Fill and Sign the Louisiana Notice Contract Form

NOTICE OF CONTRACT – PROFESSIONAL SUBCONSULTANT- INDIVIDUAL (La.Rev.Stats § 9:4801(5)) COMES NOW, __________________________________, as a Professional Subconsultant whose address is ________________________________________________________________________ to provide notice to __________________________________ as Owner of a contract, within thirty (30) days after the date that the subconsultant enters into a written contract of employment and would provide the following: (1) The name and address of the Employer (Prime Professional) is: ________________________________________________________________________. (2) The date of employment/contract is: ________________________________________________________________________. (3) A general description of the work undertaken: ________________________________________________________________________. (4) A description of the property where the construction is to be performed is: ________________________________________________________________________. (5) The price of the work to be performed or method by which the price will be calculated is: __________________________________________________________________. (6) Payment for the work is to be made on: __________________ (date). Dated: __________________ ________________________________ Signature ________________________________ Type or Print Name Notice of Contract – Professional Sub-consultant Page 1 of 2 Certificate of Delivery I, , hereby certify that I have delivered this day a true and correct copy of the foregoing to Notice of Contract- Professional Subconsultant by: Personal Service Mailing a true and correct copy of the same by Certified or Registered U.S. Mail, postage prepaid, return receipt requested to , who is the Owner located at ___________________________________________. Certified or Registered Mail Number: . So certified this the ______ day of __________________, 20______. Signature Notice of Contract – Professional Sub-consultant Page 2 of 2