Exhibit_D_-_City_of_Doral_Partial_Waiver_and_Release_of_Lien_Form_(Subs-Suppliers).pdf
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- Solicitation number
- 2025-25
- Issued by
- Miami-Dade County, Florida
About this file
This is a Partial Waiver and Release of Lien form document issued by the City of Doral, Florida's Capital Improvements Division for use by sub-contractors and suppliers. The form serves as a lien waiver mechanism for sub-contractors and suppliers to release all lien rights and claims against a prime contractor and the City of Doral upon receipt of progress payments. The document requires specification of the progress payment amount received, identification of the prime contractor, the project number and location, and a specific date through which the lien rights are waived. The form must be notarized and includes standard acknowledgment language confirming the truthfulness of the statements contained therein.
The form is designed to facilitate the construction payment process by allowing sub-contractors and suppliers to document their acceptance of progress payments and concurrent release of mechanic's lien rights. Execution of the form requires the lienor's signature, printed name, title, and a notary acknowledgment. The document references a related project—the Doral Government Center Third Floor Renovation for creation of a new City Council Members Area located at 8401 NW 53rd Terrace, Doral, Florida 33166—which is soliciting bids from qualified general contractors. This partial waiver and release form would be utilized during the project execution phase to manage sub-contractor and supplier payments and lien releases as work progresses.
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Text version
"For all the right reasons! SM
CITY OF DORAL
CAPITAL IMPROVEMENTS DIVISION
PARTIAL WAIVER AND RELEASE OF LIEN
(Sub-Contractor/Supplier)
LET THE FOLLOWING BE KNOWN:
That the undersigned lienor in consideration of the progress payment in the amount of
, has been paid in full all amounts due and owed to it by (Prime Contractor) and does hereby waive, release and relinquish any and all rights, liens, lien rights, claims or demands of any kind whatsoever, through , (date) against (Prime Contractor) and City of Doral the owner, its successors and/or assigns and its surety if one exists, arising out of or in connection with the following project:
Project No.:
Location:
County/State:
IN WITNESS WHERE OF, I have hereunto set my hand seal this day of ; 20
Lienor's Name:
By: (sign):
Print Name:
Title:
STATE OF:
COUNTY OF:
I hereby acknowledge that the statements contained in the foregoing Release of Lien are true and correct to the best of my knowledge and belief.
The foregoing instrument was acknowledged before me, by means of ☐ physical presence or ☐ online notarization, this day of , (year), by on behalf of (lienor) [ ] who is personally known to me or [ ] who produced as identification and who [ ] did [ ] did not take an oath.
Notary Signature:
Notary Name:
My commission expires:
File details come from the government source that posted it. Updated .