

RUS Form 231 (Rev. 2-04)

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