252761MN_Final_Release_of_Lien_and_Affidavit_12-01-25.pdf
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- Solicitation number
- 252761MN
- Issued by
- Sarasota County, Siesta Key CDP, Florida
About this file
This is a Contractor's Final Affidavit and Release of Lien form for the State of Florida, Sarasota County, applicable to the Unit Price Contract for Transit Shelter and Shelter Pad Installation. The document serves as the standard form contractors must complete upon final payment to certify that all work has been completed and to release any lien rights against County property. The form requires the contractor to disclose any unpaid labor, material, or service providers and includes representations that all work under the contract has been fully completed. The affiant must declare the final payment amount being received and warrant that they have authority to execute the release on behalf of the contractor. Bids for this contract are due March 10, 2026, with submission required through the OpenGov Procurement portal, and the contract is anticipated to run for an initial three-year term.
The Release of Lien form establishes that contractors receiving final payment must indemnify and hold Sarasota County harmless from any claims by laborers, subcontractors, or materialmen for unpaid services or materials. The form must be executed before a notary public and, for corporate entities, must be signed by the company president with the corporate seal affixed. By submitting this affidavit with their final payment request, contractors waive all rights to claim or impose liens on County property related to the contract work. The document is executed under Florida law and serves as a critical prerequisite for release of final contract funds.
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Text version
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:_______________________
Standard Form For
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