Affdavit_of_Release_and_Guarantee.pdf
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- Solicitation number
- 26-0361-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 contractors completing work on county projects. The affidavit serves as a formal declaration by the contractor that all charges for labor, materials, supplies, lands, licenses, and other expenses incurred during the performance of a contracted project have been fully satisfied and paid, or will be promptly paid upon receipt of final payment from the County. The document is executed in connection with the contractor's application for final payment and covers the entire period from the date of agreement execution through acceptance of final payment. The contractor must acknowledge awareness of contractual warranty and guarantee provisions contained in the General Conditions of the agreement and recognize that the County's remedies are not limited by such provisions but exist in addition to any other remedies provided by law.
The affidavit requires the contractor to fully indemnify, defend, and save harmless the Board of County Commissioners of Pinellas County from all demands, suits, actions, claims of lien, or other charges that may be filed or asserted in connection with the certified matters. On behalf of itself and its subcontractors, suppliers, material men, successors, and assigns, the contractor must release and waive all claims, demands, damages, costs, and expenses against Pinellas County relating to performance or payment of the agreement. The document must be notarized before a person authorized to take acknowledgements and requires completion of identifying information including the bid title, bid number, county, date, affiant name, and the signature and credentials of the acknowledging officer.
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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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