Sworn Statement for Contractor

{{company_name}}

{{company_address}}

Phone: {{phone}} | Email: {{email}} | Web: {{website}}

Sworn Statement for Contractor

Sworn Statement for Contractor

{{company_name}} {{company_address}} Tel: {{phone}} Email: {{email}} Website: {{website}}

SWORN STATEMENT BY CONTRACTOR

I, {{contractor_name}}, of {{contractor_address}}, operating as {{business_name}} (hereinafter referred to as 'the Contractor'), do hereby make oath and state:

IDENTIFICATION

My identification number is {{contractor_id_number}}.

I am duly authorised to make this statement on behalf of the Contractor.

PROJECT DETAILS

This statement pertains to the project known as {{project_name}}, located at {{project_address}}, for the client {{client_name}}.

The contract reference number is {{contract_number}}.

DECLARATION OF WORK COMPLETED

I hereby declare that all work specified in the contract, including but not limited to {{scope_of_work_details}}, has been completed in accordance with the agreed-upon plans, specifications, and quality standards.

All materials used are as per specification and are fit for purpose. Any deviations from the original plan have been formally approved by the client in writing.

DECLARATION OF PAYMENTS AND LIABILITIES

I declare that all subcontractors, suppliers, and labourers engaged by the Contractor for this project have been paid all amounts due to them, up to and including {{date_of_payment_declaration}}.

There are no outstanding liens, claims, or encumbrances against the property or the work performed arising from the activities of the Contractor or its subcontractors, save for {{details_of_exceptions_if_any}}.

COMPLIANCE WITH LAWS

I further declare that throughout the execution of the project, the Contractor has complied with all applicable laws, regulations, and industry standards, including but not limited to occupational health and safety regulations and environmental protection laws, relevant to the jurisdiction of {{jurisdiction}}.

INDEMNIFICATION

The Contractor undertakes to indemnify and hold harmless the client against any and all claims, liabilities, damages, costs, and expenses (including legal fees) arising from any breach of the declarations made in this statement.

OATH/AFFIRMATION

I know and understand the contents of this statement.

I have no objection to taking the prescribed oath/affirmation.

I consider the prescribed oath/affirmation to be binding on my conscience.

Thus signed and sworn/affirmed before me at {{place_of_signature}} on this {{day_of_month}} day of {{month}}, {{year}} by the Deponent who has acknowledged that he/she knows and understands the contents of this statement.

SIGNATURE BLOCK

___________________________

DEPONENT (Contractor Name)

Capacity: {{contractor_capacity}}

___________________________

COMMISSIONER OF OATHS

Full Names: {{commissioner_name}}

Designation: {{commissioner_designation}}

Address: {{commissioner_address}}

Date: {{date}}