Instructions to Contractor. ENTER THE WORD "NONE" OR LIST THE NAMES OF CLAIMANTS 2. The undersigned further certifies that to the best of his knowledge and belief there are no unsatisfied claims for damages resulting from injury or death to any employees, Subcontractors, or the public at large arising out of the performance of the contract, or any suits or claims for any other damage of any kind, nature, or description which might constitute a lien upon the property of the Owner. 3. The undersigned makes this affidavit for the purpose of receiving final payment in full settlement of all claims against the Owner arising under or by virtue of the contract, and acceptance of such payment is acknowledged as a release of the Owner from any and all claims arising under or by virtue of the contract. This ______ day of ____________________________, 20___________. ___________________________________(L.S.) Signature ___________________________________________ Title ___________________________________________ Firm COUNTY OF _______________________________ STATE OF ________________________________ Personally before me, the undersigned authority, appeared____________________________________________ (NAME OF PERSON SIGNING THE AFFIDAVIT) who is known to me to be an official of the firm of ___________________________________________________, (NAME OF CONTRACTOR) and who, after being duly sworn, stated on his oath that he had read the above statement and that the same is true and correct. ________________________________________________ Notary Public My Commission expires __________________________ This______ day of __________________________, 20____. COUNTY OF ______________________________ Firmly Bound. Know all men by these presents, that we, ________________ (“Contractor”) as Principal, and (Name of Surety), as Surety, are held and firmly bound unto ______________________________________________________________________________, (Insert Name of Owner) Owner, in the sum of____________ Dollars ($______________) for the payment of which well and truly to be made and done, we bind ourselves, our executors and administrators, our successors and assigns, jointly and severally, by these presents. Condition of Obligation. The condition of the above obligation is such that WHEREAS Contractor has entered into a Contract with Owner dated_________________ (enter date of contract), for construction of Project No.________________.
Appears in 4 contracts
Samples: Construction Contract, Construction Contract, Construction Contract
Instructions to Contractor. ENTER THE WORD "NONE" OR LIST THE NAMES OF CLAIMANTS
2. The undersigned further certifies that to the best of his knowledge and belief there are no unsatisfied claims for damages resulting from injury or death to any employees, Subcontractors, or the public at large arising out of the performance of the contract, or any suits or claims for any other damage of any kind, nature, or description which might constitute a lien upon the property of the Owner.
3. The undersigned makes this affidavit for the purpose of receiving final payment in full settlement of all claims against the Owner arising under or by virtue of the contract, and acceptance of such payment is acknowledged as a release of the Owner from any and all claims arising under or by virtue of the contract. This ______ day of ____________________________, 20___________. ___________________________________(L.S.) Signature ___________________________________________ Title ___________________________________________ Firm COUNTY OF _______________________________ STATE OF ________________________________ Personally before me, the undersigned authority, appeared____________________________________________ (NAME OF PERSON SIGNING THE AFFIDAVIT) who is known to me to be an official of the firm of ___________________________________________________, (NAME OF CONTRACTOR) and who, after being duly sworn, stated on his oath that he had read the above statement and that the same is true and correct. ________________________________________________ Notary Public My Commission expires __________________________ ThisT his______ day of __________________________, 20____. COUNTY OF ______________________________ Firmly Bound. Know all men by these presents, that we, ________________ (“Contractor”) as Principal, and (Name of Surety), as Surety, are held and firmly bound unto ______________________________________________________________________________, (Insert Name of Owner) Owner, in the sum of____________ Dollars ($______________) for the payment of which well and truly to be made and done, we bind ourselves, our executors and administrators, our successors and assigns, jointly and severally, by these presents. Condition of Obligation. The condition of the above obligation is such that WHEREAS Contractor has entered into a Contract with Owner dated_________________ (enter date of contract), for construction of Project No.________________.
Appears in 1 contract
Samples: Construction Contract