
BURNS ARCHITECTURAL SALES, INC.
929 E. 23rd Street, Indianapolis, IN 46205
Phone: 317-920-3754 (Toll Free: 800-899-3579)
Fax: 317-920-3749
Please type or print clearly
General Contractor:
______________________________________________________
______________________________________________________
______________________________________________________
______________________________________________________
Subcontractor:
______________________________________________________
______________________________________________________
______________________________________________________
______________________________________________________
Job Name:
______________________________________________________
______________________________________________________
______________________________________________________
______________________________________________________
Contract Amount not to exceed: $___________________________
Burns Architectural Sales, Inc. and the Subcontractor have an agreement wherein Burns Architectural Sales, Inc. will supply materials to the site for Job Name above (deliveries may be to the Subcontractor’s shop or other location provided by the Subcontractor) provided that the parties all execute this Joint Check Agreement.
The Subcontractor has requested Burns Architectural Sales, Inc. to extend credit to them for these purposes. In consideration of the benefit to the General Contractor and the Subcontractor, by Burns Architectural Sales, Inc. supplying materials for the Job Name above, the General Contractor and Subcontractor agree and guarantee that any of Burns Architectural Sales, Inc. invoices for the Job Name above shall be paid by joint checks to be mailed directly to Burns Architectural, Inc. at 929 E. 23rd Street, Indianapolis, Indiana 46205.
The General Contractor’s obligations under this agreement are limited to those monies in the Job Name account, and the General Contractor is executing this agreement as an accommodation to the Subcontractor, and not as an individual guarantor of the Subcontractor’s credit with Burns Architectural Sales, Inc.
The parties acknowledge that this agreement is entered into for valuable consideration, that the General Contractor and Subcontractor are both benefited by Burns Architectural Sales, Inc. supply of materials, and this agreement shall be binding on their successors and assigns. This agreement shall not constitute a waiver of any of Burns Architectural Sales, Inc. legal rights to be paid in full for the materials provided, and Burns Architectural Sales, Inc. shall be entitled to recover all costs, including reasonable attorneys fees, in the enforcement of this agreement.
BURNS ARCHITECTURAL SALES, INC.
929 E. 23rd Street, Indianapolis, IN 46205
Phone: 317-920-3754 (Toll Free: 800-899-3579)
Fax: 317-920-3749
Please type or print clearly
THIS INFORMATION IS REQUIRED FOR ALL JOINT CHECK AGREEMENTS.
1. JOB NAME:
NAME: _______________________________________________________ LOT #: ___________________
STREET: _____________________________________________________ BLOCK #: ________________
CITY, STATE, ZIP: ____________________________________________TRACT #: _________________
2. APPLICANT:
NAME: __________________________________________________________________________________
STREET: ________________________________________________________________________________
CITY, STATE, ZIP: _______________________________________________________________________
A/P CONTACT & PHONE NUMBER: _______________________________________________________
3. GENERAL CONTRACTOR:
NAME: __________________________________________________________________________________
STREET: ________________________________________________________________________________
CITY, STATE, ZIP: _______________________________________________________________________
A/P CONTACT & PHONE NUMBER: _______________________________________________________
4. OWNER (NOT JOB SITE – SHOULD BE CORPORATE OFFICE OR OWNER – WHO IS HAVING JOB DONE?):
NAME: __________________________________________________________________________________
STREET: ________________________________________________________________________________
CITY, STATE, ZIP: _______________________________________________________________________
CONTACT & PHONE NUMBER: ___________________________________________________________
5. LENDING AGENCY:
NAME: __________________________________________________________________________________
STREET: ________________________________________________________________________________
CITY, STATE, ZIP: _______________________________________________________________________
CONTACT & PHONE NUMBER: ___________________________________________________________
6. BONDING AGENCY:
NAME: __________________________________________________________________________________
STREET: ________________________________________________________________________________
CITY, STATE, ZIP: _______________________________________________________________________
CONTACT & PHONE NUMBER: ___________________________________________________________
7. BOND TYPE (CIRCLE TYPE):
PERFORMANCE PAYMENT BOND #
BURNS ARCHITECTURAL SALES, INC.
929 E. 23rd
Street, Indianapolis, IN 46205
Phone:
317-920-3754 (Toll Free: 800-899-3579)
Fax:
317-920-3749
**THIS PAGE MUST BE NOTARIZED**
General Contractor: _____________________________________________________
Signature: _____________________________________________________
Printed Name: _____________________________________________________
Title: _____________________________________________________
Date Signed: _____________________________________________________
The person signing above
has the authority to enter into this joint check agreement on behalf of
____________________________________________________________________________(Company
Name).
Signed before me this _______ day of _______________, 2007.
Notary Public: _______________________________________
Printed: _______________________________________
Commission Expires: ________________________________
Subcontractor: _____________________________________________________
Signature: _____________________________________________________
Printed Name: _____________________________________________________
Title: _____________________________________________________
Date Signed: _____________________________________________________
The person signing above has the authority to enter into this joint check agreement on behalf of
____________________________________________________________________________(Company Name).
Signed before me this _______ day of _______________, 2007.
Notary Public: _______________________________________
Printed: _______________________________________
Commission Expires: ________________________________