252720FB_Other_Contract_Forms.pdf

OTHER

CONTRACT

FORMS

LOCAL HIRING INITIATIVE FORM PAGE LHI-1

SARASOTA COUNTY

LOCAL HIRING INITIATIVE

Participation Form

Instructions:

In Sarasota County’s Local Hiring Initiative Resolution No. 2013-127, the CONTRACTOR is encouraged to work with Career Source Suncoast (formerly known as Suncoast Workforce, Inc.), or any other agency designated by the State of Florida as a Workforce development agency, to increase employment opportunities for local residents. Local residents are defined as “residents of Sarasota County,” but that definition may be expanded to include Manatee and Charlotte Counties if the requisite skill set is not available in Sarasota County.

Resolution No. 2013-127 establishes an aspirational goal for contractor and subcontractors to hire 15% minimum local residents as the new hires for construction and construction related projects.

The CONTRACTOR shall complete the information below to provide information on any new hires needed by the Contractor or their subcontractor(s) to complete the Project.

This information must be submitted as part of the monthly pay requests.

Date: ____________________________ Project Name: _____________________ Contract Number: _________________ Contractor: _____________________ Submitted by: ____________________

Report on New Hires – Please indicate Any New Hires during the past month.

- By checking this box, the CONTRACTOR hereby acknowledges Sarasota County’s Local Hiring Initiative and indicates that no New Hires were required by the CONTRACTOR or their subcontractor(s) to complete the Project.

County of Resident

Number of New Hires Required to Complete Project

Number New Hires Local Residents

Cumulative New Hires to Date (Include previous months totals)

Sarasota Manatee Charlotte Other

RELEASE OF LIEN PAGE RL-1

Standard Form For CONTRACTOR’S FINAL AFFIDAVIT & RELEASE of LIEN

STATE OF FLORIDA, COUNTY OF ______________

Before me, the undersigned authority, personally appeared , who, after being by me first duly sworn, deposes and says that:

1. He is of , (Title of Officer) (Name of Company) doing business in the State of Florida, hereinafter called "Contractor".

2. Contractor pursuant to a Contract dated ____________________________, hereinafter referred to as "Contract", with Sarasota County, Florida, hereinafter referred to as "County", has heretofore furnished or caused to be furnished labor, material and services for the construction of certain improvements as more particularly set forth in said contract.

3. Contractor represents that all work to be performed under the aforesaid Contract has been fully completed and that all persons and firms who furnished material, labor and/or services incident to the completion of said work have been paid in full except to the following:

(Write in "None" if all persons and firms have been paid in full)

NAME ADDRESS AMOUNT DUE

4. The undersigned affiant for and in consideration of final payment to him in the amount of $___________________, and all other previous payments paid by County to contractor, does hereby for and in behalf of the Contractor, waive, release, remise and relinquish the contractor’s right to claim, demand or impose a lien or liens for work done or materials and/or services furnished or any other class of lien whatsoever, on any of the premises owned by County on which improvements have been completed in connection with the aforementioned contract.

5. The affiant herein does hereby represent that he has authority to execute a full and final Release of Lien for and in behalf of the Contractor as set forth above.

6. The affiant herein makes this Affidavit and Release of Lien for the express purpose of inducing County to make final disbursement and payment to the Contractor in the amount of $_______________________.

7. This Affidavit and Release of Lien is made by affiant with full knowledge of the applicable laws of the State of Florida. In addition to such rights as may be afforded to County under said applicable laws, affiant expressly agrees to indemnify and save County harmless from any and all actual costs and expenses, including reasonable attorney’s fees, arising out of claims by laborers, subcontractors or materialmen who might claim that they have not been paid for services or material furnished by or through the contractor in connection with the work performed under the aforementioned Contract.

RELEASE OF LIEN PAGE RL-2

Name of Corporation

By: _______________________________________ President

(CORPORATE SEAL)

ATTEST:

Name of Corporation

Secretary

Sworn to and subscribed before me this day

(date)

Notary Public

(NOTARY SEAL)

My Commission Expires:_______________________

STORED MATERIALS AFFIDAVIT PAGE SMA-1

STORED MATERIALS AFFIDAVIT

STATE OF FLORIDA, COUNTY OF __________________

Before me, the undersigned authority, personally appeared , who being duly sworn, says that he is a subcontractor for of , General Contractor for Project, and that all materials billed on the attached invoice are being held in the subcontractor’s warehouse at , Florida, for this project, and are fully insured against loss or damage.

(Subcontractor Firm Name) By:

(Name of Representative)

(Title of Representative)

SWORN TO AND SUBSCRIBED BEFORE ME THIS DAY OF , 20

Notary Public:

My commission expires:

FOR

General Contractor for this project states that the stored materials constitute a part of the Performance, payment and guarantee bond, and are for this project only.

SWORN TO AND SUBSCRIBED BEFORE ME THIS DAY OF , 20

Notary Public:

My commission expires:

05c_Stored Materials Affidavit_03-06-25