16-015 Certificate of Payment.pdf
PDF 80 KB Posted
- Solicitation number
- 27000211
- Issued by
- Mason County, Texas
About this file
This is a Certificate of Payment form issued by the City of Midland, Texas, for the East Golf Course Road at Midland Draw project (GovTribe ID: 27000211 T21-06). The certificate serves as a completion and payment authorization document that the contractor must sign only after all construction work has been completed and accepted by the City of Midland, and after all suppliers and subcontractors have been paid in full. The document requires the contractor to certify that all labor, materials, wages, and other project expenses have been satisfied and that all work has been completed in a workmanlike manner with appropriate warranties. The certificate includes notarization requirements and must be signed before the City releases any retained funds from the project.
The form establishes that the contractor assumes full indemnification responsibility for the City of Midland, its officers, agents, and employees against all claims, damages, and expenses arising from the contractor's work, agents, or subcontractors. By signing the certificate, the contractor releases and relinquishes all mechanic's liens on the property and waives any claims against the City associated with the work performed. This document functions as a prerequisite for final payment authorization, with retainage funds held by the City until the certificate is executed and notarized, ensuring all project debts and obligations have been settled prior to final compensation.
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Text version
CP 1
CERTIFICATE OF PAYMENT
THE STATE OF TEXAS §
COUNTY OF MIDLAND §
_________________________East Golf Course Road At Midland Draw_________________________
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 .