Final Receipt Of Payment And Release Form printable pdf download

Final Receipt Of Payment And Release Form

SECTION 000621 - FINAL RECEIPT OF PAYMENT AND RELEASE FORM

KNOW ALL MEN BY THESE PRESENTS THAT

, hereinafter

called "Subcontractor," who heretofore entered into a subcontract with

hereinafter called "Contractor," for the performance of work and/or the furnishing of material for the

construction of a project entitled

(Project Title and Project Number)

(Address of Project)

for Southeast Missouri State University (Owner) which said subcontract is by this reference incorporated

herein, in consideration of such final payment by Contractor,

DOES HEREBY:

1. ACKNOWLEDGE that he has been paid in full all sums due him for everything done by him, or done by

his subcontractors, material vendors, equipment and fixture suppliers, agents, and employees, or otherwise

in the performance of the work called for by the aforesaid contract and all modifications or extras or

additions thereto, for the construction of said project or otherwise.

2. RELEASE and fully, finally, and forever discharge Contractor and the Owner of and from any and all

suits and actions, claims, and demands of whatsoever kind of character arising out of or in any manner

related to anything and everything done or omitted by Subcontractor, its subcontractors, material vendors,

equipment and fixture suppliers, agents, and employees, in the performance of or connected with its/their

performance of said work, or otherwise.

3. REPRESENT that all of his employees, subcontractors, material vendors, equipment and fixture

suppliers and everyone else has been paid in full all sums due them, or any of them, in connection with

performance of said work, or anything done or omitted by them or any of them in connection with the

construction of said improvements, or otherwise.

DATED this

day of

, 2016.

(Name of Subcontractor)

(Typed or Printed Name)

(Signature)

(Title)

END OF SECTION

Final Receipt Of Payment And Release Form