Affdavit_of_Release_and_Guarantee.pdf
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- Solicitation number
- 26-0363-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 contractors completing work on the Fiscal Year 2027 Pavement Preservation - Package 3 project. The affidavit serves as a formal declaration submitted in connection with a contractor's application for final payment and certifies that all charges for labor, materials, supplies, lands, licenses, and other project-related expenses have been fully satisfied and paid or will be paid promptly upon receipt of payment from the County. The document applies to the entire contract period from the date of agreement execution through the date of final payment acceptance.
The affidavit requires the contractor to indemnify, defend, and hold harmless the Board of County Commissioners of Pinellas County from all demands, suits, actions, liens, and other charges related to contract performance or payment. On behalf of itself and all subcontractors, suppliers, and material vendors, the contractor releases and waives all claims, damages, costs, and expenses against the County relating to the project. The contractor acknowledges awareness of contractual warranty and guarantee provisions in the General Conditions and understands that execution of this affidavit does not limit the County's remedies, which remain available in addition to those provided by law. The document must be notarized and requires identification and witness information.
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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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