38-Doc 00 65 19.16 - CONTRACTORS RELEASE OF LIENS.pdf
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- Attached to
- 234 McKean Road Demolition (26-00182)
- Solicitation number
- Not on record
- Issued by
- Montgomery County, Pennsylvania
About this file
This is a Contractor's Release of Liens document form (00 65 19.16) issued by Horsham Township, Pennsylvania, associated with Contract 2026-00182 for the 234 McKean Road Demolition project. The document serves as a legal instrument through which a contractor certifies receipt of payment in full satisfaction of all work performed, including approved change orders, under an agreement with the township located at 1025 Horsham Road, Horsham, PA 19044. The form requires notarization and includes signature lines for individual contractors, partners, or duly authorized corporate representatives. A mandatory Pre-Bid Meeting is scheduled for Thursday, April 2, 2026, at Kohler Park, 1100 Limekiln Pike, Ambler, PA 19002, at 11:00 AM.
The project scope encompasses demolition of an existing residential home, detached garage, two sheds, and asphalt driveway removal, with additional requirements including domestic water well capping and sanitary service line abandonment at the main. The site requires temporary restoration of an existing stream crossing/access point damaged by previous flooding, with all disturbed areas to be graded and permanently stabilized to match surrounding topography. The Release of Liens form is contingent upon receipt of the final payment amount, which is to be specified by the contractor, and releases all claims and demands against the owner arising from performance under the agreement. This document represents the final contractual closeout procedure and is executed before a notary public in the relevant county and state.
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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) (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 2026-00182 - 234 McKean Road Demolition between Horsham Township, 1025 Horsham Road, Horsham, PA 19044 (Owner) and ________________________________________________________________________________.
(Contractor)
THEREFORE, ________________________________________________________________________ (Contractor) (for myself, my heirs, executors and administrators) (for itself, its successors and assigns) release, quit-claim and forever discharge _____________________________________________________________ (Owner) its successors and assigns, 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___.
File details come from the government source that posted it. Updated .