18-Doc 00 65 19.16 - CONTRACTORS RELEASE OF LIENS.pdf
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- Attached to
- 2500999 - Canterbury Storm Sewer Replacement State and local contract opportunity
- Solicitation number
- Not on record
- Issued by
- Montgomery County, Mount Aetna CDP, Pennsylvania
About this file
This is a Contractor's Release of Liens document associated with Contract 2025-00999 for the Canterbury Storm Sewer Replacement project managed by Montgomery Township, Pennsylvania, located at 1001 Stump Road, Montgomeryville, PA 18936. The project consists of removing and replacing storm sewer infrastructure on Canterbury Lane and Devonshire Drive, including approximately 1,800 feet of corrugated metal pipe ranging from 12 inches to 57 inches by 38 inches in diameter, construction of new circular HDPE pipe and elliptical RCP storm sewer, replacement of three precast concrete storm sewer structures, and restoration of concrete curb, sidewalk, driveway apron, and asphalt roadway. Sealed bids were due online through the PennBid Program by 10:00 A.M. on September 1, 2026, with public bid opening at the Township offices. No pre-bid meeting was held for this project.
This release of liens document serves as a sworn statement by the contractor confirming receipt of final payment in the amount of one dollar and other valuable considerations in full satisfaction of all monies owed under the contract, including all approved change orders. The document requires notarization and the contractor's signature, releasing the owner (Montgomery Township) from all claims and demands arising from the agreement. The release is contingent upon receipt of the final payment amount specified by the contractor. The project is subject to Pennsylvania's Act 422 Prevailing Wage Act requirements and Act 127 Public Works Employment Verification provisions. Bid security of not less than ten percent of the bid amount is required, along with an Agreement of Surety certifying that Performance and Payment Bonds will be provided. Bids may be withdrawn within two business days after bid opening.
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Text version
CONTRACTOR'S RELEASE OF LIENS
00 65 19.16-1
DOCUMENT 00 65 19.16
CONTRACTOR'S RELEASE OF LIENS
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
_______________________________________________________________this day has received from (Contractor, Name and Address) (Owner, Name and Address) the sum of One Dollar and other valuable considerations in full satisfaction and payment of all sums of money owed and payable to ______________________________________________ arising out of the (Contractor) performance of the Work including all approved change orders under an Agreement dated
_______________________ associated with
Contract 2025-00999: Montgomery Township – Canterbury Storm Sewer Replacement between Montgomery Township, 1001 Stump Road, Montgomeryville, PA 18936-9605 (Owner) and ________________________________________________________________________________.
(Contractor)
THEREFORE, ________________________________________________________________________ (Contractor)
(for myself, my heirs, executors and administrators) (for itself, its successors and assigns) release, quit-claim and forever discharge _____________________________________________________________ (Owner) its successors and assigns, of and from all claims and demands arising from or in connection with the aforementioned Agreement.
This Release is contingent upon receipt of the final payment of $___________.
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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