Sub-Contractor Final Affidavit Form And Conditional Waiver And Release Of Lien Upon Final Payment (Sample)

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SUB-CONTRACTOR FINAL AFFIDAVIT AND CONDITIONAL
WAIVER AND RELEASE OF LIEN
UPON FINAL PAYMENT
, (hereafter “Sub-Contractor”), having a Contract
with
JDL Warm Construction LLC
, (hereafter “Contractor”) for the
Work of:
Project:
Address:
Owner:
Has performed work and/or furnished Materials, Equipment, and/or Machinery and/or has fabricated
materials especially for the Project; payment has been applied for from Contractor, in the final amount due
for the performance of the Contract.
SUB-CONTRACTORS
Each and every Sub-Contractor who performed work for this Sub-Contractor on the Project is listed below
and payments have been made in full to the Sub-Contractors:
Sub-Contractor
Address
Description of Work
A Sub-Contractor Affidavit and Waiver of Lien – Acknowledgment of Payment for each of the above named
Sub-Contractors, which has not previously been submitted, is attached hereto.
MATERIALS
Each and every Material Supplier who delivered Materials, Equipment, and/or Machinery to the site, or
fabricated Materials especially for the Project, of a value in excess of $
, not listed on a previous
Sub-Contractor Affidavit and Waiver of Lien – Acknowledgment of Payment is listed below and has been
paid in full:
Supplier
Address
Material
A Material Supplier Certificate and Waiver of Lien – Acknowledgment of Payment for each of the above
named is attached hereto.
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