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Get CONTRACTORS AFFIDAVIT FOR CONSENT OF SURETY COMPANY TO PARTIAL/FINAL PAYMENT

CONTRACTORS AFFIDAVIT FOR CONSENT OF SURETY COMPANY TO PARTIAL/FINAL PAYMENT Re Obligee Project Bond Number Gentlemen We hereby request insert bonding company s name to consent to partial/final payment in the amount of on the above described contract and hereby make the following AFFIDAVIT. 1. Date to which we have received payments for our work on this contract is and the total of approved work completed including extras or deductions to the contract. Amount of payments received by us on said contract To and including our last payment. Amount of retained percentage on said contract Approximate cost of completing said contract THAT ALL BILLS FOR LABOR AND MATERIALS FURNISHED TO THE CONTRACTOR OR ANY SUBCONTRACTOR HAVE BEEN FULLY PAID TO DATE AND THERE ARE NO PAST DUE BILLS WITH THE EXCEPTION OF THE FOLLOWING THAT THERE ARE NO OUTSTANDING CLAIMS OR ITEMS IN DISPUTE UNDER THE CONTRACT TO DATE* The money received by us under this contract has been or will be used exclusively in paying outstanding bills on this contract and no other contracts. Signed and Sealed thisday of 20. ATTEST Principal Seal Sworn and Subscribed to me this day of 20. Notary Public. 1. Date to which we have received payments for our work on this contract is and the total of approved work completed including extras or deductions to the contract. Amount of payments received by us on said contract To and including our last payment. Amount of retained percentage on said contract Approximate cost of completing said contract THAT ALL BILLS FOR LABOR AND MATERIALS FURNISHED TO THE CONTRACTOR OR ANY SUBCONTRACTOR HAVE BEEN FULLY PAID TO DATE AND THERE ARE NO PAST DUE BILLS WITH THE EXCEPTION OF THE FOLLOWING THAT THERE ARE NO OUTSTANDING CLAIMS OR ITEMS IN DISPUTE UNDER THE CONTRACT TO DATE* The money received by us under this contract has been or will be used exclusively in paying outstanding bills on this contract and no other contracts. Amount of payments received by us on said contract To and including our last payment. Amount of retained percentage on said contract Approximate cost of completing said contract THAT ALL BILLS FOR LABOR AND MATERIALS FURNISHED TO THE CONTRACTOR OR ANY SUBCONTRACTOR HAVE BEEN FULLY PAID TO DATE AND THERE ARE NO PAST DUE BILLS WITH THE EXCEPTION OF THE FOLLOWING THAT THERE ARE NO OUTSTANDING CLAIMS OR ITEMS IN DISPUTE UNDER THE CONTRACT TO DATE* The money received by us under this contract has been or will be used exclusively in paying outstanding bills on this contract and no other contracts. Signed and Sealed thisday of 20. ATTEST Principal Seal Sworn and Subscribed to me this day of 20. Notary Public. 1. Date to which we have received payments for our work on this contract is and the total of approved work completed including extras or deductions to the contract. Amount of payments received by us on said contract To and including our last payment. Amount of retained percentage on said contract Approximate cost of completing said contract THAT ALL BILLS FOR LABOR AND MATERIALS FURNISHED TO THE CONTRACTOR OR ANY SUBCONTRACTOR HAVE BEEN FULLY PAID TO DATE AND THERE ARE NO PAST DUE BILLS WITH THE EXCEPTION OF THE FOLLOWING THAT THERE ARE NO OUTSTANDING CLAIMS OR ITEMS IN DISPUTE UNDER THE CONTRACT TO DATE* The money received by us under this contract has been or will be used exclusively in paying outstanding bills on this contract and no other contracts. Signed and Sealed thisday of 20. ATTEST Principal Seal Sworn and Subscribed to me this day of 20. Notary Public.

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