3-Contractor Release of Liens and Claims.pdf
PDF 233 KB Posted
- Solicitation number
- PW-F-26-611802-2029
- Issued by
- Ada County, Idaho
About this file
This is a Contractor Release of Liens and Claims form issued by West Ada School District's Procurement Services department in Meridian, Idaho, related to a fire alarm system upgrade project at Renaissance High School and District Service Center with a substantial completion date of August 7, 2026. The form serves as a certification document that must be completed and notarized by the contractor upon project completion. The contractor certifies that all liens, claims, and indebtedness associated with the completed work have been fully satisfied, including obligations related to taxes, payroll, subcontractor payments, labor costs, materials furnished, incidental services, liens, and judgments.
The document requires the contractor to provide their name, the associated bid number, and project description, along with the date of certification. A notary public must verify the contractor's identity and acknowledgment of the document's execution. This release form is a standard requirement in the procurement process and must be executed before final payment or project closeout can occur, ensuring that all financial obligations and potential claims against the project have been resolved.
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Text version
Procurement Services
• 1303 E. Central Drive, Meridian, ID 83642 ● Phone: 208-855-4500 ● procurement@westada.org
CONTRACTOR RELEASE OF LIENS AND CLAIMS
I, ______________________________________________, hereby certify that all liens, claims, and indebtedness of every nature in any way connected with the work completed for
Bid# __________________ Description ___________________________ including, but not limited to, all taxes, payrolls, amounts due to subcontractors, accounts for labor performed and materials furnished, incidental services, liens, and judgments have been fully satisfied.
DATED this _________________ day of _____________________, 20_______, before me, a Notary Public in and for said State, personally appeared ____________________________, known or identified to me to be the person whose name is subscribed to the within and foregoing instrument, and acknowledged to me that he executed the same.
IN WITNESS WHERE, I have hereunto set my hand and affixed my official seal the day and year first above written.
NOTARY PUBLIC OF IDAHO RESIDING AT:
MY COMMISSION EXPIRES:
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