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					                                                                                                              Purchase Order

Supplier:                                             Project Name and Location:                          Date:
SrcConAddr_Company                                                                                        Xxxx
SrcConAddr_Addr1                                      DV_DocHeader_Project                                Major Purchase Order No.
SrcConAddr_City, State ZIP                            ProjectAddr_Addr1                                   xxxx-xxxx
                                                                                                          Cost Code:
                                                      ProjectAddr_City, State ZIP
                                                                                                          xxxx
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:

      1.
                  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:

                  a. Inclusions:
                   RR_Inclusion_I   RR_Inclusion_   RR_Inclusion_ItemText
                   temNumber        Paragraph




                  b. Exclusions:
                   RR_Exclusion_    RR_Exclusion_   RR_Exclusion_ItemText
                   ItemNumber       paragraph


                  c. Legal Attachments:
                   RR_LegalAtt_It RR_LegalAtt_      RR_LegalAtt_ItemText
                   emNumber       Paragraph


                  d. Other Clauses:
                   RR_OtherClaus RR_OtherClaus       RR_OtherClause_ItemText
                   e_ItemNumbe    e_Paragraph
                   r
                                                                                 Supplier:
                                                                                 SrcConAddr_Company
                                                                                 Project Name:
                                                                                 DV_DocHeader_Project
                                                                                 Date:
                                                                                 Xxxx
                                                                                 Major Purchase Order No. :
                                                                                 xxxx-xxxx


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
                                                                                          Supplier:
                                                                                          SrcConAddr_Company
                                                                                          Project Name:
                                                                                          DV_DocHeader_Project
                                                                                          Date:
                                                                                          Xxxx
                                                                                          Major Purchase Order No. :
                                                                                          xxxx-xxxx

                         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
                                                              34787
By: (Printed Name & Title)                                                                 By:



Date:                                                                                      Date:

				
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posted:4/13/2012
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