395b Certificate of COmpletion (Equipment Contract Not Includ

New Equipment Contract (Form 395) for Telecommunications and Broadband Borrowers

Form 395b(04-11-12) 1-2-14

New Equipment Contract (Form 395) for Telecommunications and Broadband Borrowers

OMB: 0572-0149

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CERTIFICATE OF COMPLETION

(Not Including Installation)






PROJECT DESIGNATION


I, the undersigned Engineer of the above-designated Rural Utilities Service Project do hereby certify that:




1.

The equipment and materials, provided for pursuant to Contract No.


dated


,

including all approved amendments, (hereinafter called

"Equipment") between


(Buyer) and


(Seller) have been delivered and are in all respects in strict compliance with the provisions of the contract, including specifications, drawings and all modifications thereof.




2. The Equipment has been installed and all acceptance tests have been made on the Equipment and the results were satisfactory.




3. The total cost of the Equipment in accordance to the contract and approved amendments thereto is


Dollars

$


.



Dated this


day of


,

20


.










NAME OF BUYER



NAME OF ENGINEER





By




By



SIGNATURE OF BUYER




SINGNATURE OF ENGINEER






APPROVED AS TO ITEMS 1,3, AND 4 ABOVE





RUS FORM 395b (Rev. 20)

File Typeapplication/vnd.openxmlformats-officedocument.wordprocessingml.document
File TitleDEPARTMENT OF AGRICULTURE
Authornorberto.esteves
File Modified0000-00-00
File Created2021-01-28

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