Affdavit_of_Release_and_Guarantee.pdf
PDF 73 KB Posted
- Attached to
- STAR Center AHU -104, -161, -162 Replacement
- Solicitation number
- 26-0306-ITB-C
- Issued by
- Pinellas County, Clewiston City, Florida
About this file
This is an Affidavit of Release and Guarantee form required by Pinellas County, Florida for the STAR Center AHU -104, -161, -162 Replacement project (ITB-C #26-0306). The affidavit serves as a contractor certification document submitted in conjunction with an application for final payment. The form requires the affiant to certify that all charges for labor, materials, supplies, licenses, and other expenses arising from the project have been fully satisfied and paid or will be paid promptly upon receipt of contractor payment. The affidavit confirms the contractor's commitment to indemnify and defend the County from all demands, suits, actions, claims of lien, or other charges filed in connection with the project performance and payment. The document acknowledges that the contractor and its subcontractors, suppliers, material men, successors, and assigns release and waive all claims, demands, damages, costs, and expenses against the Board of County Commissioners of Pinellas County relating to performance or payment of the agreement for the period from execution through acceptance of final payment.
The affidavit further establishes that the contractor is aware of contractual provisions for warranties and guarantees contained in the General Conditions of the agreement and acknowledges these provisions maintain full force and effect independent of the affidavit's execution. The form clarifies that the County's remedies are not limited by warranty provisions but are in addition to any other remedies provided by law. The affidavit requires notarization before a Florida notary public, with the notary documenting whether the affiant is personally known or has produced identification. Required fields include the bid title, bid number, county, date of execution, affiant name, and acknowledger information. This document represents a standard compliance instrument in the procurement process for public works projects in Florida, ensuring contractor accountability and protecting the county from subsequent lien claims or payment disputes upon final project completion.
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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: |
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