00 65 19.19 - Consent of Surety to Final Payment.pdf
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- Solicitation number
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- Lancaster County, Pennsylvania
About this file
This is a Consent of Surety to Final Payment form executed by Herbert, Rowland & Grubic, Inc. on behalf of the Elizabethtown Area Water Authority for the Water Main Replacement Phase 4 Project (Contract No. WR-4). The document serves as formal authorization from the surety company for final payment to the contractor upon completion of the project. The form certifies that the surety has examined the contractor's books and records or received an affidavit confirming that all claims for labor, materials, and equipment have been satisfactorily settled. The document requires execution by an authorized representative of the surety company, with a note that any signatory other than the President or Vice President must provide an accompanying certificate of authority.
The consent form represents a critical contractual requirement for project closeout, confirming that the surety's bond obligations remain in effect even after final payment is issued to the contractor. This document is a standard component of public works contracting that protects the owner by ensuring the surety maintains full responsibility for any outstanding claims or defects that may emerge after the final invoice is paid. The form includes signature and seal provisions for the surety's authorized representative and requires standard contract identification information including the owner, contractor address at 211 W. Hummelstown Street, Elizabethtown, PA 17022, and contract number WR-4.
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Text version
Herbert, Rowland & Grubic, Inc. 00 65 19.19 - 1 009280.0426
CONSENT OF SURETY TO FINAL PAYMENT
To Owner: Elizabethtown Area Water Authority Contractor:
Address: 211 W. Hummelstown Street Contract No.: WR-4 Elizabethtown, PA 17022 Contract Name:
Project: Water Main Replacement Phase 4 Contract Date:
In accordance with the provisions of the Contract between the Owner and the Contractor as indicated above, the
SURETY:
Address:
, Surety, as surety on the bond of
CONTRACTOR:
Address:
, Contractor, after a careful examination of the books and records of said Contractor or after receipt of an affidavit from the said of said Contractor or after receipt of an affidavit from the said Contractor, which examination or affidavit satisfied this Surety Company that all claims for labor, materials, and equipment have been satisfactorily settled, hereby approves of the final payment to the said Contractor and by these presents witnesseth that the payment to the Contractor of the final construction cost invoices shall not relieve the Surety of any of its obligations to the Owner set forth in said Surety’s Bonds.
IN WITNESS WHEREOF the said Surety Company has hereunto set its hand and seal this day of
Attested: (Surety)
(SEAL) (Signature of Authorized Representative)
(Printed Name and Title)
NOTE: This statement, if executed by any person other than the President or Vice President of the Surety Company, must be accompanied by a certificate of same date showing authority conferred upon the person so signing to execute such instruments on behalf of the Surety Company represented.
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