Unconditional Waiver And Release On Final Payment Form printable pdf download

Unconditional Waiver And Release On Final Payment Form

UNCONDITIONAL WAIVER AND RELEASE ON FINAL PAYMENT (CA CIVIL CODE 8138)

NOTICE TO CLAIMANT: THIS DOCUMENT WAIVES AND RELEASES LIEN, STOP PAYMENT NOTICE, AND PAYMENT

BOND 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 IT YOU HAVE NOT BEEN PAID. IF YOU HAVE

NOT BEEN PAID, USE A CONDITIONAL WAIVER AND RELEASE FORM.

Identifying Information:

Name of Claimant:

Order #

Name of Customer:

Job Location:

Owner:

Unconditional Waiver and Release

This document waives and releases lien, stop payment notice, and payment bond rights the claimant has for labor and service

provided, and equipment and material delivered, to the customer on this job. Rights based upon labor or service provided, or

equipment or material delivered, pursuant to a written change order that has been fully executed by the parties prior to the

date that this document is signed by the claimant, are waived and released by this document, unless listed as an Exception

below. The claimant has been paid in full:

Exceptions:

This document does not affect any of the following:

Disputed claims for extras in the amount of: $______-0-_________________________________________

SIGNATURE

CLAIMANT’S SIGNATURE: ____________________________________________

CLAIMANT’S TITLE: ________________________________________________

DATE OF SIGNATURE: ______________________________________________

Unconditional Waiver And Release On Final Payment Form