35-Doc 00 65 19.13 ContractorsAffidavit.pdf
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- Bucks County, Pennsylvania
About this file
This document is a Contractor's Affidavit for the Borough of Doylestown, located in Bucks County, Pennsylvania, specifically related to the Fanny Chapman Memorial Pool - Main Pool Repairs project. The contract is identified by the number 2400754 and involves repairs to the main pool at the Fanny Chapman Memorial Pool. The affidavit serves as a sworn statement by the contractor that all labor, materials, and outstanding claims associated with the project have been fully satisfied and paid.
The document provides a template for the contractor to confirm completion of the project, with spaces for the contractor's company name, signature, and details to be filled in by a notary public. The owner is identified as the Borough of Doylestown, located at 10 Doyle Street, Doylestown, PA 18901. While specific financial details are not included in this document, it appears to be a standard close-out document used to formally conclude the pool repair project and confirm that all financial obligations have been met.
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Text version
Borough of Doylestown 00 65 19.13 Contractors Affidavit 2400754 - Fanny Chapman - Main Pool Repairs Page 1 of 1
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF BUCKS
ss. Doylestown Borough
Fanny Chapman Memorial Pool - Main Pool Repairs
Before me, the undersigned, a Notary Public in and for said County and State, personally appeared
(Individual, Partner or duly authorized representative of Corporate Contractor) who being duly sworn according to law deposes and says that all labor, material and outstanding claims, and indebtedness of whatever nature arising out of the performance of the Work including all approved change orders under an Agreement dated associated with Contract 2400754: Borough of Doylestown - Fanny Chapman Memorial Pool - Main Pool Repairs between the Owner Borough of Doylestown, 10 Doyle Street, Doylestown, PA 18901 and the Contractor
(Contractor, Name and Address) has been satisfied and paid in full.
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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