Liquidated Damages.pdf
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- Solicitation number
- 300000130037297
- Issued by
- Michigan
About this file
This is a Liquidated Damages Payment Authorization Form from the City of Detroit, Michigan, administered through the Coleman A. Young Municipal Center. The form serves as a formal acknowledgment and payment documentation for liquidated damages owed to property owners or tenants who have incurred losses due to contractor delays during relocation activities. The form requires completion of project details including the case number, property address, property owner or tenant information, housing compliance inspector details, and contractor information. The document outlines the approval and signature requirements from the property owner or tenant, compliance inspector, and contractor, establishing a formal record of the damages claim and payment authorization.
The liquidated damages payment is established at a fixed rate of $100.00 per day for all days exceeding the approved relocation schedule, as well as for work that extends beyond the expected construction completion date due to inadequate work performance or unsatisfactory completion. The contractor is responsible for reimbursing the affected property owner or tenant through certified check or money order, which must accompany the acknowledgement form as part of the contractor's payment package. The amount of days qualifying for liquidated damages is determined by the Housing Compliance Inspector, and the form explicitly requires documentation of the total reimbursement amount owed. No further monies are due to the property owner or tenant upon acceptance of the liquidated damages payment.
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Text version
Case No.: Program Name:
Property Owner: Phone #:
Property Address: Email-Alternate Phone #:
City, State, Zip: Detroit, MI Compliance Insp.: Phone No. - Fax No.
Contractor Name: Phone No. #N/A Fax No.
Contractor Address: City/State/Zip:
Housing Compliance Inspector Date
Property Owner/Tenant Signature Date
Contractor Signature Date
#N/A
I, [Property Owner or Tenant Name] have received payment the amount of [DOLLAR AMOUNT IN WORDS, (DOLLAR AMOUNT IN FIGURE)] for liquidated damages incurred during extensive re-location [Number] days. I accept this payment of [DOLLAR AMOUNT IN WORDS, (DOLLAR AMOUNT IN FIGURE)] and no further monies are due.
A copy of the certified check or money order in the amount listed above must accompany the acknowledgement form and be included with the Contractor's Payment Package.
The amount of days determined by the Compliance Inspector for liquidated damages are:
$0.00 The contractor must reimburse the property owner for liquidated damages in the amount of:
Coleman A. Young Municipal Center Phone: 313.224.6380 2 Woodward Avenue.Suite 908 Fax: 313.224.1629 Detroit, Michigan 48226 www.detroitmi.gov
As a result of avoidable and foreseeable delays, the Contractor is liable for payment to the Property Owner or Tenant (whomever occupies the dwelling unit), One Hundred and 00/100 ($100.00) Dollars per day as liquidated damages for all days exceeding the approved relocation schedule. This payment is also applicable for work that exceeds the expected construction completion date due to inadequate work performance and unsatisfactory completion of work assignment.
LIQUIDATED DAMAGES PAYMENT AUTHORIZATION FORM
#N/A
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