24-Doc 00 65 19.16 - SUBCONTRACTORS RELEASE OF LIENS.pdf
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- Attached to
- 1121 Horsham Road Demolition (26-01054)
- Solicitation number
- US.258594
- Issued by
- Pennsylvania
About this file
This document is a Subcontractor's Release of Liens form (00 65 19.16) for use in Pennsylvania, specifically associated with Contract 2026-01054 for the 1121 Horsham Road Demolition project in Horsham Township, Pennsylvania. The form is a notarized legal document executed before a Notary Public that documents a subcontractor's release of all claims and liens against the project owner, Horsham Township (located at 1025 Horsham Road, Horsham, PA 19044), in exchange for payment. The release covers all work performed by the subcontractor under an agreement with the prime contractor, including any approved change orders. The subcontractor certifies receipt of "One Dollar and other valuable considerations" in full satisfaction of all monies owed for work performed on the demolition project.
The release is contingent upon the subcontractor's receipt of final payment in a specified amount to be filled in at execution. The form requires the subcontractor's signature and corporate seal (if applicable), along with notarization, including the notary's signature and the date of execution. The document serves as a formal discharge of all liens and claims the subcontractor may hold against the owner or project, with specific provisions that the release binds the subcontractor's heirs, executors, and administrators (for individuals) or successors and assigns (for corporate entities). This is a standard contractual document used in construction demolition projects to ensure clear title and release of mechanics' liens upon completion of work.
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Text version
SUBCONTRACTOR'S RELEASE OF LIENS
00 65 19.16-1
DOCUMENT 00 65 19.16
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
_______________________________________________________________this day has received from (Subcontractor, Name and Address) (Contractor, 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 (Subcontractor) performance of the Work including all approved change orders under an Agreement dated
_______________________ associated with
Contract 2026-01054: 1121 Horsham Road Demolition between Horsham Township, 1025 Horsham Road, Horsham, PA 19044 (Owner) and ________________________________________________________________________________.
(Contractor)
THEREFORE, ________________________________________________________________________ (Subcontractor) (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 $___________.
00 65 19.16-2
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___.
| DOCUMENT 00 65 19.16 |
| SUBCONTRACTOR'S RELEASE OF LIENS |
| STATE OF______________________________: |
| COUNTY OF ____________________________: |
| Before me, the undersigned, a Notary Public in and for said County and State personally appeared |
| Who being duly sworn according to law deposes and says that |
| THEREFORE, ________________________________________________________________________ |
| This Release is contingent upon receipt of the final payment of $___________. |
| SUBCONTRACTOR |
| Company: |
| Sworn and subscribed before me this |
File details come from the government source that posted it. Updated .