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4.10 SR 10-16-2023
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4.10 SR 10-16-2023
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10/13/2023 10:10:11 AM
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10/16/2023
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East Fiber Extension <br /> Elk River, Minnesota <br />SECTION 00674 <br />Contractor's Affidavit <br />State of Minnesota Date:___________ <br />The County of _________________ <br />The City of __________________ <br />, of _______________________, has <br />furnished all labor and material entering into the East Fiber Extension project for the City of Elk <br />River (Owner). <br />, of <br />_______________________, states further that Contractor has full knowledge of all obligations for <br />such labor and materials which have entered into and become part of that certain project known and <br />designated above, and Contractor further disposes and says that all debts and other obligations for <br />such labor and materials have been fully and completely paid for in good and lawful money of the <br />United States of American and that there are no suits for damages against them proceeding, <br />prospective or otherwise, in consequence of their operations on the above said project. <br />The said will hold the Owners, the City of Elk River, blameless of any and all <br />Mechanic's Liens that may be hereafter entered or filed for record, so as to constitute charge against <br />said premises for work or labor done or materials furnished by them. <br />IN WITNESS WHEREOF, Contractor has heretofore put their hand and seal. <br />SEAL <br />Contractor's Authorized Agent <br />I, , Notary Public in and for the above named County and State <br />do hereby certify that personally known to me to be the affiant <br />in the foregoing affidavit, personally appeared before me this day, and, having been duly sworn, <br />deposes and say that the facts set forth in the above affidavit are true and correct. <br />WITNESS my hand and seal this day of , 2023. <br />my commission expires <br />End of Section <br />00674 - 1 <br /> <br />
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