Specifications

DFCM FORM 7b 042413
18
CONTRACTOR'S AGREEMENT
PAGE NO. 5
IN WITNESS WHEREOF, the parties hereto have executed this Contractor's Agreement on the day
and year stated hereinabove.
CONTRACTOR:
Signature Date
Title:
State of _____________)
)
County of _____________) Please type/print name clearly
On this ____ day of ____________, 20____, personally appeared before me, ___________________,
whose identity is personally known to me (or proved to me on the basis of satisfactory evidence) and
who by me duly sworn (or affirmed), did say that he (she) is the ______________________ (title or
office) of the firm and that said document was signed by him (her) in behalf of said firm.
__________________________________
Notary Public
(SEAL)
My Commission Expires ______________
APPROVED AS TO FORM:
ATTORNEY GENERAL
April 24, 2013
By: ALAN S. BACHMAN
DIVISION OF FACILITIES CONSTRUCTION
AND MANAGEMENT
*/S/ ')&0
Asst Attorney General ')&0
Approved for expenditure: Approved as to availability of funds:
*/S/ Division of Finance */S/ David D.Williams, Jr.
Division of Finance David D. Williams, Jr.
CBA Financial Director
* Electronic signatures are effective when the AIM Status History page is attached to this agreement
following this signature page. The AIM Status History page identifies the State signatures.
Bid DA14027DFCM
5/30/2014 2:08 PM p. 21