Joint Check Agreement – Valley

Undersigned Owner/General Contractor

Name

Address

Phone

Fax

A/P Contact Name

Email

Undersigned Subcontractor

Name

Address

Phone

Fax

A/P Contact Name

Email

Jobsite Information

Name

Address

Owner Name

It is agreed by the undersigned Owner, Subcontractor and Material Supplier, that the payment for all materials supplied to

for the above referenced project, be paid by the general contractor to Valley Asphalt, LLC and

Payment is due within (

) days from Valley Asphalt, LLC. Duplicate Valley Asphalt, LLC

days from Valley Asphalt, LLC. Duplicate Valley Asphalt, LLC invoices will be sent to undersigned Owner and Subcontractor. Material to be supplied accordingly to established on Sales Order No

Material Supplier

Owner / General Contractor

Subcontractor