Unconditional Waiver And Release Upon Final Payment Template printable pdf download

SC FORM

Subcontractor

UNCONDITIONAL WAIVER AND RELEASE

UPON FINAL PAYMENT

STATE OF SOUTH CAROLINA

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.)

In consideration of having received the sum of $___________________ and having been paid all other

amounts due and owing under the Subcontract, 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.

Given under hand and seal this ____ day of _______________________, _______.

*Company Name:_______________________

By: ITS AUTHORIZED REPRESENTATIVE

_____________________________(Seal)

Name:_______________________________

Sworn to and subscribed before me

Title:________________________________

this the _____ day of _________, 2017.

*Benning may rely on the statement of

authorization in taking action based on this

document.(Witness)

________________________________

Notary Public

My Commission Expires: ___________

Unconditional Waiver And Release Upon Final Payment Template