2020_ACH_FORM.pdf
PDF 54 KB Posted
- Solicitation number
- 25-S-044
- 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, located in the District of Columbia. The form establishes the administrative procedures for processing automatic electronic fund transfers to vendor accounts for the Supply and Repair of ADA Lifts and Associated Parts solicitation. The document requires vendors to provide company information, banking details including depository name, routing number, and account number, along with authorized signatory information and contact details for ACH notifications. Vendors must complete the form and attach a voided check to facilitate electronic payment processing.
The form serves as a prerequisite administrative requirement for vendors responding to Events DC's invitation for bids. No specific contract term, pricing structure, renewal options, or financial details are contained within this document, as it functions solely as a banking authorization instrument. Completion and submission of this form by interested bidders enables Events DC to process payments electronically upon contract award. Vendors should submit this authorization concurrent with their bid proposals through Events DC's e-procurement website at https://eventsdc.com/about/procurement.
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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 ***
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