Supplier: Project Name and Location: Date:
SrcConAddr_Addr1 DV_DocHeader_Project Major Purchase Order No.
SrcConAddr_City, State ZIP ProjectAddr_Addr1 xxxx-xxxx
ProjectAddr_City, State ZIP
Federal Tax Identification No.: Project Phone No. Terms:
ProjectAddr_Person ProjectAddr_Phone See Below
Attention: ToAddr_Person Bill To: Completion date:
Supplier Phone No.: SrcConAddr_Phone Gibbs & Register, Inc.
Supplier Fax No.: SrcConAddr_Fax 232 South Dillard Street Fd_S60Date_ActFinish
Winter Garden, FL 34787
This Purchase Order is made by and between Gibbs & Register, Inc. (herein called “G&R”), and the Supplier named above. G&R has
entered into a Contract with The Client, pursuant to which G&R has obligated itself to furnish labor and materials to do certain work
described as DV_DocHeader_Project(the “Project”).
In consideration of the mutual promises made herein and other valuable considerations, the receipt and sufficiency of which are
hereby acknowledged, G&R and Supplier hereby agree as follows:
a. The Supplier shall furnish the labor, material, equipment, tools, supervision, insurance and taxes necessary to
perform the following work (the “Work”) for the amount stated:
ITEM DESCRIPTION QTY UNIT UNIT PRICE AMOUNT
xxx Xxx xxx xxx xxx xxx
TOTAL: $ 0.00
Special Terms, Alternates and/or conditions:
RR_Inclusion_I RR_Inclusion_ RR_Inclusion_ItemText
RR_Exclusion_ RR_Exclusion_ RR_Exclusion_ItemText
c. Legal Attachments:
RR_LegalAtt_It RR_LegalAtt_ RR_LegalAtt_ItemText
d. Other Clauses:
RR_OtherClaus RR_OtherClaus RR_OtherClause_ItemText
Major Purchase Order No. :
2. Changes: The Supplier shall make all requests for changes, extensions of time or other damages, in writing to G&R and
receive written approval from G&R prior to proceeding with such changes or additional work. All requests for changes shall
be submitted in a manner and within a time frame so as to allow G&R to request any necessary changes from the Owner.
3. Terms: Supplier shall be paid upon acceptance of the work/materials, receipt of invoice by G&R and receipt of payment for
the work/materials from the Owner. G&R must receive a signed Purchase Order agreement from the Supplier prior to
payment being issued.
4. Indemnity – Supplier shall defend and indemnify and hold harmless G&R and the Owner, as well as any other parties which
G&R is required to defend, indemnify and hold harmless, and their agents, servants and employees against all claims and
suits for loss or damage to property, personal injury, including death to persons and from all judgments recovered thereof,
and from all expenses for defending such claims or suits, including court costs, attorney’s fees which result from the
performance of the Purchase Order by the Supplier, it’s subcontractors, anyone directly or indirectly employed by any of
them, or anyone for whose acts any of them may be liable regardless of whether it is caused in part by a party indemnified
there under. Supplier's obligation hereunder shall not be limited by the provisions of any worker's compensation or similar
act. The parties agree that this indemnification provision shall be enforced to the full extent permitted by law and agree that
neither of them will challenge the validity of this indemnification provision. The parties further agree that it is their intention
that this provision be lawful and enforceable and they agree that if for some reason this provision, or any part thereof, is
determined to be unenforceable the way it is written, this provision shall be construed to be enforceable up to whatever limit
is established by applicable law.
5. Licensing: Supplier warrants that he (she) is, and during the course of the work on the project, will remain in full compliance
with all licensing requirements under applicable Federal, State and local laws. Supplier is required to abide by all local, State
and Federal Health and Safety Laws and Regulations.
6. Legal Counsel: In the event it shall become necessary for G&R to retain legal counsel to enforce any of its rights against
Supplier hereunder, then Supplier shall be responsible for payment of all reasonable attorneys’ fees and other costs of
litigation, if necessary.
7. Warranty: Supplier warrants to G&R and Owner that all materials and equipment furnished under this Purchase Order will be
new, unless otherwise specified, and that all fabrication work will be of good quality, free from improper workmanship and
defective materials, and fit for the purpose intended. Supplier agrees to correct all materials supplied by it under this
Purchase Order that proves to be defective in material or workmanship within a period of one (1) year from the date of
Owner’s acceptance of the project. This Warranty shall be in addition to all other warranties and remedies, expressed or
implied, under the law.
8. Insurance – Without limiting the liability of Supplier under this Purchase Order, Supplier shall maintain, with G&R and Owner as
additional insured’s thereon, the following insurance provided by insurance companies acceptable to G&R and licensed to do business in
the state where the Project is located:
a. Worker’s Compensation Insurance in full compliance with workers compensation laws of states within which any part of the
Supplier Work is to be performed, together with Employer’s Liability Coverage with:
i. Minimum limits of liability in the amount of - $100,000/$500,000/$100,000
b. Comprehensive Automobile Liability Insurance covering all owned, hired and non-owned vehicles with the following minimum
limits of liability:
i. Combined single limit - $1,000,000.00 each occurrence
c. Commercial General Liability Insurance and if necessary, Excess Liability Insurance, which is written on an occurrence basis,
with the following minimum limits of liability:
i. General Aggregate – $1,000,000.00
ii. Products/Completed Operations Aggregate – $1,000,000.00
Major Purchase Order No. :
iii. Each Occurrence – $1,000,000.00
d. Commercial General Liability policy and any Excess policies necessary to meet the required limits shall include contractual
liability coverage. G&R and the Owner shall be named as additional insured’s on the Commercial General Liability, Auto, and
any required Excess policies. The Commercial General Liability, Auto and Excess shall include severability of interest or cross
liability clause and shall be endorsed to be made primary with respect to any applicable insurance maintained by G&R or Owner.
Supplier shall furnish certificates for G&R and Owner evidencing satisfaction of these insurance requirements before supplying
said material(s). These certificates shall provide that thirty (30) days written notice shall be given to G&R before the policies are
changed or cancelled.
Subcontractor Acceptance Please return signed Contractor:
original to: Gibbs & Register, Inc.
Signature: Gibbs & Register, Inc.
232 S. Dillard Street
Winter Garden, FL
By: (Printed Name & Title) By: