Final_Release_of_Lien_Subcontractors_and_Suppliers.pdf
PDF 62 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 document is a Subcontractor/Supplier's Release of Lien form for the City of Debary's Rob Sullivan Park Maintenance Barn project (Bid # 05-15) in Florida. The form serves as a final and complete release of lien, to be executed by subcontractors and suppliers upon project completion. The document requires the subcontractor or supplier to affirm under oath that all work has been performed and materials supplied in accordance with the contract, that all work has been approved by the Owner's Engineers, and that no unpaid bills or pending suits exist in connection with the project. The form must be notarized and includes sections for the authorized representative's signature, printed name and title, and notary acknowledgment.
The release of lien form constitutes a final claim against the Owner and, upon acceptance of payment specified in the final estimate submitted simultaneously with the affidavit, operates as a full and final discharge of the Owner from any further claims, demands, or compensation requests by the contractor or subcontractor. This document is a standard contractual requirement ensuring that all parties have been paid in full and that no outstanding liens remain on the project, protecting both the Owner and the contractor from future liability related to unpaid labor and materials.
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Text version
City of Debary – Rob Sullivan Park Maintenance Barn (Bid # 05-15)
SECTION 00647
SUBCONTRACTOR / SUPPLIER'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 a subcontractor/supplier/vendor on the Project known as , located in County, State of , whose OWNER is . The work performed / materials supplied for the Project was furnished to the CONTRACTOR, .
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 subcontractor / supplier 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 subcontractor / supplier 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.
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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