ESBD_383359_1732633597738_Exhibit K Contractors Final Payment Affidavit.pdf

Magoffin Home State Historic Site HSD-2024-038 Structural Repairs to the Visitor Center RFP# 808-25-250510

EXHIBIT K

CONTRACTOR’S FINAL 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 and that ALL sums of money 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 final payment from the Owner, or within the period of time required by Title 10, Texas Government Code, Section 2251.022. Payments not made in full at the date of this affidavit are listed below.

Affiant hereby waives all claims against the Owner. (List any exceptions):

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.

Final 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

INSTRUCTIONS: Affidavit must be signed by an individual owner, or 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. In the event subcontractors, laborers, or material suppliers have not been paid in full, Contractor shall list hereon the amount owed and the name and address of each subcontractor, laborer, or material suppliers to whom such payment is owed. Add additional pages if required.

Signature

Title

Signature Sworn to and subscribed before me this _ day of , 2024.

(SEAL)

Notary Public in and for