10-017 Certificate of Payment.pdf
PDF 77 KB Posted
- Attached to
- 26005663 U26-01 Utility Extension Program 07
- Solicitation number
- 26005663
- Issued by
- Mason County, Texas
About this file
This is a Certificate of Payment form issued by the State of Texas, County of Midland, related to the Utility Extension Program 07 contract opportunity. The document serves as a formal declaration by the general contractor that all debts, bills, expenses, and labor costs incurred during project execution—including those of agents and subcontractors—have been paid in full. The contractor certifies that all work has been completed in a professional and workmanlike manner consistent with industry standards, with appropriate warranties provided for materials and labor performed. The form requires the contractor to release and relinquish any lien claims against the referenced property in exchange for full payment from the City of Midland upon completion of the described work.
The Certificate of Payment must be executed by the contractor and notarized before a Notary Public in the State of Texas, with signature, typed name, title, and company name required. The document includes spaces for the date of signature and notary commission expiration date. This form was revised in May 2023 and represents standard documentation required to verify that all project obligations have been satisfied prior to final payment distribution by the municipality, ensuring protection for the City of Midland against claims and liens related to the utility extension work performed.
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Text version
CP 1
CERTIFICATE OF PAYMENT
THE STATE OF TEXAS §
COUNTY OF MIDLAND §
Utility Extension Program 07 _
The undersigned states that all debts, bills, and expenses that were incurred by the undersigned, his agents, or subcontractors employed by him, for labor, wages, materials and other purposes furnished for the above project have been paid and satisfied in full.
The undersigned, as general contractor for the above described project agrees to indemnify, hold harmless and defend the City, its officers, agents, and employees, from and against all claims and suits for damages, expenses, including court costs and attorney fees, arising out of or resulting from the undersigned contractor, his agents or subcontractors employed by him for expenses, warranties for items furnished, or labor performed and for any party that has supplied materials in connection with the repair or construction of the above referenced premises.
The undersigned contractor agrees to waive any and all claims it may have against the City, associated with, resulting from or arising out of the work performed at the above premises.
Further, the undersigned states that all labor performed by the undersigned, his agents, and subcontractors employed by him, has been completed in the usual and customary workmanlike manner and all work performed is accompanied with the usual and appropriate warranties for such work or repair, absent any disclaimer previously approved by the City of Midland.
I, the undersigned, release and relinquish unto the City of Midland, and their assigns the above described lien upon the above referenced property and hereby certify that all debts, bills, and expenses incurred by the undersigned, his agents, or subcontractors employed by him in connection with work done at the above premises have been fully paid, in exchange for payment in full to be made by the City of Midland for the performance on the above described premises.
CP 2
WITNESS MY HAND on this _______ day of _______________________, 20______.
Signature
Typed or Printed Name
Title
Name of Company
SUBSCRIBED AND SWORN to before me on the _______ day of ________________________, 20______.
Notary Public, State of Texas
Typed or printed name
My Commission expires:
Form Revised May 2023
CERTIFICATE OF PAYMENT
File details come from the government source that posted it. Updated .