Attachment H - CONTRACTORS AFFIDAVIT.pdf
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- Attached to
- Restroom Remodel at Macomb Corners Park
- Solicitation number
- RFP# 25-001
- Issued by
- Macomb County, Mcbride Village, Michigan
About this file
The document is a Contractor's Affidavit for Macomb Township, specifically related to the Restroom Remodel project at Macomb Corners Park under RFP 25-001. This affidavit is designed to be submitted as part of the final application for payment, serving as a legal document certifying that all contract-related financial obligations have been met and all claims from subcontractors and material suppliers have been fully paid or satisfactorily settled.
The affidavit requires the contractor to waive and release any potential liens or claims against the project premises or the owner (Macomb Township) for labor and materials used in the project. By executing this document, the contractor confirms the completion of the project and agrees to assume responsibility for any future claims that may arise. The form includes spaces for the contractor's authorized signature, printed name, title, and requires notarization, which provides an additional layer of legal verification for the township's records.
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Text version
Macomb Township Attachment H
CONTRACTOR'S AFFIDAVIT
(To be submitted as part of Final Application for Payment)
The undersigned Contractor, _____________________________________________________________ hereby represents that on ________________________, The Contractor was awarded a Contract by, Macomb Township hereinafter called the Owner, for the Restroom Remodel at Macomb Corners Park in accordance with the terms and conditions of RFP 25-001; and the undersigned further represents that the subject Work has now been accomplished and the said Contract has now been completed.
The undersigned hereby warrants and certifies that all of (Contractor’s) indebtedness arising by reason of the said Contract has been fully paid or satisfactorily secured; and that all claims from Subcontractors and others for labor and material used in accomplishing the said Project, as well as all other claims arising from the performance of the said Contract, have been fully paid or satisfactorily settled. The undersigned further agrees that, if any such claim should hereafter arise, (Contractor) shall assume responsibility for the same immediately upon request to do so by the Owner.
The undersigned, for the Final Adjusted Contract Amount of $___________________ , which is hereby requested, does further hereby waive, release, and relinquish any and all claims or right of lien which the undersigned now has or may hereafter acquire upon the subject premises for labor and material used in accomplishing said Project, or upon the Owner, and its respective employees or agents.
This affidavit is freely and voluntarily given with the full knowledge of the facts, on this ______ day of
________________________ 20_____.
CONTRACTOR
By: ___________________________________ (Authorized Signature)
Name: _________________________________ (Print Name)
Title: __________________________________
Subscribed and sworn to before me, a Notary Public in and for _____________________ County,__________________ State on this _____ day of __________________________ , 20_________ .
____________________________________ My Commission Expires: ________________________ Notary Public
File details come from the government source that posted it. Updated .