50-Doc 00 65 19.16 Contractors Release of Liens.pdf
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- Solicitation number
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- Montgomery County, Pennsylvania
About this file
This is a Contractor's Release of Liens form used by Montgomery Township, Pennsylvania in connection with Contract 2022-01256.01 for the Whistlestop Park project. The document serves as a legal instrument through which contractors release all claims and liens against the project owner upon receipt of final payment. The form is executed before a Notary Public and requires the contractor to acknowledge receipt of payment in full satisfaction of all work performed, including approved change orders, under the agreement dated with Montgomery Township at 1001 Stump Road, Montgomeryville, PA 18936. The release is contingent upon the contractor receiving the final payment amount specified in the document, and once executed, the contractor waives all rights to pursue additional claims or demands related to the contract performance.
The form requires completion of standard notarization elements including the state and county of execution, the contractor's identification (individual, partner, or authorized corporate representative), the payment amount received, and the contract date. The document includes provisions for corporate seals and signatures from authorized representatives. By executing this release, the contractor agrees to discharge the owner and its successors from all contractual obligations and claims, protecting the owner from future lien filings or legal action. This document is a standard requirement in public construction contracts and ensures that final payment releases the owner from further liability once the contractor has been fully compensated for all work performed on the Whistlestop Park project.
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Text version
CONTRACTOR'S RELEASE OF LIENS
00 65 19.16-1
DOCUMENT 00 65 19.16
CONTRACTOR'S RELEASE OF LIENS
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) ___Montgomery Township, 1001 Stump Road, Montgomeryville, PA 18936_________________ (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 2022-01256.01: Montgomery Township – Whistlestop Park between Montgomery Township, 1001 Stump Road, Montgomeryville, PA 18936-9605 (Owner) and ________________________________________________________________________________.
(Contractor)
THEREFORE, ________________________________________________________________________ (Contractor) (for myself, my heirs, executors and administrators) (for itself, its successors and assigns) release, quit-claim and forever discharge _Montgomery Township _______________________________________________ (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 $___________.
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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