RUS Form 724 "Final Inventory - Telephone Construction Contract"

RUS Form 724 Printable Pdf
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What Is RUS Form 724?

This is a legal form that was released by the U.S. Department of Agriculture - Rural Utilities Service on October 1, 1963 and used country-wide. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on October 1, 1963;
  • The latest available edition released by the U.S. Department of Agriculture - Rural Utilities Service;
  • Easy to use and ready to print;
  • Yours to fill out and keep for your records;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a printable version of RUS Form 724 by clicking the link below or browse more documents and templates provided by the U.S. Department of Agriculture - Rural Utilities Service.

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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 0572-0059. The time required to complete this information is estimated to average 45 minutes per response, including the time
for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information.
''No further benefits may be paid out under this program unless this report is completed and filed as required by existing law and regulations (7 U.S. C. 901 et seq.). ''
PROJECT DESIGNATION
SHEET
OF
SHEETS
U. S. DEPARTMENT OF AGRICULTURE
CONTRACT NO.
CONTRACT DATED
RURAL UTILITIES SERVICE
-
-
FINAL INVENTORY
NAME OF OWNER
TELEPHONE CONSTRUCTION CONTRACT
(Labor and Materials)
NAME OF CONTRACTOR
INSTRUCTIONS - See
reverse side of form.
CERTIFICATE OF COMPLETION
1, the undersigned Engineer of the above-designated Rural Utilities Service Project do hereby certify that:
1. The construction provided for pursuant to the above Construction Contract, including all approved amendments, (here-
inafter called the ''Project'') has been completed as of
20
and is in all respects in strict
compliance with the provisions of the Loan Contract and the Construction Contract, including all plans, specifications, maps, and all
modifications thereof.
2. Payment in full has been made to all persons who have furnished labor for the Project.
3. The Contractor has obtained valid releases of lien from all persons, firms and/or corporations furnishing materials, supplies,
and appliances 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 Owner.
4. The Project consists of facilities shown on the Statement of Construction (RUS Form 527) which is true and correct and which is
attached hereto and made a part hereof.
5. 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 Contract.
6. Acceptance tests have been made and the results were satisfactory.
7. All defects in workmanship and materials reported during the period of construction of the Project have been corrected.
8. To the best of my knowledge and belief, the attached final inventory of the Project correctly shows the
total number and character of assembly units installed or removed by the contractor and that the total cost of such
construction performed is (Grand total column 8, Form 724a plus Grand total column 12,
$
Form 724b)
9. The amount to be deducted for construction materials. furnished by the owner in accordance
with the contract is (Amount from Total column 7, RUS Form 281)
$
$
10. The net contract price is (Item 8 minus Item 9 above)
Dated this
day of
20
NAME OF ENGINEER
B y
We, the undersigned Owner and Contractor, do hereby accept the preceding certification as to costs of the completed Project
and agree that:
1. The final payment to the Contractor will be the above net contract price less (a) payments made to date, (b) amounts, if any, due
to the Owner for liquidated damages, and (c) any other sums which the Owner has the right to retain under the terms of the contract and
signature by all parties does not preclude the- retention by the Owner of such amounts.
2. Acceptance of the Project by the Owner shall not be deemed to relieve the contractor of its obligations contained in the
Construction Contract with respect to defective workmanship or materials discovered within one year after the date of completion.
RUS Form 724 (Rev. 10-63)
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 0572-0059. The time required to complete this information is estimated to average 45 minutes per response, including the time
for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information.
''No further benefits may be paid out under this program unless this report is completed and filed as required by existing law and regulations (7 U.S. C. 901 et seq.). ''
PROJECT DESIGNATION
SHEET
OF
SHEETS
U. S. DEPARTMENT OF AGRICULTURE
CONTRACT NO.
CONTRACT DATED
RURAL UTILITIES SERVICE
-
-
FINAL INVENTORY
NAME OF OWNER
TELEPHONE CONSTRUCTION CONTRACT
(Labor and Materials)
NAME OF CONTRACTOR
INSTRUCTIONS - See
reverse side of form.
CERTIFICATE OF COMPLETION
1, the undersigned Engineer of the above-designated Rural Utilities Service Project do hereby certify that:
1. The construction provided for pursuant to the above Construction Contract, including all approved amendments, (here-
inafter called the ''Project'') has been completed as of
20
and is in all respects in strict
compliance with the provisions of the Loan Contract and the Construction Contract, including all plans, specifications, maps, and all
modifications thereof.
2. Payment in full has been made to all persons who have furnished labor for the Project.
3. The Contractor has obtained valid releases of lien from all persons, firms and/or corporations furnishing materials, supplies,
and appliances 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 Owner.
4. The Project consists of facilities shown on the Statement of Construction (RUS Form 527) which is true and correct and which is
attached hereto and made a part hereof.
5. 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 Contract.
6. Acceptance tests have been made and the results were satisfactory.
7. All defects in workmanship and materials reported during the period of construction of the Project have been corrected.
8. To the best of my knowledge and belief, the attached final inventory of the Project correctly shows the
total number and character of assembly units installed or removed by the contractor and that the total cost of such
construction performed is (Grand total column 8, Form 724a plus Grand total column 12,
$
Form 724b)
9. The amount to be deducted for construction materials. furnished by the owner in accordance
with the contract is (Amount from Total column 7, RUS Form 281)
$
$
10. The net contract price is (Item 8 minus Item 9 above)
Dated this
day of
20
NAME OF ENGINEER
B y
We, the undersigned Owner and Contractor, do hereby accept the preceding certification as to costs of the completed Project
and agree that:
1. The final payment to the Contractor will be the above net contract price less (a) payments made to date, (b) amounts, if any, due
to the Owner for liquidated damages, and (c) any other sums which the Owner has the right to retain under the terms of the contract and
signature by all parties does not preclude the- retention by the Owner of such amounts.
2. Acceptance of the Project by the Owner shall not be deemed to relieve the contractor of its obligations contained in the
Construction Contract with respect to defective workmanship or materials discovered within one year after the date of completion.
RUS Form 724 (Rev. 10-63)
3. 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 Contract.
NAME OF OWNER
-
-
By
PRESIDENT
DATE
NAME AND ADDRESS OF CONTRACTOR
-
-
By
SIGNATURE AND TITLE
DATE
Reviewed By:
-
-
DATE
SIGNATURE OF RUS FIELD ENGINEER
INSTRUCTIONS (See RUS Bulletin 381-4)
The Engineer will prepare 6 copies of forms covering all data in Column 1 through Column 12, plus Columns 15 and 16.
Cols.
Source of Data
The assembly units are to be grouped according to the plant account
classification. (See applicable system of accounts.) The plant account number
and title should head each group with the total cost of the units in the group
1 & 2
From tabulation of staking sheets
inserted in parentheses in column 8 opposite the heading. For the purpose of
3 & 4
Leave blank except for units not in contract
this inventory:
Total unit price from contract *
5
Leave blank
6 & 7
Column 1 multiplied bv Column 5
8
1. Assembly units containing pin-type insulators (i.e.,
From tabulation of staking sheets
9
single groove, double groove transposition, etc.) are to be
10
From tabulation of staking sheets
listed under the account determined by the other materials in
11
From contract, as amended
the assembly units.
12
Col. 9 multiplied by Col. 11
13
From Borrower's records
2. As a sub-item under ''poles lines,'' list the number
14
Col. 9 multiplied by Col. 13
of pin-type insulators (i.e., single groove, double groove
Prepared by Engineer
15
transposition, etc.) included in the assembly units in that
16
Prepared by Engineer
account segregated by type and item cost. (Do not extend total cost).
17
From Borrower's record
From Borrower's record
18
Col. 17 multiplied by Col. 18
19
The final inventory together with all other final papers will
20
From Borrower's record
then be submitted to RUS for approval to release payment to the
21
From Borrower's record
contractor.
* Except for certain assembly units where the system of accounts requires
Upon approval of the inventory for this purpose by RUS,
material costs to be recorded as ''station apparatus'' and labor costs as
one copy will be returned to the owner by RUS. The owner will
''station connections''
complete columns 13 & 14 and columns 17 through 21 together
with the calculation of "Net Charge Due to Retirement" below:
CALCULATION OF NET CHARGE DUE TO RETIREMENT:
ORIGINAL COST (Col. 14, Form 724b)
$
COST OF REMOVAL (Col. 12, Form 724b)
TOTAL
$
DEDUCT SALVAGE (Col. 19, Form 724c, plus Col. 21, Form 724c)
NET CHARGE DUE TO RETIREMENT (Grand Total Col. 14, Form 724b plus Grand Total Col. 12, Form 724b
$
less Grand Total Col. 19, Form 724c less Grand Total Col. 21, Form 724c)
RUS Form 724 (Rev. 10-63)
Usda Rural Development Forms U.S. Department of Agriculture - Rural Utilities Service United States Executive Departments Forms United States Federal Legal Forms Legal United States Legal Forms

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