26-Doc 00 65 19.16 - CONTRACTORS RELEASE OF LIENS.pdf
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- Solicitation number
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- Bucks County, Pennsylvania
About this file
This document is a Contractor's Release of Liens form utilized by Bristol Township, Pennsylvania in connection with Contract #25-01237 for the 2026 Road Paving, Inlet Replacement, and Curb Ramp Program. The release form serves as a legal instrument through which contractors acknowledge receipt of payment and relinquish all claims and liens against the owner for work performed under the referenced agreement. The project encompasses milling, base repair, leveling course, manhole rim adjustments, inlet design and replacements, and wearing course improvements along various roads within Bristol Township, along with the installation of ADA and PennDOT-compliant curb ramps, sidewalks, curbing, utility adjustments, and sign relocation or installation at specified locations. All work must comply with PennDOT Publication 408 and Township Standards.
The release of liens is contingent upon the contractor's receipt of final payment in an amount to be specified on the form. The document requires notarization and must be executed by an authorized representative of the contracting entity, whether an individual, partner, or corporate representative. By executing this release, the contractor discharges Bristol Township and its successors and assigns of all claims and demands arising from or connected to the contract agreement. This standard contractual document ensures that upon final payment, the contractor waives any right to file or maintain a lien against the township for services rendered under the road improvement contract.
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Text version
CONTRACTOR'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 Contractor)
Who being duly sworn according to law deposes and says that
_______________________________________________________________this day has received from (Contractor, Name and Address)
Bristol Township, 2501 Bath Road, Bristol, PA 19007 (Owner, 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 (Contractor) performance of the Work including all approved change orders under an Agreement dated associated with Contract #25-01237: 2026 ROAD PAVING, INLET REPLACEMENT, AND CURB RAMP PROGRAM between Bristol Township (Owner) and .
(Contractor)
THEREFORE,
(Contractor)
(for myself, my heirs, executors and administrators) (for itself, its successors and assigns) release, quit-claim and forever discharge Bristol Township its successors and assigns, (Owner) 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
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___.
END OF DOCUMENT
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