Affdavit_of_Release_and_Guarantee.pdf
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- Attached to
- Palm Harbor Recreation Center Addition State and local contract opportunity
- Solicitation number
- 26-0011-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 prerequisite document for contractors applying for final payment on completed contracts. The form requires the contractor to certify under oath that all charges for labor, materials, supplies, lands, licenses, and other expenses related to the project have been fully satisfied and paid, or will be promptly paid upon receipt of final payment. The affidavit applies to the Palm Harbor Recreation Center Addition project, a 28,000 square foot recreation center construction contract with a 425-day performance period and liquidated damages of $487.07 per calendar day for delays. The document must be notarized and completed prior to the contractor's receipt of final payment.
The affidavit requires the contractor to indemnify and defend Pinellas County from all claims, liens, demands, and suits related to the project. The contractor must release all claims against the Board of County Commissioners on behalf of itself, subcontractors, suppliers, and material men for the entire contract period through final payment acceptance. The form acknowledges that contractual warranty and guarantee provisions in the General Conditions remain in full force and effect regardless of the affidavit's execution, and that the county's remedies are not limited to those provisions but include all other remedies available under law. The affidavit must be signed by the contractor or authorized representative and notarized by a Florida notary public, with blanks provided for bid title, bid number, county designation, date, and acknowledgment details.
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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 .