Unconditional Waiver And Release Upon Final Payment Form - California

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UNCONDITIONAL WAIVER AND RELEASE
UPON FINAL PAYMENT
CALIFORNIA CIVIL CODE SECTION 3286(d)(4)
The undersigned has been paid in full for all labor, services, equipment or material furnished to
_________________________________________ on the job of _____________________________________
(Your Customer)
(Owner)
located at _____________________________________and does hereby waive and release any right to a
(Job Description)
mechanics’ lien, stop notice, or any right against a labor and material bond on the job, except for disputed
claims for extra work in the amount of $_______________________.
__________________________________
(Company name)
By: _________________________________
(Signature)
Date: ___________________
__________________________________
(Title)
NOTICE TO PERSONS SIGNING THIS WAIVER:
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 BEEN PAID, USE A
CONDITIONAL RELEASE FORM.
NOTE: CIVIL CODE 3262(d)(4) PROVIDES: Where the claimant is required to execute a waiver and
release in exchange for, or in order to induce payment of, a final payment and the claimant asserts in the waiver
it has, in fact been paid the final payment, the waiver and release shall follows substantially the form set forth
above.

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