Affdavit_of_Release_and_Guarantee.pdf
PDF 73 KB Posted
- Solicitation number
- 26-0394-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 for contractors to certify final payment eligibility on construction projects. The affidavit serves as a sworn statement by the contractor confirming 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 contractor payment. The document is submitted in connection with the contractor's application for final payment and acknowledges the contractor's awareness of contractual warranty and guarantee provisions contained in the General Conditions of the agreement.
The affidavit requires the contractor to 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 contract from execution through final payment acceptance. The contractor further agrees to fully indemnify, defend, and hold harmless the County from all demands, suits, actions, and liens filed in connection with the certified matters. The form must be notarized with signature acknowledgment by a person taking acknowledgement, and includes fields for the affiant, bid title, bid number, county designation, date, and witness information. The affidavit maintains that the County's remedies are not limited by the release but exist in addition to any other remedies provided by law.
View the file
Other files
Show 40 more
50 files listed here. See the rest on GovTribe.
On GovTribe
Work with this file
- Download the original file
- Contacts named in this file
- Similar government files
- Ask GovTribe AI about this file
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 .