Affdavit_of_Release_and_Guarantee.pdf
PDF 71 KB Posted
- Attached to
- Pump Station 182 Rehabilitation (PID 005221A)
- Solicitation number
- 25-0422-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 contractor final payment applications. The document serves as a legal certification that contractors must complete when requesting final payment for completed projects under county agreements. The affidavit requires contractors to swear under oath that all charges for labor, materials, supplies, lands, licenses and other expenses have been fully satisfied and paid, and includes fields for bid title, project identification number (PID), and bid number to be filled in for specific projects.
The affidavit establishes that contractors must indemnify and hold harmless Pinellas County from all demands, suits, actions, or claims of lien that may arise in connection with the certified matters. Contractors and their subcontractors, suppliers, and material suppliers must release and waive all claims against the Board of County Commissioners of Pinellas County for the entire period from contract execution through final payment acceptance. The document preserves existing warranty and guarantee provisions from the original contract's General Conditions and requires notarization by a Florida notary public, with spaces provided for the affiant's signature and notarial acknowledgment.
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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: ,(PID # ), 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
File details come from the government source that posted it. Updated .