Transcription of Certificate of Complettion Contract Construction
1 Department of AgricultureRural Utilities ServiceCERTIFICATE OF COMPLETIONCONTRACT CONSTRUCTIONI, the undersigned Architect or Engineer of the following Rural Utilities Service project, do hereby certify that:1. The Construction provided for pursuant to Construction Contract No., 20, including all approved amendments, between(''Owner'')(''Contractor'')andhas been completed as of, 20, and is in compliance with the2. Payment in full has been made to all persons who have furnished labor for the The Contractor has obtained valid releases of lien from all manufacturers, material suppliers, and subcontractors furnishing services or materials which were employed by the Contractor in the performance of the Construction Contract , and that such releases have been delivered by the Contractor to the If applicable.
2 The Final Inventory attached hereto and made a part hereof is a complete and accurate summary of all units of Construction in the project and of all work performed in accordance with the Construction If applicable, the staking sheets and tabulation of staking sheets upon which the Final Inventory is based show the accurate location, number, and kind of all units of Construction of the project and show all work performed in accordance with the Construction All defects in workmanship and materials reported during the period of Construction of the project have been The total cost of the project as completed is).
3 ($Dated this,20day ofByRUS FORM 187 (Rev. 4-10)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 is estimated to average 1 minute perresponse, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information.)
4 Provisions of the Construction Contract , including all plans, specifications, maps, and drawings and all modifications ,, RUS designationdated dollars and cents. Name of Architect or Engineer TitleDateWe. the undersigned Owner and Contractor, do hereby certify that:1. The Project has been completed in accordance with the provisions of the Construction Contract , dated, 20, provided, however, that acceptance of the project by theOwner shall not be deemed to relieve the Contractor of its obligations contained in the Construction Contractwith respect to defective workmanship or, materials discovered within one year after the date of If applicable.
5 The Final Inventory attached hereto and made a part hereof is a complete and accurate summary of all units of Construction in the Project and of work performed in accordance with the Construction Form 187 (Rev. 4-10) Certificate OF COMPLETIONCONTRACT Construction (continued)PresidentOwnerName of ContractorTitleDateDat
