3-H. FINAL WAIVER AND RELEASE OF LIEN.pdf

PDF 178 KB Posted

Attached to
26B-009 NE 58TH AVE RESURFACE PROJECT, TIP080454 (FROM E HWY 326 TO NE 90TH STREET ROAD)
Solicitation number
26B-009
Issued by
Marion County, Florida

About this file

This is a Final Waiver and Release of Lien form prescribed by the Marion County Board of County Commissioners in Florida for use upon final payment of construction contracts. The document serves as a statutory release form whereby a lienor (contractor, subcontractor, or supplier) acknowledges receipt of final payment and waives all rights to claim a lien against the specified project property. The form is completed upon final payment and requires the lienor to provide their name, address, and authorized signature, with notarization required before a notary public in Florida. The form specifically references the NE 58th Avenue Resurface Project, a roadway reclaim and resurfacing initiative extending 3.09 miles from E Highway 326 to NE 90th Street Road, which includes reclaiming and widening the existing roadway, resurfacing pavement, sodding shoulders, modifying drainage infrastructure, constructing driveways and side road aprons, and installing pavement markings.

The waiver form includes provisions allowing the lienor to condition the release upon clearance of the check submitted as final payment, rendering the release null and void if collected funds are not received. This statutory form is mandated under Florida Statute Section 713.20 (as of 1996), and Marion County prohibits any deviation from this prescribed format. The form applies to all labor, services, and materials furnished to the Marion County Board of County Commissioners for the described project, ensuring full release of lien rights upon final payment receipt and check clearance.

View the file

Other files

Show all 13

On GovTribe

Work with this file

  • Download the original file
  • Contacts named in this file
  • Similar government files
  • Ask GovTribe AI about this file

Text version

FINAL WAIVER AND RELEASE OF LIEN UPON FINAL PAYMENT

The undersigned lienor, in consideration of the final payment in the amount of $______________________, hereby waives and releases its lien and right to claim a lien for labor, services or materials furnished to Marion County Board of County Commissioners (OWNER) to the following described property (insert project name and information below):

Sworn before me this ________ day of __________________________, 20____.

Lienor’s Name: ___________________________________ Address: ___________________________________

By: ___________________________________ Printed Name: ___________________________________

STATE OF FLORIDA

COUNTY OF ______________________

Sworn to and subscribed before me this ________ day of _______________________, 20____ appeared ___________________________ (print name) whom is personally known or produced _____________________________ identification ________________________ (DL # :).

____________________________________________ [SEAL]

Notary Public

My Commission Expires: ____________________

NOTE: The Waiver and Release of Lien may be conditioned upon clearance of the check tendered in payment of the amount stated therein by adding the following or similar language: ‘This release is conditioned upon clearance of the check tendered by _____________________________, in payment of the amount stated herein. If collected funds are not received by lienor upon deposit of the check tendered, this Waiver and Release is null and void’. This is a statutory form prescribed by Section 713.20, Florida Statues (1996). Effective October 1, 1996, a person may not require a lienor to furnish a waiver or release of lien that is different from the statutory form.

END OF FINAL WAIVER

File details come from the government source that posted it. Updated .