Contractors_Final_Release_of_Lien.pdf
PDF 10 KB Posted
- Attached to
- Rob Sullivan Park Maintenance Barn State and local contract opportunity
- Solicitation number
- 05-15
- Issued by
- Volusia County, Florida
About this file
This is a Contractor's Final Release of Lien form for the City of Dearby's Rob Sullivan Park Maintenance Barn project (Bid #05-15). The document serves as a sworn affidavit executed by an authorized contractor representative affirming that all work on the project has been completed in accordance with the contract terms and approved by the Owner's Engineers. The contractor certifies that no unpaid bills exist for labor, materials, or other project-related expenses, and that no pending litigation has been initiated against the contractor or any parties involved in the work or materials provision under the contract agreement.
The affidavit further establishes that the final estimate submitted to the Owner constitutes the complete claim against the Owner and that acceptance of the specified sum will serve as a full and final release of the Owner from any additional claims or compensation demands by the contractor. The contractor also affirms that all guarantees contained within the Contract Documents remain in full force and effect from the date of the release. The document requires notarization and must be executed under oath before a Notary Public, with the contractor's authorized representative providing a signature, printed name, title, and official seal.
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Text version
City of Debary Rob Sullivan Park Maintenance Barn (Bid # 05-15)
SECTION 00645
CONTRACTOR'S RELEASE OF LIEN (FINAL AND COMPLETE)
Before me, the undersigned authority in said County and State, appeared , who, being first duly sworn, deposes and says that he is of , a company and/or corporation authorized to do business under the laws of the State of , and is the CONTRACTOR on the Project known as , located in County, State of , under an Agreement with the OWNER, , the date of said Agreement which is
Let it be known that the said deponent is duly authorized to make this affidavit by resolution of the Board of Directors of said company and/or corporation; that deponent knows of his own knowledge that said contract has been complied with in every particular by said contractor and that all parts of the work have been approved by the Owner's Engineers; that there are no bills remaining unpaid for labor, material, or otherwise, in connection with said contract and work, and that there are no suits pending against the undersigned as contractor or anyone in connection with the work done and materials furnished or otherwise under said contract.
Deponent further says that the final estimate which has been submitted to the Owner simultaneously with the making of this affidavit constitutes all claims and demands against the Owner on account of said contract or otherwise, and the acceptance of the sum specified in said final estimate will operate as a full and final release and discharge of the Owner from any further claims, demands or compensation by contractor under the above contract. Deponent further agrees that all guarantees under this contract shall and be in full force from the date of this release as spelled out in the Contract Documents.
IN WITNESS WHEREOF, I/we have executed this instrument under seal this day of
Authorized Representative (Signature)
(SEAL)
Printed Name and Title
STATE OF
COUNTY OF
The foregoing instrument was acknowledged before me this day of , by of (corporation), on behalf of the corporation, who is personally known to me or has produced (Type of Identification) as identification and who did (did not) take an oath.
City of Debary Rob Sullivan Park Maintenance Barn (Bid # 05-15)
Sworn to and subscribed to before me this day of , (Signature)
(Print name) Notary Public in and for the County and State Aforementioned
My Commission Expires:
END OF SECTION
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