Affdavit_of_Release_and_Guarantee.pdf
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- Attached to
- Chesnut Park Managed Aquifer Recharge Well Drilling And Completion Of Subsurface Testing
- Solicitation number
- 26-0046-ITB-C
- Issued by
- Pinellas County, Clewiston City, Florida
About this file
This is an Affidavit of Release and Guarantee form for Pinellas County, Florida, used in connection with final payment applications on county contracts. The affidavit certifies that all charges for labor, materials, supplies, licenses, and other expenses related to a specific bid have been fully satisfied and paid, or will be paid upon receipt of contractor payment. The form requires the affiant to release and waive all claims, demands, damages, costs, and expenses against the Board of County Commissioners of Pinellas County relating to contract performance or payment from the agreement execution date through final payment acceptance. The document acknowledges that contractual warranty and guarantee provisions remain in full force and effect, and that the county's remedies are not limited by this affidavit but are supplementary to other legal remedies. Completion of this affidavit is a prerequisite for the contractor's application for final payment.
The affidavit contains blank fields for completion by the affiant, including spaces for the bid title, bid number, county designation, date of acknowledgment, notarizing officer signature, and witness information. It serves as a standardized legal instrument requiring notarization before a qualified officer and acknowledgment of the affiant's identity. This form is applicable to the Chesnut Park Managed Aquifer Recharge Well Drilling and Completion of Subsurface Testing project, where it will be submitted as part of the contractor's final payment documentation upon project completion.
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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 .