00 65 19.16 - Affidavit of Release of Liens.pdf
PDF 230 KB Posted
- Attached to
- Skytop Lodge Sewage Treatment Plant Improvements Project – Contract : 2026-01- Project Number 005153. 0436
- Solicitation number
- Not on record
- Issued by
- Monroe County, Pennsylvania
About this file
This is a Contractor's Affidavit of Release of Liens related to the Skytop Lodge Sewage Treatment Plant Improvements Project in Monroe County, Pennsylvania. The project, identified as Contract 2026-01 with Project Number 005153.0436, involves the construction and installation of a comprehensive sewage treatment plant upgrade including an Influent Screening System, Equalization Tank, Chemical Feed System, two Clarifier Tanks, a Post Aeration Tank, a UV Disinfection System, and all associated work detailed in the contract documents. Bids for the project were publicly opened on Friday, September 18, 2026, at 10:00 AM via PennBid. A pre-bid conference was held on August 25, 2026, at 10:30 AM at the Skytop Lodge STP facility located at Falls Road, Canadensis, Pennsylvania (coordinates 41°13'17.3"N 75°14'19.0"W). Attendance at the pre-bid conference was encouraged but not required.
The affidavit certifies that all labor, materials, equipment, outstanding claims, and indebtedness arising from the contractor's performance have been paid and satisfied in full, with no outstanding obligations or claims for which the owner might be liable. Bid security was required in the form of a Certified Check or Bid Bond in an amount not less than 10 percent of the bid. All questions regarding the bidding documents were to be submitted through PennBid in accordance with the Instructions to Bidders. Bidding documents were available exclusively through the designated PennBid website at https://pennbid.bonfirehub.com/, with periodic updates including addenda and other relevant information for prospective bidders.
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Text version
Herbert, Rowland & Grubic, Inc. 00 65 19.16 - 1 005153.0436
CONTRACTOR’S AFFIDAVIT OF RELEASE OF LIENS
To Owner: Skytop Lodge, Inc. Owner's Contract No.:
From Contractor: Contract Name:
Project: Skytop Lodge Sewage Treatment Plant Improvements Project
Contract Date:
Commonwealth of: Pennsylvania County of: Monroe
The undersigned, being duly sworn according to law, deposes and certifies that the cost of all labor, material, and equipment and outstanding claims and indebtedness of whatever nature arising out of the performance in
County, have been paid and satisfied in full as of (County) (State) (Date) and that there are no outstanding obligations or claims of any kind for the payment of which the Owner on the above named project might be liable, or subject to, in any lawful proceeding or in equity.
The undersigned is authorized by Contractor to execute this document on Contractor’s behalf and has personal knowledge of the facts state herein.
This day of , 20
Contractor:
By:
(Authorized signature)
(printed name)
Title:
Subscribed and sworn to me this date:
Notary Public:
(signature)
(printed name)
Commission Expires:
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