Affdavit_of_Release_and_Guarantee.pdf

PDF 73 KB Posted

Attached to
Ridgemoor Blvd and Brooker Creek at Brooker Creek Bridge #154153 Bridge Replacement Project (PID 005749A)
Solicitation number
26-0506-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 the Ridgemoor Boulevard Bridge Replacement Project over Brooker Creek (Bid No. PID 005749A). The affidavit is submitted by contractors in connection with their application for final payment and serves as a formal release of all claims related to the project. The document certifies that all charges for labor, materials, supplies, lands, licenses, and other expenses arising from the contract have been fully satisfied and paid or will be paid upon receipt of final payment by the contractor. The affidavit covers the period from the date of execution of the agreement through acceptance of final payment.

The contractor executing the affidavit agrees to indemnify, defend, and hold harmless Pinellas County from all demands, suits, actions, and claims of lien filed in connection with project performance or payment. On behalf of itself and all subcontractors, suppliers, and material men, the contractor releases and waives all claims, damages, costs, and expenses against the Board of County Commissioners. The affidavit acknowledges that contractual provisions for warranties and guarantees contained in the General Conditions remain in full force and effect, and that the county's remedies are not limited by the release but are in addition to any other remedies provided by law. The document requires notarization and signature by the affiant before a person authorized to take acknowledgements.

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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 .