Subcontractor Unconditional Waiver Final Lien Release printable pdf download

Attachment E

SUBCONTRACTOR/SUPPLIER'S

UNCONDITIONAL WAIVER AND

RELEASE UPON FINAL PAYMENT

OWNER:

GENERAL CONTRACTOR:

C.D. MOODY CONSTRUCTION CO. INC.

PROJECT NAME:

STATE OF GEORGIA

COUNTY OF

The undersigned Subcontractor/Supplier has been employed by C. D. MOODY CONSTRUCTION CO.,

INC. to furnish

[describe material and/or labor] for the construction of improvements known as

___________________[title of the project] which is located in the City of __________, County

of_____________, and is owned by

and more particularly described as

_______

follows:

[Describe the property upon which the improvements were made by using either a metes and bounds

description, the land lot district, block and lot number, or street address of the project, and attach as

Exhibit “A”]

Upon the receipt of the sum of $

the Subcontractor/Supplier waives and releases any and

all liens or claims of liens or any right against any labor and/or material bond it has upon the foregoing

described property.

________________________________________

ADDITIONAL WARRANTIES AND REPRESENTATIONS

(1)

The undersigned representative of the Subcontractor/Supplier warrants and represents

that he has full authority to execute this Unconditional Waiver and Release Upon Final Payment for the

Subcontractor/Supplier.

(2)

The undersigned has personal knowledge of the facts sworn to in this Unconditional

Waiver and Release Upon Final Payment and such facts are true and correct.

(3)

The Subcontractor/Supplier has performed all work required under its contract pursuant to

all of the terms and conditions of its contract, and in conformance with all plans and specifications for the

work.

(4)

Any and all subcontractors, laborers, suppliers and materialmen that have provided labor,

material or services to the Subcontractor/Supplier for use or incorporation into the construction of the

improvements to the Property are listed in Exhibit "B" hereto. All sums due from Subcontractor/Supplier to

materialmen, subcontractors, mechanics, laborers and suppliers of goods and services used or

incorporated into the improvements to the Property have been paid and satisfied in full, and there are no

outstanding claims of any character arising out of, or related to, Subcontractor/Supplier's activities on, or

improvements to, the Property.

(5)

There are no unsatisfied claims for damages resulting from injury or death to any

employees, subcontractors, or the public at large arising out of any of Subcontractor/Supplier's activities

pursuant or ancillary to the performance of its work on the Property.

waiver2.doc

Subcontractor Unconditional Waiver Final Lien Release

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