Common use of Deliverables Description Clause in Contracts

Deliverables Description. Check this box if this is the Final Milestone Payment The undersigned hereby certifies that the amount being invoiced represents only those amounts properly payable in accordance with the Milestone and Milestone Deliverable completion and with the terms and conditions of the Grant Agreement and the Grantee’s official records. Certified by Authorized Representative of Grantee: Signature Name Title: Date: Approved by: MSI Technical Lead Signature Name: Date: Approved by: MSI Chief of Party Signature Name: Date: Payment should be remitted to: ☐ Wire Transfer (Name of the organization) via bank transfer Amount of Wire: Name & Address of Bank Account Number: Swift Code: ☐ Check payable to Grant Completion Certification Grantee Organization: Grant Number: Grant Start Date: Grant End Date: COMPLETION CERTIFICATION (to be completed by the Grantee): The undersigned designated agent of the grantee hereby warrants that: (1) the activities were performed in accordance with the specifications in the grant agreement and other grant program requirements; (2) the activities outlined in the grant agreement were completed within the timeframe of the agreement; (3) the cost share contribution, if applicable, was provided in full according to the grant agreement; (4) all payments have been received in accordance with the specifications of the grant agreement; and (5) the above information is true and correct. Signature Printed Name & Title of Authorized Representative Date of Signature REVIEWED BY MSI: Signature Printed Name & Title Date of Signature Anti-Terrorism/Excluded Parties Verification Form (To be attached only when Grant involves purchase of goods or services) This Verification form is to be used by the Grantee at the time of procurement and before entering into or amending any sub-agreement with any individual or organization receiving funds under this award. The Grantee shall verify that the individual or organization is not listed in any of the following lists and shall keep the printed results of the list searches in their grant records. This verification must be completed and submitted for ALL individuals or organizations before the Grantee will enter into, modify or extend any agreement made between the grantee and any individual or organization receiving funds or potentially receiving funds from this Grant award. Please append to this document screen shots of each of the following website searches for this (check one) INDIVIDUAL or ORGANIZATION Name of Individual or Organization Printed name of Verifier Date of Verification (mm/day/year) Signature of Verifier

Deliverables Description. Check this box if this is the Final Milestone Payment The undersigned hereby certifies that the amount being invoiced represents only those amounts properly payable in accordance with the Milestone and Milestone Deliverable completion and with the terms and conditions of the Grant Agreement and the Grantee’s official records. Certified by Authorized Representative of Grantee: Signature Name Title: Date: Approved by: MSI Technical Lead Signature Name: Date: Approved by: MSI Chief of Party Signature Name: Date: Payment should be remitted to: ☐ Wire Transfer (Name of the organization) via bank transfer Amount of Wire: Name & Address of Bank Account Number: Swift Code: ☐ Check payable to Grant Completion Certification Grantee Organization: Grant Number: Grant Start Date: Grant End Date: COMPLETION CERTIFICATION (to be completed by the Grantee): The undersigned designated agent of the grantee hereby warrants that: (1) the activities were performed in accordance with the specifications in the grant agreement and other grant program requirements; (2) the activities outlined in the grant agreement were completed within the timeframe of the agreement; (3) the cost share contribution, if applicable, was provided in full according to the grant agreement; (4) all payments have been received in accordance with the specifications of the grant agreement; and (5) the above information is true and correct. Signature Printed Name & Title of Authorized Representative Date of Signature REVIEWED BY MSI: Signature Printed Name & Title Date of Signature Anti-Terrorism/Excluded Parties Verification Form (To be attached only when Grant involves purchase of goods or services) This Verification form is to be used by the Grantee at the time of procurement and before entering into or amending any sub-agreement with any individual or organization receiving funds under this award. The Grantee shall verify that the individual or organization is not listed in any of the following lists and shall keep the printed results of the list searches in their grant records. This verification must be completed and submitted for ALL individuals or organizations before the Grantee will enter into, modify or extend any agreement made between the grantee and any individual or organization receiving funds or potentially receiving funds from this Grant award. Please append to this document screen shots of each of the following website searches for this (check one) INDIVIDUAL or ORGANIZATION Name of Individual or Organization Printed name of Verifier Date of Verification (mm/day/year) Signature of Verifier