43-Doc 00 65 19.16 - SUBCONTRACTORS 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 Subcontractor's Release of Liens form (Document 00 65 19.16) issued by Horsham Township, Pennsylvania for Contract 2026-00182 involving the demolition of a residential property located at 234 McKean Road. The document serves as a legal instrument through which a subcontractor acknowledges receipt of final payment and releases all claims and liens against the owner, contractor, and their successors. The release is contingent upon the subcontractor receiving final payment in an amount to be specified on the form. A mandatory pre-bid meeting is scheduled for Thursday, April 2, 2026, at 1100 Limekiln Pike, Ambler, Pennsylvania, commencing at 11:00 AM.
The project scope encompasses demolition of an existing residential home, detached garage, and two sheds; removal of an asphalt driveway; capping of a domestic water well; abandonment of a sanitary service line at the main; temporary restoration of an existing stream crossing or access point damaged by previous flooding; and grading and permanent stabilization of all disturbed areas to match surrounding topography. The subcontractor's release form requires notarization and must be executed by the subcontractor or their duly authorized representative, with the document contingent upon receipt of final payment. This form represents standard municipal contract closeout documentation establishing that the subcontractor has received full compensation for all work performed, including approved change orders, under the agreement dated with Horsham Township as the project owner.
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Text version
SUBCONTRACTOR'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 Subcontractor)
Who being duly sworn according to law deposes and says that
_______________________________________________________________this day has received from (Subcontractor, Name and Address) (Contractor, 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 (Subcontractor) 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, ________________________________________________________________________ (Subcontractor) (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
SUBCONTRACTOR
Company:
(Corp. Seal) Signature:
(Individual, Partner or Duly Authorized Representative of Corporate Subcontractor)
Name and Title:
Sworn and subscribed before me this
_____day of ________________,20___.
File details come from the government source that posted it. Updated .