Al Form - Unconditional Waiver And Release Upon Final Payment
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1
2AL FORM
Subcontractor
UNCONDITIONAL WAIVER AND RELEASE
UPON FINAL PAYMENT
STATE OF ALABAMA
COUNTY OF ______________
The undersigned mechanic and/or materialman has been employed by Benning Construction
Company to furnish _____________________________________________________ for the construction of
(describe materials and/or labor)
improvements known as _______________________________________________________ which is located
(title of the project or building)
in the City of __________________________, County of ____________________________, and is owned by
_________________________________________ and more particularly described as follows:
(Name of Owner)
_____________________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
(DESCRIBE THE PROPERTY UPON WHICH THE IMPROVEMENTS WERE MADE BY USING
EITHER A METES AND BOUNDS DESCRIPTION, THE LAND LOT DISTRICT, BLOCK AND LOT
NUMBER, OR STREET ADDRESS OF THE PROJECT.)
Upon receipt of the sum of $___________________, the undersigned hereby certifies and warrants
that it has provided all work required by the Subcontract as a condition of final payment and the
undersigned waives and releases any and all liens or claims of liens or any right against any labor and/or
material payment bond it has upon the foregoing described property, including any claims for changes to the
Work which were not detailed by Subcontractor in a change order request as of the date of this document
and which were based on improvements actually provided by the undersigned through the date of this
document.
BY EXECUTING THIS DOCUMENT, THE UNDERSIGNED AGREES THAT THIS
DOCUMENT SHIFTS THE PRESUMPTION OF WAIVER OF LIEN RIGHTS TO THE UNDERSIGNED
AND THAT THIS DOCUMENT MAY BE USED TO ESTABLISH THAT THE UNDERSIGNED
KNOWINGLY SURRENEDER AND WAIVED ITS LIEN RIGHTS AS SPECIFIED.
Given under hand and seal this ____ day of _______________________, _______.
*Company Name:_______________________
By: ITS AUTHORIZED REPRESENTATIVE
_____________________________(Seal)
Name:_______________________________
________________________
Title:________________________________
(Witness)
*Benning
may
rely
on
the
statement
of
authorization in taking action based on this
documents.
________________________
(Address)
NOTICE: THIS DOCUMENT WAIVES RIGHTS UNCONDITIONALLY AND STATES THAT YOU
HAVE BEEN PAID FOR GIVING UP THOSE RIGHTS.
THIS DOCUMENT IS ENFORCEABLE
AGAINST YOU IF YOU SIGN IT, EVEN IF YOU HAVE NOT BEEN PAID. IF YOU HAVE NOT YET
BEEN PAID, USE A CONDITIONAL RELEASE FORM.
1034383.1
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