20-Doc 00 65 19.13 - CONTRACTORS AFFIDAVIT.pdf

PDF 133 KB Posted

Attached to
234 McKean Road Demolition (26-00182)
Solicitation number
Not on record
Issued by
Montgomery County, Pennsylvania

About this file

This is a Contractor's Affidavit document issued by Horsham Township, Pennsylvania for Contract 2026-00182 pertaining to the 234 McKean Road Demolition project. The affidavit serves as a sworn statement from the contractor confirming completion and payment of all labor, materials, and outstanding claims associated with the demolition work. The project scope includes demolition of an existing residential home, detached garage, two sheds, and removal of an asphalt driveway located at 234 McKean Road in Horsham, Pennsylvania. Additional work involves capping a domestic water well and abandoning a sanitary service line at the main connection. Site restoration requirements include temporary restoration of an existing stream crossing/access point damaged by previous flooding, with all disturbed areas graded to match surrounding topography and permanently stabilized. A mandatory Pre-Bid Meeting was scheduled for Thursday, April 2, 2026 at 1100 Limekiln Pike, Ambler, PA 19002 (Kohler Park), commencing at 11:00 AM.

The affidavit is a standard closeout document requiring notarization and executed by the contractor or authorized corporate representative to certify that all work-related financial obligations, including approved change orders, have been satisfied in full. This documentation is typically required prior to final payment and contract closure, ensuring that all subcontractors, suppliers, and laborers have been compensated and that no outstanding liens or claims remain against the project. The document format allows for insertion of the specific agreement date, contractor information, and notary details to be completed upon execution.

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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 2026-00182: 234 McKean Road Demolition

Between Horsham Township, 1025 Horsham Road, Horsham, PA 19044 (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___.

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