14-Doc 00 65 19.13 - CONTRACTORS AFFIDAVIT.pdf
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- Attached to
- Heritage Hills WWTP Discharge Interconnection, Contract No. 6715-11 State and local contract opportunity
- Solicitation number
- Not on record
- Issued by
- Bucks County, Pennsylvania
About this file
This is a Contractor's Affidavit document for Upper Makefield Township's 2026 Road Program, located in Newtown, Pennsylvania. The affidavit is a sworn statement executed before a notary public in which the contractor certifies that all labor, materials, outstanding claims, and indebtedness arising from the performance of work under Contract #26-00060 have been satisfied and paid in full. The document references work performed under an agreement dated during 2026 and includes any approved change orders. The affidavit requires the contractor or its duly authorized representative to provide their company name, signature, and title, along with the notary's certification and date of execution.
The contractor's affidavit is a standard completion document typically required at the conclusion of a construction project or contract performance. It serves as legal documentation that all financial obligations, including labor costs, material expenses, and claims related to the 2026 Road Program—which involves milling, base repair, leveling course, manhole rim adjustments, and wearing course improvements along various roads within Upper Makefield Township—have been resolved. This document is essential for final payment release and project closeout procedures.
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Text version
CONTRACTOR'S AFFIDAVIT
00 65 19.13-1
DOCUMENT 00 65 19.13
CONTRACTOR'S AFFIDAVIT
STATE OF______________________________:
COUNTY OF ____________________________:
Before me, the undersigned, a Notary Public in and for said County and State personally appeared
(Individual/Partner/Duly Authorized Representative of Corporate Contractor) who being duly sworn according to law deposes and says that all labor, material and outstanding claims and indebtedness of whatever nature arising out of the performance of the Work including all approved change orders under an Agreement dated __________________________, 20___________ associated with
Contract #26-00060: 2026 ROAD PROGRAM Between Upper Makefield Township, 1076 Eagle Road, Newtown, PA 18940 (Owner, Name and Address) and
(Contractor, Name and Address) have been satisfied and paid in full.
CONTRACTOR
Company:
(Corp. Seal) Signature:_________________________________ (Individual, Partner or Duly Authorized Representative of Corporate Contractor)
Name and Title:
Sworn and subscribed before me this
_____day of ________________,20___.
END OF DOCUMENT
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