ESBD_544225_1785332064674_SOL_EXH_F.4_Direct Deposit Authorization Form (1).pdf

This is a Direct Deposit Authorization Form for the Annex Chiller Repair Parts contract opportunity in Texas. The form serves as a standardized document for contractor payment processing and banking information collection. It requests essential banking details including the contractor's bank name, routing number, account number, and account type (checking or savings) to facilitate electronic fund transfers for contract payments. The form includes standard authorization language whereby the contractor authorizes the state to initiate deposits directly to the specified account and permits the financial institution to accept such deposits on behalf of the contractor. The document also contains acknowledgment sections confirming the contractor's understanding of the direct deposit process and agreement to maintain the accuracy of provided banking information.

This authorization form is a supporting exhibit required for contract execution and payment administration purposes. It does not contain pricing information, set-aside provisions, incumbent details, or funding sources, as it functions solely as a banking authorization mechanism. Contractors are required to complete and submit this form as part of the contracting process to enable efficient electronic payment of invoices and contract compensation related to the Annex Chiller Repair Parts procurement.