19-Doc 00 65 19.13 - CONTRACTORS AFFIDAVIT.pdf
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- Solicitation number
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- Bucks County, Pennsylvania
About this file
This is a Contractor's Affidavit document issued by the Municipal Authority of the Borough of Morrisville, Pennsylvania, for Contract #26-00118: Morrisville Borough 2025 CDBG Design/Build Curb Ramp Project. The affidavit serves as a sworn statement certifying that a contractor has satisfied and paid in full all labor, material, and outstanding claims arising from the performance of work under the referenced agreement. The document is executed before a Notary Public and requires the contractor's signature along with company seal and identification of the signatory as an individual, partner, or duly authorized representative of a corporate entity. The affidavit includes blank fields for the state and county of execution, the agreement date, contractor name and address, and the notarization date.
This template affidavit is a standard contract closeout document used to document final payment and settlement of all project-related obligations prior to project completion or contract termination. It serves as legal evidence that the contractor has discharged all financial responsibilities associated with the Morrisville Borough curb ramp project, which involved ADA and PennDOT-compliant curb ramp installation with associated sidewalk, curbing, and sign work funded through CDBG assistance. The affidavit requires notarization to authenticate the contractor's sworn statement and provides the municipality with contractual assurance of full settlement before final contract closure.
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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 #26-00118: Morrisville Borough 2025 CDBG Design/Build Curb Ramp Project Between
Morrisville Borough, 35 Union Street, Morrisville, PA 19067 (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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