12-DOC 00 65 19.13 CONTRACTORS AFFIDAVIT.pdf

This is a Contractor's Affidavit form used by Montgomery Township, Pennsylvania for contract completion documentation. The affidavit pertains to the Supply and Installation of Front PTO, Front 3-Point Hitch, and 11-Foot or 12-Foot Plow for a John Deere 6120M Tractor project. The form serves as a sworn statement by the contractor certifying that all labor, materials, outstanding claims, and indebtedness arising from the performance of work and any approved change orders have been satisfied and paid in full. The affidavit must be notarized and executed by an authorized representative of the contractor (individual, partner, or corporate representative) before a notary public. The document requires completion of blank fields for the state and county of notarization, the contractor's company name, signature, and title, along with the date of execution.

This affidavit is a required closeout document that contractors must submit as evidence of full payment and satisfaction of all contract obligations upon completion of the John Deere tractor modification project. The form does not establish pricing, terms, or contract-specific requirements but rather functions as a final compliance verification mechanism. Contractors are responsible for ensuring all subcontractors, suppliers, and laborers have been fully compensated before submitting this affidavit to Montgomery Township at 1001 Stump Road, Montgomeryville, PA 18936-9605. The affidavit must be completed in conjunction with the Contractor's Release of Liens as part of the final payment and contract closure process.