California Final Lien Waiver And Release Form
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1STATE OF CALIFORNIA
Final Lien Waiver and Release
Project ______________________ Steed Construction, Inc. Job No.____________
(Pursuant to §8136 and §8138 of the California Civil Code)
CONDITIONAL WAIVER AND RELEASE
UNCONDITIONAL WAIVER AND
ON FINAL PAYMENT
RELEASE ON FINAL PAYMENT
NOTICE:
THIS
DOCUMENT
WAIVES
THE
NOTICE TO CLAIMANT: THIS DOCUMENT
CLAIMANT’S LIEN, STOP PAYMENT NOTICE,
WAIVES
AND
RELEASES
LIEN,
STOP
AND PAYMENT BOND RIGHTS EFFECTIVE ON
PAYMENT NOTICE, AND PAYMENT BOND
RECEIPT OF PAYMENT. A PERSON SHOULD
RIGHTS UNCONDITIONALLY AND STATES
NOT RELY ON THIS DOCUMENT UNLESS
THAT YOU HAVE BEEN PAID FOR GIVING UP
SATISFIED
THAT
THE
CLAIMANT
HAS
THOSE
RIGHTS.
THIS
DOCUMENT
IS
RECEIVED PAYMENT.
ENFORCEABLE AGAINST YOU IF YOU SIGN
IT, EVEN IF YOU HAVE NOT BEEN PAID. IF
Name of Claimant:_________________________
YOU
HAVE
NOT
BEEN
PAID,
USE
A
Name of Customer:__________________________
CONDITIONAL
WAIVER
AND
RELEASE
Job Location:____________________________
.
FORM
Owner:________________________________
Name of Claimant:_________________________
This document waives and releases lien, stop
Name of Customer:__________________________
payment notice, and payment bond rights the
Job Location:____________________________
claimant has for labor and service provided, and
Owner:________________________________
equipment and material delivered, to the customer
on this job. Rights based upon labor or service
This document waives and releases lien, stop
provided, or equipment or material delivered,
payment notice, and payment bond rights the
pursuant to a written change order that has been
claimant has for all labor and service provided,
fully executed by the parties prior to the date that
and equipment and material delivered, to the
this document is signed by the claimant, are waived
customer on this job. Rights based upon labor or
and released by this document, unless listed as an
service provided, or equipment or material
Exception below. This document is effective only on
delivered, pursuant to a written change order that
the claimant’s receipt of payment from the financial
has been fully executed by the parties prior to the
institution on which the following check is drawn:
date that this document is signed by the claimant,
are waived and released by this document, unless
Maker of Check: Steed Construction, Inc.
listed as an Exception below. The claimant has
Amount of Check: $__________________
been paid in full.
Check Payable to:____________________
Exceptions: This document does not affect any of
Exceptions: This document does not affect any of
the following: Disputed claims for extras in the
the following: Disputed claims for extras in the
amount of: $________________
amount of: $_______________
Claimant’s Signature: ________________________
Claimant’s Signature: ________________________
Claimant’s Title: ____________________________
Claimant’s Title: ____________________________
Date of Signature: ___________________________
Date of Signature: ___________________________
S
C
,
I
.
|
1250
E.
I
E
D
|
E
,
ID
83616
|
F:
(208)
378‐7332
|
P:
(208)
378‐7300
TEED
ONSTRUCTION
NC
RON
AGLE
RIVE
AGLE
.S
C
.
WWW
TEED
ONSTRUCTION
COM
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