Conditional Waiver And Release Upon Progress Payment Form - Connecticut
Download a blank fillable Conditional Waiver And Release Upon Progress Payment Form - Connecticut in PDF format just by clicking the "DOWNLOAD PDF" button.
Open the file in any PDF-viewing software. Adobe Reader or any alternative for Windows or MacOS are required to access and complete fillable content.
Complete Conditional Waiver And Release Upon Progress Payment Form - Connecticut with your personal data - all interactive fields are highlighted in places where you should type, access drop-down lists or select multiple-choice options.
Some fillable PDF-files have the option of saving the completed form that contains your own data for later use or sending it out straight away.
ADVERTISEMENT
1CONDITIONAL WAIVER AND RELEASE UPON PROGRESS PAYMENT
Upon receipt by the undersigned of a check from _________________________
in the sum of _____________ payable to _______________________________
and when the check has been properly endorsed and has been paid by the bank
upon which it is drawn, this document shall become effective to release any
mechanic's lien, stop notice, or bond right the undersigned has on the job of
_______________________ located at ________________________________.
This release covers a progress payment for labor, services, equipment, or
material furnished through _____________ only, and does not cover any
retentions retained before or after the release date; extras furnished before the
release date for which payment has not been received; extras or items furnished
after the release date. Rights based upon work performed or items furnished
under a written change order which has been fully executed by the parties prior
to the release date are covered by this release unless specifically reserved by
the claimant in this release.
Company Name: _________________________________________________
I certify under penalty of perjury under the laws of the State of Connecticut that
the above is a true and correct statement.
Printed Name: _______________________
Title: _______________________________
Date:_______________________________
Signature: ___________________________
Note: CIVIL CODE SECTION 3262(d)(1) PROVIDES: Where the claimant is required to
execute a waiver and release in exchange for, or in order to induce payment of, a
progress payment and the claimant is not, in fact, paid in exchange for the waiver and
release or a single payee check is given in exchange for the waiver and release, the
waiver and release shall follow substantially the form set forth above.
ADVERTISEMENT
0 votes
Related Articles
Related forms
Related Categories
Parent category: Legal