22-Doc 00 65 19.13 - SUBCONTRACTORS AFFIDAVIT.pdf
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- Attached to
- 234 McKean Road Demolition (26-00182)
- Solicitation number
- Not on record
- Issued by
- Montgomery County, Pennsylvania
About this file
This is a Subcontractor's Affidavit document related to Contract 2026-00182 for the 234 McKean Road Demolition project between Horsham Township, located at 1025 Horsham Road, Horsham, Pennsylvania 19044, and its contractor. The project encompasses demolition of an existing residential home, detached garage, two sheds, and asphalt driveway removal, along with capping a domestic water well and abandoning a sanitary service line at the main. The scope includes temporary restoration of an existing stream crossing/access point damaged by previous flooding, with all disturbed areas requiring grading to match surrounding topography and permanent stabilization. A mandatory pre-bid meeting is scheduled for Thursday, April 2, 2026, at Kohler Park, 1100 Limekiln Pike, Ambler, Pennsylvania 19002, beginning at 11:00 a.m. The affidavit serves as a formal declaration from the subcontractor affirming that all labor, materials, outstanding claims, and indebtedness arising from the performance of work under the contract, including all approved change orders, have been satisfied and paid in full.
The affidavit requires notarization and the subcontractor's sworn statement regarding financial settlement of all project-related obligations. No specific pricing information, set-asides, incumbent contractor details, or funding source documentation is contained within this affidavit document itself, as it functions solely as a certification instrument for subcontractor financial compliance and project closeout verification.
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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 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.
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 .