Fillable Conditional Waiver And Release On Progress Payment Form printable pdf download

Conditional Waiver And Release On Progress Payment Form

Download a blank fillable Conditional Waiver And Release On Progress Payment Form 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 On Progress Payment Form 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.

CONDITIONAL WAIVER AND RELEASE ON PROGRESS PAYMENT

(CALIFORNIA CIVIL CODE SECTION 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: ______________________________________________________________

Conditional Waiver And Release On Progress Payment Form

Related Articles

Related forms

Related Categories