Affdavit_of_Release_and_Guarantee.pdf
PDF 73 KB Posted
- 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 utilized by Pinellas County, Florida for contractor final payment applications on construction and service contracts. The affidavit serves as a binding declaration wherein contractors certify that all charges for labor, materials, supplies, licenses, and other project expenses have been fully satisfied and paid or will be paid upon receipt of final payment. Contractors executing this affidavit release and waive all claims, demands, damages, costs, and expenses against the Board of County Commissioners of Pinellas County related to contract performance or payment from the agreement execution date through final payment acceptance. The form requires completion of standard identification fields including bid title, bid number, county designation, affiant name and signature, acknowledger information, and date of notarization before a qualified notary public.
The affidavit acknowledges that contractors remain bound by all contractual warranty and guarantee provisions contained within the General Conditions of the agreement, with the county's remedies under those provisions remaining in full force and effect and not limited by execution of this affidavit. Contractors further acknowledge that the county retains all remedies provided by law in addition to those specified in the agreement. This document is specifically required in connection with a contractor's application for final payment and must be executed under oath before a notary public authorized to take acknowledgments in Florida.
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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 .