35-Doc 00 65 19.13 - SUBCONTRACTORS AFFIDAVIT.pdf

This is a Subcontractor's Affidavit form related to Contract 2026-01054 for the 1121 Horsham Road Demolition project in Horsham Township, Pennsylvania. The document is a notarized affidavit template that subcontractors must complete and submit to certify that all labor, materials, and outstanding claims or indebtedness arising from their work on the project have been satisfied and paid in full. The affidavit references an agreement between Horsham Township (located at 1025 Horsham Road, Horsham, PA 19044) as the owner and a contractor to be named, and includes space for the subcontractor company information, authorized representative signature, and notary public acknowledgment with date. The underlying project involves demolition of an existing residential home at 1121 Horsham Road, with abandonment of existing water and sanitary services at the mains, followed by grading and permanent stabilization of disturbed areas to match surrounding topography.

The affidavit form does not contain pricing information, set-asides, incumbent contractor details, funding sources, or other financial terms. This document serves as a procedural requirement for subcontractor payment certification rather than as a solicitation or award instrument containing contract pricing or terms and conditions.