Partial Lien Waiver By Contractor Form

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PARTIAL LIEN WAIVER BY CONTRACTOR
This
Partial
Lien
Waiver
is
submitted
and
executed
by
_______________
______________________ (“Contractor”) relating to a relationship and contract with
___________________________ (“Owner”) for the performing and/or furnishing of work, labor,
services, materials and/or equipment in connection with ______________ (“Project”), located at
_________________________ (the “Property”).
For and in consideration of the payment to Contractor of $___________, and other good
and valuable consideration, the receipt and sufficiency of which is hereby acknowledged, Contractor
agrees as follows:
1.
Contractor for itself, its officers, agents, successors and assigns and anyone claiming
through or under it, hereby waives, releases and forever discharges Owner, all present and future
owners of the Project and their respective lenders, parent companies, affiliates, subsidiaries,
successors, assigns, agents, employees and insurers (hereinafter "Releasees") of and from all causes
of action, suits, debts, accounts, bonds, contracts, promises, damages, liens, encumbrances,
judgments, claims and demands whatsoever, in law or equity, whether arising under the laws of the
State of Missouri or any other jurisdiction, known or unknown, accrued or unaccrued, which
Contractor ever had, now has or might hereafter have against Releasees jointly or separately, in any
way connected with, related to or arising out of the performing and/or furnishing of all work, labor,
services, materials and/or equipment for the Project up through _______________, except and
only for: (a) the amount of $___________ consisting of retention attributable to work, labor,
services equipment or materials furnished prior to _______________ and (b) amounts due for work
furnished after ______________.
2.
Contractor hereby certifies and warrants that all work, labor, services, materials,
wages and/or equipment engaged, used and/or contracted for by it in connection with the Project
during the period covered by this Partial Lien Waiver has been paid by full and that Contractor will
defend, indemnify and hold the aforesaid Releasees harmless against all mechanic’s and/or
materialmen’s liens, claims, demands, damages, costs or other liens or encumbrances in any way
connected with, related to or arising out of any claim for compensation by any other party for work,
labor, services, materials and/or equipment incorporated into, performed or furnished in connection
with the Project by Contractor, or any of its subcontractors, material men or suppliers up through
the date covered by this Partial Lien Waiver.
SUPPORTING DOCUMENTS ATTACHED HERETO:
1.
Affidavit of Compliance with the Missouri Prevailing Wage Law.
Contractor’s Releases or Waivers of Liens from subcontractors.
2.
[Signature Page on Following Page]

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