18-Doc 00 65 19.13 - CONTRACTORS AFFIDAVIT.pdf

This is a Contractor's Affidavit form associated with Contract 2025-01189.01 for the demolition project at 124 Easton Road in Pennsylvania, involving MIRIA as the property owner located at 1025 Horsham Road, Horsham, PA 19044. The affidavit is executed by the contractor performing work on the Shelby Apartments demolition project and serves as a sworn statement certifying completion of all work and satisfaction of all financial obligations. The document requires the contractor to affirm under oath that all labor, materials, and outstanding claims arising from the performance of work, including any approved change orders, have been fully paid and resolved as of the affidavit execution date.

The affidavit is a notarized document that must be completed and signed by an authorized representative of the contracting entity before a notary public. The form includes standard fields for the contractor to insert their company name, address, and authorized representative signature, along with notarization details including the county, state, date, and notary acknowledgment. This document represents a standard requirement in construction contracting processes, typically submitted at project completion or final payment stages to provide evidence that all contractual financial obligations have been discharged and no outstanding liens or claims remain against the contractor.