2020_ACH_FORM.pdf
PDF 54 KB Posted
- Solicitation number
- 25-S-038
- 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), also known as Events DC, a District of Columbia government agency. The form establishes the procedural requirements for vendors and contractors to authorize automatic electronic fund transfers for payment of invoices and contract deliverables. The agreement grants WCSA authority to initiate credit entries and, if necessary, debit entries and adjustments to a designated bank account. The authorization remains in effect until WCSA receives written termination notice, providing the company and depository reasonable time to process the termination. Signatories must provide their name, title, email address, phone number, and date of signature, and must attach a voided check to verify banking information.
This form is a standard financial processing document required in connection with the District of Columbia's Invitation for Bids (IFB) for the Supply of Camfil Farr Hi-Flo ES MERV and Durafil ES Air Filters. The IFB is restricted to District of Columbia Department of Small, Local, and Business Development (DSLBD) certified business enterprises only. The ACH authorization form serves as a prerequisite for payment processing once a contract is awarded, ensuring that successful bidders have established banking infrastructure for receiving automated deposits from Events DC for supplies and services rendered under the contract.
View the file
Other files
On GovTribe
Work with this file
- Download the original file
- Contacts named in this file
- Similar government files
- Ask GovTribe AI about this file
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 .