CONDITIONAL WAIVER AND RELEASE ON PROGRESS PAYMENT
Civil Code §8132
NOTICE: THIS DOCUMENT WAIVES THE CLAIMANT'S LIEN, STOP PAYMENT
NOTICE, AND PAYMENT BOND RIGHTS EFFECTIVE ON RECEIPT OF PAYMENT. A
PERSON SHOULD NOT RELY ON THIS DOCUMENT UNLESS SATISFIED THAT THE
CLAIMANT HAS RECEIVED PAYMENT.
Identifying Information
Name of Claimant:
Name of Customer:
Job Location:
Owner:
Through Date:
Conditional Waiver and Release
This document waives and releases lien, stop payment notice, and payment bond rights the
claimant has for labor and service provided, and equipment and material delivered, to the
customer on this job through the Through Date of this document. Rights based upon labor or
service provided, or equipment or material delivered, pursuant to a written change order that has
been fully executed by the parties prior to the date that this document is signed by the claimant,
are waived and released by this document, unless listed as an Exception below. This document
is effective only on the claimant's receipt of payment from the financial institution on which the
following check is drawn:
Maker of Check:
Amount of Check:
$
Check Payable to:
Exceptions
This document does not affect any of the following:
1.
Retentions.
2.
Extras for which the claimant has not received payment.
3.
The following progress payments for which the claimant has previously given a
conditional waiver and release but has not received payment:
Date(s) of waiver and release:
Amount(s) of unpaid progress payment(s): $
4.
Contract rights, including (a) a right based on rescission, abandonment, or breach
of contract, and (b) the right to recover compensation for work not compensated by the payment.
Signature
Claimant's Signature:
Claimant's Title:
Date of Signature: