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ROGERS COUNTY • CJ-2026-84

Gulfside Supply, Inc. dba Gulfeagle Supply v. Jeremy Conn, Individually dba C and C Roofing and Home Repair

Filed: Feb 12, 2026
Type: CJ

What's This Case About?

Let’s be real: nobody expects a roofing dispute to turn into a $25,000 drama with notarized affidavits, service charges, and a clause about OSHA compliance. But here we are, in Claremore, Oklahoma, where a simple “Hey, can I get some shingles on credit?” spiraled into a full-blown legal showdown between a Florida-based building supply giant and a local roofer who apparently ghosted the bill like it was a bad Tinder date. This isn’t just about unpaid materials — this is about pride, paperwork, and the fine print that bites back.

On one side, we’ve got Gulfside Supply, Inc., doing business as Gulfeagle Supply — a corporate entity so serious about its terms and conditions that they’ve got a 14-point legal manifesto printed right on the back of their credit application. They’re headquartered in Florida, but they’ve got boots on the ground (and trucks over 10 tons, which they very proudly warn might destroy your driveway) all across the South, including Rogers County, Oklahoma. They sell roofing materials, lumber, and probably dreams of suburban home renovations — all at discounted prices, if you pay cash on delivery. And on the other side? Jeremy Conn, a solo operator running C and C Roofing and Home Repair out of a unit on Highway 66 in Claremore. He’s not incorporated, he’s not a big franchise, and based on the spelling of “RFG” instead of “ROOFING” on his invoice address, he’s probably too busy fixing roofs to proofread emails.

So how did we get here? Picture this: it’s summer 2025. The sun is blazing, shingles are curling, and homeowners across northeast Oklahoma are calling every roofer with a ladder and a pulse. Jeremy Conn answers. He’s got jobs — lots of them. But to do the work, he needs supplies. And that’s where Gulfeagle comes in. According to the court filing, Conn signed a credit application with Gulfeagle — not once, but presumably with full knowledge of the 14-point Terms and Conditions scroll that reads like a medieval contract carved into stone. He listed his contact info, his business address, even his spouse’s name (which, hilariously, was left blank). He checked the box saying he’ll use the materials for resale or as part of construction jobs. And then — the kicker — he agreed to pay cash on delivery, with no credit terms allowed. But then… he was given credit anyway. Or at least, that’s what the invoices suggest.

Between August and November 2025, Gulfeagle sent Conn 14 separate invoices for materials — everything from roofing bundles to, bizarrely, multiple “Serv Chrg” line items totaling hundreds of dollars. The first invoice alone was nearly $10,000. By October, the balance was over $25,000. And somewhere along the way, Conn stopped paying. The final invoice summary shows a previous balance of $25,866.21, a single $400 payment (maybe a Hail Mary?), and a net due of $25,466.21. That’s not chump change — that’s a down payment on a house, or a brand-new pickup truck, or, you know, several years’ worth of roofing materials. Gulfeagle says they made “numerous demands.” Conn says… well, we don’t know what Conn says, because he hasn’t filed a response yet. But the silence speaks volumes.

Now, legally speaking, Gulfeagle is throwing the kitchen sink at him. Their main claim? Breach of contract — meaning, “You agreed to pay, you got the stuff, and now you’re not paying.” But they’re also suing on a “sworn account,” which in Oklahoma is a fast-track way for businesses to collect debts when the numbers are clear and documented (like, say, a notarized spreadsheet). And just in case the court doesn’t buy that there was a formal contract, they’ve thrown in quantum meruit — Latin for “you got the benefit, so you owe the bill,” even if there was no written agreement. It’s the legal equivalent of “You ate the pizza, you pay for the pizza.” They’re also demanding 18% annual interest (1.5% per month, as per the credit app), attorney’s fees, and court costs. Oh, and they waived their right to a jury trial — probably because they’d rather have a judge sift through invoices than a jury distracted by the drama of a guy who misspelled his own business name.

Now, is $25,000 a lot for a roofing job? Well, it depends. For a homeowner, yes — that’s a major renovation. But for a contractor doing multiple jobs? Not outrageous. The problem isn’t the amount — it’s the pattern. Look at those invoices: multiple “Serv Chrg” entries, some as low as $53.99, tacked on like late fees or administrative surcharges. And the credit application literally says Gulfeagle doesn’t offer credit. So why were they extending it? Did someone at the Claremore branch say, “Eh, he’s a regular, just put it on the tab”? Or did Conn sign the C.O.D. agreement, then just keep ordering like he had a line of credit? Either way, Gulfeagle played both sides — enforcing a no-credit policy in writing while acting like they offered one in practice. That’s like a restaurant putting “No outside food allowed” on the door, then letting you bring in a whole pizza and just expecting you to pay for it later.

And let’s talk about that 18% interest. That’s loan shark territory — unless you’re a corporation with a clause that says “we reserve the right to charge you more than your credit card company.” But here’s the thing: Conn signed it. Or someone did. And while the signature line is blank in the document we have, the notarized affidavit from Thomas Fava, Gulfeagle’s Financial Services Manager, swears under oath that the debt is “just, true, and correct.” So unless Conn shows up with receipts, canceled checks, or a very convincing story about defective shingles or misdelivered loads, this looks like a slam dunk for the supply company.

But here’s our take: the most absurd part isn’t the money. It’s the theater of it all. A Florida corporation sending a notarized affidavit over a roofing tab. A local roofer with a Gmail address getting sued under maritime-style indemnity clauses. A credit application that reads like a corporate ransom note, complete with a waiver of jury trial and a choice of law provision favoring Florida — where Conn has no ties. This isn’t just a debt collection case. It’s a clash of worlds: big-box supply chain meets small-town contractor hustle. Gulfeagle wants to treat this like a breach of commercial protocol. But in reality? This feels like a miscommunication that ballooned into a legal grenade because nobody picked up the phone and said, “Hey, we need to talk about your balance.”

Do we root for the little guy? Sure, in theory. But do we also believe that if you take $25K worth of materials and vanish, you kinda had it coming? Also yes. At the end of the day, roofs don’t fix themselves — but neither do invoices. And if you’re running a business, whether you’re in a Highway 66 unit or a Florida high-rise, you don’t get to play both sides of the credit game. Pay up, Jeremy. Or at least show up to court and explain why you didn’t. Until then, the shingles are on Gulfeagle’s side.

Case Overview

$25,466 Demand Petition
Jurisdiction
District Court of Rogers County, Oklahoma
Relief Sought
$25,466 Monetary
$0 Punitive
Plaintiffs
Claims
# Cause of Action Description
1 breach of contract Jeremy Conn failed to pay Gulfside Supply, Inc. dba Gulfeagle Supply for materials sold on credit

Petition Text

2,885 words
IN THE DISTRICT COURT OF ROGERS COUNTY STATE OF OKLAHOMA FILED DISTRICT COURT ROGERS COUNTY, OKLAHOMA Case No. __February 12, 2026 3:43 PM CATHI EDWARDS, COURT CLERK Judge ______Case Number CJ-2026-84 GULFSIDE SUPPLY, INC. DBA GULFEAGLE SUPPLY v. JEREMY CONN, Individually dba C AND C ROOFING AND HOME REPAIR PLAINTIFF’S ORIGINAL PETITION COMES NOW the Plaintiff, Gulfside Supply, Inc. dba Gulfeagle Supply ("Plaintiff"), and for its causes of action against Defendant, Jeremy Conn, Individually dba C and C Roofing and Home Repair ("Defendant"), alleges and states as follows: 1. Gulfside Supply, Inc. dba Gulfeagle Supply is a Florida corporation, has a place of business and is authorized to do business in Oklahoma. 2. Defendant Jeremy Conn, Individually dba C and C Roofing and Home Repair is an individual and can be served by delivering Summons to 2460 S. Highway 66, Unit 22, Claremore, Oklahoma 74019 or at 520 Normal Avenue, Claremore, Oklahoma 74019. 3. Jurisdiction is properly vested within this Court pursuant to 12 O.S. § 2004(F). 4. Venue in this Court is proper and exclusive pursuant to 12 O.S. § 142. I. STATEMENT OF RELEVANT FACTS 5. Defendant entered into a written agreement with Plaintiff (the "Contract") whereby Plaintiff agreed to furnish materials, including, but not limited to, roofing materials, and related items on credit. See the Affidavit and Credit Application related to materials sold to Defendant on credit attached hereto as Exhibits “A” and “B” and incorporated herein for all purposes. 6. Despite numerous demands, Defendant still owes Plaintiff the sum of $25,466.21 therefor. See the Affidavit attached hereto as Exhibit “A.” II. BREACH OF CONTRACT AGAINST DEFENDANT 7. Plaintiff realleges and incorporates paragraphs 1-6. 8. By failing to pay Plaintiff for the materials it supplied to Defendant, Defendant has breached his contract to pay Plaintiff for the materials sold to it/him on credit. 9. Plaintiff is entitled to judgment against Defendant for breach of contract in the amount of $25,466.21, plus prejudgment and post-judgment interest at the rate of 1½ % per month, or 18% per annum, costs, and attorneys' fees, as set forth in the Credit Application attached hereto as Exhibit “B.” III. CAUSE OF ACTION ON SWORN ACCOUNT AGAINST DEFENDANT 10. Plaintiff realleges and incorporates paragraphs 1-9. 11. That heretofore and on various dates, as shown by the itemized sworn account hereto attached and marked Exhibit “A” and made a part hereof as if copied verbatim herein, Plaintiff, at the special instance and request of Defendant, sold and delivered the various items of goods, wares and merchandise therein set out and at the various prices therein charged, the same being the reasonable market value and agreed purchase price of same, aggregating the sum of $25,466.21, for which the said Defendant promised and agreed to pay and became bound and obligated to pay Plaintiff the said sum of money. 12. Defendant has not paid or satisfied the above claim, although more than thirty (30) days have expired since said claim was presented. Plaintiff is represented by the undersigned attorneys and is, therefore, entitled to recover reasonable attorneys' fees incurred in prosecuting this matter. Plaintiff is also entitled to prejudgment and post-judgment interest at the rate of 1½% per month or 18% per annum as Defendant agreed to pay said rate on past due invoices as set forth in the Credit Application attached hereto as Exhibit “B.” IV. QUANTUM MERUIT AGAINST DEFENDANT 13. Plaintiff realleges and incorporates paragraphs 1-12. 14. Alternatively, an implied contract exists between Plaintiff and Defendant for the materials Plaintiff supplied to Defendant on credit. 15. Plaintiff has sustained damages in the amount of $25,466.21 resulting from Defendant’s failure to pay for the materials. 16. Plaintiff is entitled to judgment against Defendant for the value of the materials it supplied on credit to Defendant, to-wit: $25,466.21, plus prejudgment and post-judgment interest, and such further and other relief as the Court deems just and equitable. V. REQUEST FOR RELIEF WHEREFORE, premises considered, Plaintiff, Gulfside Supply, Inc. dba Gulfeagle Supply, prays that the Court enter judgment in its favor against Defendant Jeremy Conn, Individually dba C and C Roofing and Home Repair in the amount of $25,466.21 on its breach of contract and/or sworn account claim, or, in the alternative, on its quantum meruit claim, plus prejudgment and post-judgment interest at the rate of eighteen percent (18%) per annum, its attorneys’ fees and costs of court, accrued and accruing; and for any such additional relief as the Court deems just and equitable. Respectfully submitted, MATTHEWS, SHIELS, KNOTT, EDEN, DAVIS & BEANLAND, L.L.P. By: /s/ Robert L. Eden Robert L. Eden OBA # 33325 [email protected] 8131 LBJ Freeway, Suite 700 Dallas, Texas 75251 (972) 234-3400 Telephone (972) 234-1750 Telecopier ATTORNEY FOR PLAINTIFF STATE OF FLORIDA COUNTY OF HILLSBOROUGH BEFORE ME, the undersigned Notary Public in and for the County and State aforesaid, personally appeared Thomas Fava, who, being by me first duly sworn, on oath states that he is Financial Services Manager and Agent of Gulfside Supply, Inc. dba Gulfeagle Supply, a corporation duly incorporated under the laws of the State of Florida; that he has knowledge of the facts herein set forth and is duly authorized to make this Affidavit and is competent to testify to the matters therein contained; that the annexed account made in the regular course of business of said corporation, hereinafter called Claimant, against Jeremy Conn, Individually and dba C and C Roofing and Home Repair (hereinafter called Debtor) is, within the personal knowledge of the affiant, just, true and correct; and that there is now due from said Debtor the sum of Twenty-Five Thousand Four Hundred Sixty-Six and 21/100 Dollars ($25,466.21) and that all just and lawful offsets, payments and credits have been allowed. [Signature] Thomas Fava, Affiant The foregoing instrument was acknowledged before me, by means of ✔ physical presence or ☐ online notarization, this 12 day of February, 2026 by Thomas Fava, of Gulfside Supply, Inc. dba Gulfeagle Supply, a Florida corporation on behalf of the corporation and he is personally known to me. ARIELLE STEPP MY COMMISSION # HH 451673 EXPIRES: December 3, 2026 Notary Public, State of Florida Statement Please remit payment to your local Gulfeagle Supply branch Thank You, ! Questions/Comments? Contact: Tom Fava Telephone NO: 813-636-9040 C&C RFG & HOME REPAIR 246065 S HWY 66 #22 Claremore OK 74019 <table> <tr> <th>DATE</th> <th>INVOICE NUMBER</th> <th>PURCHASE ORDER NUMBER</th> <th>INVOICE AMOUNT</th> <th>PAYMENTS/CREDITS</th> <th>NET DUE</th> </tr> <tr> <td>08/01/25</td> <td>S002392926.001</td> <td>Rick Jackson</td> <td>9,854.99</td> <td></td> <td>1,677.30</td> </tr> <tr> <td>08/28/25</td> <td>S002448043.001</td> <td>dan Scrugg</td> <td>3,394.74</td> <td></td> <td>3,394.74</td> </tr> <tr> <td>09/02/25</td> <td>S002452619.001</td> <td>patricia Carden</td> <td>429.14</td> <td></td> <td>429.14</td> </tr> <tr> <td>09/03/25</td> <td>S002459700.001</td> <td>Coach Tommy Nolan</td> <td>6,263.35</td> <td></td> <td>6,263.35</td> </tr> <tr> <td>09/17/25</td> <td>S002477603.001</td> <td>Linda Littou</td> <td>6,602.93</td> <td></td> <td>6,602.93</td> </tr> <tr> <td>09/24/25</td> <td>S002496226.001</td> <td>Brandi Weilert</td> <td>3,599.47</td> <td></td> <td>3,599.47</td> </tr> <tr> <td>10/30/25</td> <td>S002574601.001</td> <td>Grace Peterson</td> <td>3,700.51</td> <td>400.00</td> <td>2,800.51</td> </tr> <tr> <td>10/31/25</td> <td>S002584697.001</td> <td>Serv Chrg</td> <td>199.45</td> <td></td> <td>199.45</td> </tr> <tr> <td>10/31/25</td> <td>S002584698.001</td> <td>Serv Chrg</td> <td>99.04</td> <td></td> <td>99.04</td> </tr> <tr> <td>10/31/25</td> <td>S002584699.001</td> <td>Serv Chrg</td> <td>137.75</td> <td></td> <td>137.75</td> </tr> <tr> <td>10/31/25</td> <td>S002584700.001</td> <td>Serv Chrg</td> <td>53.99</td> <td></td> <td>53.99</td> </tr> <tr> <td>11/30/25</td> <td>S002638734.001</td> <td>Serv Chrg</td> <td>99.04</td> <td></td> <td>99.04</td> </tr> <tr> <td>11/30/25</td> <td>S002638736.001</td> <td>Serv Chrg</td> <td>53.99</td> <td></td> <td>53.99</td> </tr> <tr> <td>11/30/25</td> <td>S002638738.001</td> <td>Serv Chrg</td> <td>55.51</td> <td></td> <td>55.51</td> </tr> </table> <table> <tr> <th>PREV BALANCE</th> <th>PAYMENTS</th> <th>CREDITS</th> <th>PURCHASES</th> <th>SERVICE CHARGE</th> <th>NEW BALANCE</th> </tr> <tr> <td>25,866.21</td> <td>400.00</td> <td>0.00</td> <td>0.00</td> <td>0.00</td> <td>25,466.21</td> </tr> </table> <table> <tr> <th>FUTURE</th> <th>CURRENT</th> <th>31-60 DAYS</th> <th>61-90 DAYS</th> <th>91-120 DAYS</th> <th>OVER 120 DAYS</th> </tr> <tr> <td>0.00</td> <td>0.00</td> <td>0.00</td> <td>0.00</td> <td>3,009.05</td> <td>22,457.16</td> </tr> </table> GULFSIDE SUPPLY, INC. DBA: GULFEAGLE SUPPLY Application for CASH/COD Account and Agreement of Terms and Conditions of Sale Mall completed application to: Or Email completed application to: For Office Use Only: BRANCH #: 91 ASSIGNED SALESPERSON: Kyle BRANCH MANAGER SIGNATURE: PRICE LEVEL: 10,000.00 COMPANY/APPLICANT NAME: CandC Roofing and Home Repair Street Address: 246065 NWY 46 #22 City: Claremore State: OK Zip Code: 74019 Phone: 918-646-5660 Fax: Contact Name: Jeremy Conn Contact for Invoicing - email: [email protected] Contact for products/pricing information - Email: [email protected] PO Box: City, State, Zip: 74019 State of Incorporation: OK Date business commenced: 8-08 PRINCIPALS NAMES AND HOME ADDRESSES Name: Jeremy Conn Home Address: 520 Normat Ave State, Zip: Claremore OK 74019 Phone: 918-646-5660 Own or Rent: Spouse's Name: Driver License #: State of Issue: OK Name: Home Address: State, Zip: Phone: Own or Rent: Spouse's Name: Driver License #: State of Issue: Tax & LICENSE INFORMATION Contractor License #: Renewal Date: Name of License Holder: Federal Tax ID #: Tax Year End Date: Blanket Exemption Certificate (Please attach copy if applicable) Taxable ☒ Exempt ☐ The undersigned Applicant hereby certifies that it is licensed to do business under the law(s) of the State of OK holding the sales tax license Permit number: Enumerrated and that the tangible personal property purchased is exempt from sales and use tax for the following reason: ☒ Resale, in the regular course of business, the form of tangible personal property. ☒ Incorporating the same, as material, ingredient or component part into tangible personal property. ☐ Other authorized exemption (describe): This certificate shall be considered a part of each order given by Applicant from and after the effective date hereof unless such order shall otherwise specify. This certificate shall continue in full force and effect unless and until revoked in writing by Applicant. Applicant understands and agrees that if it uses any property purchased tax-free under this certificate in any manner which would not exempt the sale from tax, it becomes the user or consumer of such property, as assumes liability for and undertakes full payment of any tax due. TERMS AND CONDITIONS OF CASH / C.O.D. SALE The following terms and conditions apply to and govern the sale and delivery of products by Gulfside Supply, Inc. d/b/a Gulfeagle Supply and d/b/a Kimai Lumber (hereafter referred to as "Gulfeagle") to the purchaser listed on the application (the "Customer"). Customer's acceptance of any products is expressly limited to these Terms and Conditions of Sale. Any additional or different terms suggested by Customer are rejected unless expressly consented to in a written document signed by Gulfeagle's President or CEO. 1.) COD sales are required to be paid simultaneously at the time of delivery or in advance of delivery. 2.) Customer agrees that payment must be by check or cash and recognizes that all pricing has been discounted in advance of invoicing. If Customer seeks to pay with an alternate method, including but not limited to a credit card, then Gulfeagle reserves the right to reprice those respective goods, items at the non-discounted price or a courtesy fee may be applied. 3.) Any disputed item, claim of damage, material defect or shortage, must be made at the point of sale otherwise Customer understands that disputes not addressed at the point of sale are waived. 4.) Gulfeagle does not guarantee or warrant any specific delivery times or dates. 5.) GULFEAGLE MAKES NO WARRANTIES, IMPLIED OR OTHERWISE, AND HEREBY DISCLAIMS ALL WARRANTIES OF FITNESS FOR ANY PARTICULAR PURPOSE OR MERCHANTABILITY. SOME GOODS SOLD BY GULFEAGLE CONTAIN MANUFACTURER'S WARRANTIES OR GUARANTEES; OTHER THAN THESE, ALL GOODS ARE SOLD "AS IS". THERE ARE NO WARRANTIES WHICH EXTEND BEYOND THE FACE HEREOF. 6.) Should any indebtedness not be paid in accordance with the terms herein or from any dispute arising out of or relating to the terms and conditions of sale, Customer agrees to pay Gulfeagle's attorney's fees, as a prevailing party, (the greater of 33-1/3% of the account balance or court awarded attorney's fees) and court costs, costs of collection, including litigation in the trial court and appellate litigation, and hereby waives right to jury trial, notice of presentment and notice of default and stipulates to venue in the state courts of either Pinellas County or Hillsborough County, Florida or the county where the Gulfeagle branch is located and where the sale transaction took place, any of the foregoing solely at the discretion of Gulfeagle Supply as well as being subject to a minimum maintenance fee of $9.50/month, interest at the rate of 1-1/2% per month (16% per annum) or the maximum lawful rate, whichever is higher, and a monthly late charge fee. 7.) Gulfeagle shall not be responsible for delays in or failure of delivery due to circumstances beyond its control, including but not limited to labor disputes, fires, floods or other casualties, adverse weather conditions, public disturbances, government regulations, or material shortages. 8.) Gulfeagle's trucks may weigh over 10 tons which can cause damages to driveways, sidewalks, pipes, septic systems, ruts in lawns, etc. Gulfeagle shall load materials on the roof as requested by the Customer, with the expectation the Customer has done proper diligence and the roof structure is sound to accept the weight of the material. With this knowledge, Customer takes full responsibility for any damages resulting from delivery, and Gulfeagle is not responsible for any driveway, truss or structure damage. Gulfeagle also assumes no extended liability for any damages incurred after material delivery, including but not limited to claims for mold or environmental claims. Further, Customer warrants that it has advised its customer, if applicable, of the possibility of such damages and neither will hold Gulfeagle responsible in the event of loss. All deliveries are subject to a delivery charge and fuel surcharge which is in addition to the quoted price. 9.) All material returned for refund is subject to a restocking fee of up to 25%. All special-order materials are not returnable or refundable. 10.) In the event that Customer does not have a representative on a jobsite, Customer accepts responsibility for the correctness of the material count as shown by Gulfeagle on any delivery ticket and/or invoice. Customer accepts responsibility for the material upon completion of the delivery. Delivery of material with or without a signed delivery ticket shall constitute acceptance and obligate Customer for payment of same. 11.) Customer shall defend, indemnify, and hold harmless Gulfeagle and its agents and employees from and against claims, damages, losses and expenses, including but not limited to attorneys' fees, arising out of or resulting from the delivery and/or placement of materials, provided that such claim, damage, loss or expense is attributable to bodily injury, sickness, disease or death, or to injury to or destruction of tangible property but only to the extent caused by the negligent acts or omissions of Customer, a subcontractor, anyone directly or indirectly employed by them or anyone for whose acts they may be liable, regardless of whether or not such claim, damage, loss, or expense is caused in part by a party indemnified hereunder. 12.) Customer shall furnish any/fall free-fall protection as may be required by OSHA and shall bear the responsibility of same. 13.) Each invoice along with these terms and conditions shall be construed to be between merchants and are commercial sales. Specifically, it is understood that these transactions are not consumer transactions. Any question or dispute regarding their validity, construction or performance by either party shall be governed by the laws of the State of Florida, the exclusive choice of law and which laws control. 14.) Customer agrees that these are cash or C.O.D. sales and that Customer is not allowed payment terms otherwise. Specifically, Gulfeagle is not providing credit terms nor payment terms extending into the future following the date of sale and delivery. 15.) This agreement and application along with the invoice(s) and terms and conditions therein contain the entire agreement between the parties and supersede any prior agreements or understandings between them. These may not be amended or modified except by written instrument including additional consideration signed by Gulfeagle's President or CEO or their successors-in-interest. There shall be no oral amendment(s) to the terms, conditions, and guaranty in this agreement. If any part of this agreement is determined by the court to be invalid, all other portions remain intact. An electronic copy of or facsimile of this document shall be deemed an original for all purposes. CUSTOMER ACKNOWLEDGES THAT TERMS AND CONDITIONS MAY BE UPDATED FROM TIME TO TIME AND AVAILABLE UPON REQUEST. EEO/AA EMPLOYER. Customer and Gulfeagle shall abide by the requirements of 41 CFR §§ 60-1.4(a), 60-300.5(a) and 60-741.5(a) as applicable. These regulations prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities and prohibit discrimination against all individuals based on their race, color, religion, sex, or national origin. Moreover, these regulations require that covered prime contractors and subcontractors take affirmative action to employ and advance individuals without regard to race, color, religion, sex, national origin, protected veteran status or disability. I have read and agree to the terms contained herein and further affirm and expressly consent to the obligations assumed by me individually and/or on behalf of the Customer identified above. Signature of Customer: ____________________________ Date: _______________ By: ____________________________ Title: ____________________________ Signature of Customer: ____________________________ Date: __________________ By: ____________________________ Title: __________________ Version Date: 8/21/2023
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