11-015 Certificate of Payment.pdf
PDF 106 KB Posted
- Solicitation number
- 27000017
- Issued by
- Mason County, Texas
About this file
This is a Certificate of Payment form issued by the City of Midland, Texas, for the Golf Course Drive and Midkiff Road at Andrews Highway Utility Improvements project. The certificate serves as a final documentation requirement upon completion of all construction work and is contingent upon acceptance by the City of Midland and full payment of all suppliers and subcontractors. The form must be signed by the contractor only after project completion and authorizes the release of any retained funds held by the City.
The certificate requires the contractor to certify that all debts, bills, wages, materials, and expenses incurred by the contractor, agents, and employed subcontractors have been paid in full. The contractor agrees to indemnify and hold harmless the City of Midland, its officers, agents, and employees from all claims and suits for damages arising from the work performed, materials furnished, labor provided, and associated warranties. The contractor must also certify that all work was completed in a workmanlike manner with appropriate warranties and relinquishes any lien claims against the property in exchange for full payment from the City upon execution of the certificate. The form requires contractor signature, notarization, and includes spaces for the notary public's commission expiration date.
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Text version
CP 1
CERTIFICATE OF PAYMENT
(Do not sign this form until after the project’s construction Is complete.)
THE STATE OF TEXAS §
COUNTY OF MIDLAND §
__ __Golf Course Dr. & Midkiff Rd. At Andrews Hwy. Utility Improvements ___
This document is to be signed by the undersigned (Contractor) only after all construction work for this project has been completed and accepted by the City of Midland, and after all suppliers and sub-contractors used by the undersigned for this project have been paid in full by the undersigned for any and all materials and work provided for the completion of this project. Any retainage for this project will be held by the City of
Midland until after the undersigned has signed this form.
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
CP 2
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.
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
CP 3
My Commission expires:
Form Revised September 2026
CERTIFICATE OF PAYMENT
File details come from the government source that posted it. Updated .