CERTIFICATE OF ACCEPTANCE
Issued by the Customers representative to the Contractor
Name of Customers representative: Insert name of the Customers representative.
The following items ( eing either the !ervi"e or Pro#u"t or a part of the !ervi"e or Pro#u"t$ have een a""epte# for the purposes of this Contra"t: List items that have been tested and accepted.
Other "on#itions atta"he# to the Certifi"ate of A""eptan"e: Specify here if there are any other conditions attached to the Certificate of Acceptance.
!igne# seale# an# #elivere# %: Name of the Customer Name of the Customers representative Position held Signature and date In the presen"e of: Name of the witness Position held Signature and date Insert the name of the witness Insert position held _____________ ___/___/___ Insert the name of the Customer Insert name of the Customers representative Insert position held _____________ ___/___/___