2020_ACH_FORM.pdf

PDF 54 KB Posted

Attached to
LENEL ACCESS CONTROL MODERNIZATION AND INFASTRUCTURE UPGRADE SERVICES State and local contract opportunity
Solicitation number
25-S-026
Issued by
District of Columbia

About this file

This is an Authorization Agreement for Automatic Deposits (ACH Credits) form issued by the Washington Convention and Sports Authority (WCSA), operating as Events DC, in the District of Columbia. The form authorizes WCSA to initiate credit entries and, if necessary, debit entries and adjustments to a contractor's designated checking or savings account at a specified depository institution. The agreement remains in full force until written termination notification is received by both WCSA and the depository, allowing reasonable time to process the termination. The form requires the contractor to provide company name, EIN or Tax ID, depository information including bank name, branch location, transit/ABA number, and account number, along with the authorized representative's name, title, email, phone number, and signature. A voided check must be attached to the form to verify banking information.

This ACH authorization form is a standard payment processing document required for the Lenel Access Control Modernization and Infrastructure Upgrade Services contract at the Walter E. Washington Convention Center. Contractors selected for this firm-fixed-price engagement must complete and submit this form to enable WCSA to process contract payments via electronic funds transfer. The form facilitates efficient payment administration for the multi-phase, multi-year project that extends from award through September 30, 2028, with four optional one-year renewal periods. Completion and submission of the ACH authorization is a prerequisite administrative requirement for contractors to receive compensation under the contract awarded through the RFP process.

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Text version

AUTHORIZATION AGREEMENT FOR AUTOMATIC DEPOSITS (ACH CREDITS)

COMPANY NAME: _____________________________________

EIN or Tax ID of the Business: ________________________________________

I (we) hereby authorize Washington Convention and Sports Authority (WCSA), hereinafter called COMPANY, to initiate credit entries and to initiate, if necessary, debit entries and adjustments for any credit entries in error to my (our) Checking Savings account (select one) indicated below and the depository named below, hereinafter called DEPOSITORY, to credit and/or debit the same to such account.

DEPOSITORY

NAME BRANCH

CITY STATE ZIP

TRANSIT/ABA NO. ACCOUNT NO.

This authority is to remain in full force and effect until COMPANY has received written notification from me (or either of us) of its termination in such time and in such manner as to afford COMPANY and DEPOSITORY a reasonable opportunity to act on it.

NAME: __ TITLE: _______________________

Email for ACH Notification: ______________________ cc: ___________________________

PHONE #: __________________________________ DATE: ________________________

SIGNATURE:

*** ATTACH A VOIDED CHECK ***

File details come from the government source that posted it. Updated .