ESBD_383359_1732633567379_Exhibit J Contractors Progress Payment Affidavit.pdf
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- Solicitation number
- 808-25-250510
- Issued by
- El Paso County, El Paso City, Texas
About this file
This document is Exhibit J, a Contractor's Progress Payment Affidavit form for the Structural Repairs to the Visitor Center project at Magoffin Home State Historic Site in El Paso County, Texas, under Contract No. 808-25-250510 (RFP# 808-25-250510). The form is designed to be completed in 2024 as part of the payment process for contractors performing work on the visitor center repair project.
The affidavit requires contractors to certify that all contract terms have been satisfactorily completed to the extent indicated on their payment voucher, and that all payrolls, materials, equipment, and other project-related debts have been or will be paid within ten days of receiving payment from the owner. The document includes sections for listing any pending or disputed payments to subcontractors, requires notarization, and contains specific instructions for different business structures (individual owners, partnerships, corporations, or joint ventures) regarding who must sign the affidavit. The form includes indemnification provisions protecting the owner from any liens or obligations arising from labor or materials provided through the contractor.
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Text version
Magoffin Home State Historic Site HSD-2024-038 Structural Repairs to the Visitor Center RFP# 808-25-250510
EXHIBIT J
CONTRACTOR’S PROGRESS PAYMENT AFFIDAVIT
STATE OF TEXAS
COUNTY OF _______________ CONTRACT NO. 808-25-250510
BEFORE ME THE UNDERSIGNED AUTHORITY, on this day personally appeared who being duly sworn, on oath, says that he/she is a duly authorized representative of
, CONTRACTOR, and that all terms of the Contract for the completion of certain public works described as
Structural Repairs to the Magoffin Home Visitor Center, El Paso County, Texas have been satisfactorily completed to the extent indicated on the attached voucher and that ALL sums of money due for payrolls, bills for material and equipment, and other indebtedness connected with the Work for which OWNER or its property might in any way be responsible, to the best of his/her knowledge and belief have been paid or will be paid or otherwise satisfied within ten days after receipt of the requested payment from the OWNER, or within the period of time required by Title 10, Texas Government Code, Section 2251.022.
Affiant agrees to indemnify and hold Owner harmless from any liens, debts or obligations which arise as a result of labor or materials provided by or through Affiant to the project. Affiant further agrees to indemnify and hold harmless all real property on which the improvements were constructed and all interests in such property, including leasehold interests, from any liens, debts, or obligations arising from any labor or materials provided by or through Affiant to the project.
Payments to subcontractors for labor and/or materials which are pending or disputed as of the date hereof are:
Individual or Company Name Mailing Address Amount Owed
Signature
Title
Sworn to and subscribed before me this day of , 2024.
(SEAL)
Notary Public in and for
County, Texas
Instructions: Affidavit must be signed by an individual owner, a partner in a partnership, or by a person authorized by bylaws or Board of Directors to sign for a corporation. If Contractor is a joint venture or partnership of individuals, either may sign, but if a joint venture in which a corporation is a party, separate affidavits must be executed by each corporation and by each individual owner or partnership.
File details come from the government source that posted it. Updated .