Affdavit_of_Release_and_Guarantee.pdf
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- Attached to
- South Cross Bayou Replacement of Generator Controls and Switchgear (GEN2) (PID 004906A) - STEP 1
- Solicitation number
- 26-0256-ITB-C
- Issued by
- Pinellas County, Clewiston City, Florida
About this file
This is an Affidavit of Release and Guarantee form used by Pinellas County, Florida in connection with contractor final payment applications. The affidavit serves as a sworn statement in which the contractor certifies that all charges for labor, materials, supplies, licenses, and other expenses related to the contract work have been fully satisfied and paid, or will be paid promptly upon receipt of final payment. The contractor agrees to indemnify, defend, and hold harmless the Board of County Commissioners of Pinellas County from all demands, suits, actions, lien claims, or other charges filed against the county related to the contract performance or payment. The affidavit applies to the South Cross Bayou Replacement of Generator Controls and Switchgear project, which involves the removal and replacement of circuit breakers and control cabinets at the Pinellas County South Cross Bayou Advanced Water Reclamation Facility.
The contractor and its subcontractors, suppliers, material men, successors, and assigns release and waive all claims, demands, damages, costs, and expenses against the county for the period from contract execution through final payment acceptance. The affidavit acknowledges that contractual warranty and guarantee provisions in the General Conditions retain full force and effect, and the county's remedies are not limited by this release but remain available in addition to any other remedies provided by law. The form requires the affiant's signature and notarization before a notary public, who must verify the affiant's identity through personal knowledge or acceptable identification.
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Text version
AFFIDAVIT OF RELEASE AND GUARANTEE
AFFIDAVIT OF RELEASE AND GUARANTEE
STATE OF FLORIDA
COUNTY OF ________
Before me, the undersigned authority, personally appeared ___________________________________________________________ who after being duly sworn, deposes and says:
All charges for labor, materials, supplies, lands, licenses and other expenses arising from
Bid Title: _________________________________________________________________________________________
Bid No: __________ for which a lien or a demand against any payment bond might be filed, have been fully satisfied and paid or will be fully satisfied and paid promptly upon receipt of payment by the Contractor. The Contractor will fully indemnify, defend and save harmless the County from all demands, suits, actions, claims of lien or other charges filed or asserted against the County in connection with matters certified to herein.
On behalf of itself and its subcontractors, suppliers, material men, successors and assigns, the Contractor releases and waives all claims, demands, damages, costs and expenses, against the Board of County Commissioners of Pinellas County, relating in any way to the performance or payment of the above-numbered Agreement, for the period from the date of execution of the Agreement through and including the date of acceptance of Final Payment.
The Contractor is aware of contractual provisions for warranties and guarantees contained in the General Conditions of the above numbered Agreement, and acknowledges that those provisions shall have the same force and effect as if this Affidavit had not been executed, and understands that the County’s remedies are not limited by same but are in addition to any other remedies provided by law.
This Affidavit is given in connection with the Contractors application for Final Payment.
FURTHER AFFIANT SAYETH NAUGHT.
(Affiant)
STATE OF FLORIDA
COUNTY OF __________
The foregoing instrument was acknowledged before me this
By _________________________ who is Personally known to me and/or has produced
______________________________ As identification.
Signature of Person Taking Acknowledgement
Name of Acknowledger Types, Printed or Stamped
| Bid Title: |
| Affiant: |
| As identification: |
| Name of Acknowledger Types Printed or Stamped: |
| Witness: |
| Bid Number: |
| County: |
| Date: |
| Personally known to me: |
File details come from the government source that posted it. Updated .