Al Form 7 - Interim Waiver And Release Upon Payment (Page 2 of 2) in pdf

Al Form 7 - Interim Waiver And Release Upon Payment Page 2

Independent waiver based on prior payments:

Independent of its execution of a lien waiver, the undersigned further acknowledges receipt

payment(s)

date

for

the

project

the

amount

of________________________________________________

($__________)

from

subcontractor and/or contractor for labor employed in and/or materials furnished, and,

therefore, waives and releases any and all claims or damages it has against contractor

and/or contractor’s surety, except for those that are expressly reserved and detailed as

follows: ____________________

The undersigned further represents that all employees, laborers, materialmen, and subcontractors employed by

the undersigned in connection with the project have been fully paid and that no obligations, legal, equitable, or

otherwise, are owed by the undersigned in connection with the project. With respect to these representations

and warranties, the undersigned does hereby agree to indemnify and hold harmless contractor, its payment and

performance surety, if any, owner and any others whom a claim may be asserted from any and all claims,

damages, losses, expenses, and the like incurred on the project that are covered by this representation. If

contractor has to defend any claim resulting from lack of payment by undersigned to a supplier, laborer,

materialmen, and/or subcontractor, any or all expenses incurred by contractor including legal fees, court or

arbitration costs, will be the responsibility of the undersigned .

This interim waiver and release does hereby waive, release, and relinquish any and all claims, acts, events,

circumstance, constructive or actual delays, accelerations, extra work, disruptions, interferences and the like

which have occurred, or may be claimed to have occurred, prior to the effective date hereof, expecting only any

claims currently unresolved for which written notice has been provided to contractor as follows:

GIVEN UNDER HAND AND

DAY

SEAL THIS

(CORPORATE SEAL)

(COMPANY NAME)

(COMPANY ADDRESS)

(WITNESS)

(COMPANY TELEPHONE)

(ADDRESS)

(OFFICER SIGNATURE)

(PRINT NAME)

Al Form 7 - Interim Waiver And Release Upon Payment Page 2