DISCLOSURE OF ASSIGNMENTS OR SUBCONTRATORS
Contractor:__________________________________ Contract Number:______
In accordance with Attachment C, Standard Terms and Conditions, contractors may assign or delegate obligations under this contract to another party and may subcontract for any work contemplated under this Contract only with a DOE/DVR approved vendor, and with the written prior approval of DOE/DVR.
To ensure compliance with this section, please read and complete as appropriate:
_____ No, I am not assigning or subcontracting any or all parts of this contract.
_____ Yes, I am assigning or subcontracting any or all parts of this contract.
If yes, provide name of assignees or subcontractors with an explanation of what will be assigned or subcontracted as well as executed agreements with these parties.
_____________________________ NAME OF CONTRACTOR ENTITY
______________________________ Signature
_____________________________ Printed Name of Authorized Representative
______________________________ Date |
STATE OF FLORIDA COUNTY OF __________ Sworn to and subscribed before me this ____________ day of __________ by
________________________________ (name of person making statement)
_______________________________ Notary Public Personally known _______ or Type of Identification produced: _________________ |