Affdavit_of_Release_and_Guarantee.pdf
PDF 73 KB Posted
- Solicitation number
- 26-0144-ITB-C
- Issued by
- Pinellas County, Florida
About this file
This is an Affidavit of Release and Guarantee form for Pinellas County, Florida, designed to accompany a contractor's application for final payment on a completed project. The affidavit confirms that all charges for labor, materials, supplies, lands, licenses, and other expenses related to the identified bid have been fully satisfied and paid, or will be paid promptly upon the contractor's receipt of payment. The contractor executing this document releases and waives all claims, demands, damages, costs, and expenses against the Board of County Commissioners of Pinellas County related to the performance or payment of the referenced agreement from its execution date through final payment acceptance. The form includes acknowledgment that contractual provisions for warranties and guarantees contained in the General Conditions remain in effect and enforceable, and that the County's remedies are not limited by the affidavit but are in addition to other remedies provided by law.
The affidavit serves as a legal instrument requiring notarization before a Florida notary public and must be executed by an authorized representative of the contractor or affiant. The document contains blank fields for the bid title, bid number, county designation, affiant name, date of acknowledgment, notary signature and credentials, and witness information. This form is integral to the final payment process and demonstrates the contractor's compliance with all financial obligations, indemnification requirements, and release of claims related to the project, while preserving the County's warranty and guarantee protections.
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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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