16-Doc 00 65 19.13 - SUBCONTRACTORS AFFIDAVIT.pdf

PDF 131 KB Posted

Attached to
124 Easton Road Demolition 25-01189. 01
Solicitation number
Not on record
Issued by
Pennsylvania

About this file

This is a Subcontractor's Affidavit document related to Contract 2025-01189.01 for the 124 Easton Road Demolition project in Pennsylvania, involving MIRIA located at 1025 Horsham Road, Horsham, PA 19044 as the owner. The affidavit serves as a sworn statement by a subcontractor confirming that all labor, materials, and outstanding claims or indebtedness arising from the performance of work on the project, including all approved change orders, have been satisfied and paid in full. The document requires notarization and must be executed by an individual, partner, or duly authorized corporate representative of the subcontractor.

The affidavit is a compliance document executed under oath before a Notary Public and is intended to provide evidence that subcontractors have settled all financial obligations related to the demolition work. The document template includes fields for the state and county where notarization occurs, the contractor name and address, the agreement date, and the notary's certification details. This affidavit is a standard requirement in construction contracts to ensure that all parties involved in the demolition of the Shelby Apartments building at 111-124 Easton Road—including environmental remediation and site restoration work—have fulfilled their contractual financial obligations before project closeout.

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Text version

SUBCONTRACTOR'S AFFIDAVIT

00 65 19.13-1

DOCUMENT 00 65 19.13

SUBCONTRACTOR'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 Subcontractor ) 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 2025-01189.01: 124 Easton Road Demolition

Between MIRIA, 1025 Horsham Road, Horsham, PA 19044 (Owner, Name and Address) and________________________________________________________________________________

(Contractor, Name and Address) have been satisfied and paid in full.

SUBCONTRACTOR

Company:

(Corp. Seal) Signature:_________________________________ (Individual, Partner or Duly Authorized Representative of Corporate Subcontractor)

Name and Title:

Sworn and subscribed before me this

_____day of ________________,20___.

File details come from the government source that posted it. Updated .