7-014 9.3 Certificate of Payment.pdf
PDF 486 KB Posted
- Solicitation number
- 26002818
- Issued by
- Mason County, Texas
About this file
This is a Certificate of Payment form issued by Maverick Engineering for the City of Midland, Texas, related to the Midland International Air & Space Port Beautification Project (Project #900476-505). The certificate serves as a sworn statement from the general contractor confirming that all debts, bills, expenses, and labor costs incurred during the project—including those of agents and subcontractors for materials, wages, and other construction-related purposes—have been paid in full. The contractor agrees to indemnify and hold harmless the City of Midland, its officers, agents, and employees from all claims, suits, damages, and expenses arising from the work performed, warranties provided, or materials supplied in connection with the project.
The contractor further certifies that all work has been completed in a workmanlike manner with appropriate warranties, waives any claims against the City, and releases all lien rights upon the property in exchange for full payment from the City of Midland for performance on the project. The document requires the signature of an authorized representative of the contractor company, notarization by a Texas notary public, and completion of date fields. This certificate represents the final attestation required before the contractor receives final payment from the municipality for services rendered on the beautification project.
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Text version
1909 West Wall Street, Suite K Midland, Texas 79701
P.O. Box 6040 Midland, Texas 79704 (Mailing Address) Office 432.262.0999 Fax 432.262.1475 www.maverick-eng.com
Project # 900476-505
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9.3 CERTIFICATE OF PAYMENT
THE STATE OF TEXAS §
COUNTY OF MIDLAND §
The undersigned states that all debts, bills, and expenses that were incurred by the undersigned, his agents, or subcontractors employed by him, for labor, wages, materials and other purposes furnished for the above project have been paid and satisfied in full.
The undersigned, as general contractor for the above described project agrees to indemnify, hold harmless and defend the City, its officers, agents, and employees, from and against all claims and suits for damages, expenses, including court costs and attorney fees, arising out of or resulting from the undersigned contractor, his agents or subcontractors employed by him for expenses, warranties for items furnished, or labor performed and for any party that has supplied materials in connection with the repair or construction of the above referenced premises.
The undersigned contractor agrees to waive any and all claims it may have against the City, associated with, resulting from or arising out of the work performed at the above premises.
Further, the undersigned states that all labor performed by the undersigned, his agents, and subcontractors employed by him, has been completed in the usual and customary workmanlike manner and all work performed is accompanied with the usual and appropriate warranties for such work or repair, absent any disclaimer previously approved by the City of Midland.
I, the undersigned, release and relinquish unto the City of Midland, and their assigns the above described lien upon the above referenced property and hereby certify that all debts, bills, and expenses incurred by the undersigned, his agents, or subcontractors employed by him in connection with work done at the above premises have been fully paid, in exchange for payment in full to be made by the City of Midland for the performance on the above described premises.
WITNESS MY HAND on this _______ day of _______________________, 20______.
1909 West Wall Street, Suite K Midland, Texas 79701
P.O. Box 6040 Midland, Texas 79704 (Mailing Address) Office 432.262.0999 Fax 432.262.1475 www.maverick-eng.com
Project # 900476-505
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Signature
Typed or Printed Name
Title
Name of Company
SUBSCRIBED AND SWORN to before me on the _______ day of ________________________, 20______.
Notary Public, State of Texas
Typed or printed name
My Commission expires:
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