ACH_FORM_(2).pdf

PDF 54 KB Posted

Attached to
IFB Field Turf Maintenance
Solicitation number
25-S-052
Issued by
District of Columbia

About this file

This is an ACH (Automated Clearing House) form related to the District of Columbia's IFB Field Turf Maintenance contract opportunity. The form serves as a payment authorization document for the District of Columbia government entity managing the field turf maintenance services procurement. The ACH form facilitates electronic fund transfers and establishes banking information necessary for processing payments to the selected contractor upon contract award and service delivery completion.

The form contains standard ACH banking details required for electronic payment processing, including fields for financial institution routing numbers, account numbers, and account holder information. This document would be completed by the awarded contractor to enable the District of Columbia to remit payment for services rendered under the field turf maintenance contract through the federal ACH network, ensuring efficient and secure payment delivery once the contractor fulfills the specified maintenance work requirements and submits invoices for services provided.

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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 .