Exhibit_D_-_City_of_Doral_Partial_Waiver_and_Release_of_Lien_Form_(Subs-Suppliers).pdf

PDF 207 KB Posted

Attached to
Doral Government Center Third Floor Renovation - New City Council Members Area
Solicitation number
2025-25
Issued by
Miami-Dade County, Florida

About this file

This is a Partial Waiver and Release of Lien form utilized by the City of Doral Capital Improvements Division for subcontractors and suppliers. The form applies to the City of Doral Government Center Third Floor Renovation project, which involves the creation of a new City Council Members Area at 8401 NW 53rd Terrace, Doral, Florida. The document serves as a mechanism for subcontractors and suppliers to acknowledge receipt of progress payments and waive all lien rights, claims, and demands against the prime contractor and the City of Doral upon payment. The form requires completion with specific project information, including project number, location, county, and state, along with the progress payment amount received. The lienor must execute the document with a signature, printed name, and title, and the execution must be notarized with acknowledgment of the truthfulness of the statements contained therein.

The waiver and release form does not contain explicit pricing terms or set-aside information; rather, it functions as a conditional release document contingent upon receipt of specified progress payments from the prime contractor. This document is typically executed as part of the standard project administration and payment procedures for public construction projects in Florida. The form includes provisions for both physical and online notarization options and requires the notary to confirm the identity of the signatory before the waiver becomes effective. No specific contract term or renewal options are detailed in this form, as it represents a single transaction within the broader project delivery process.

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Exhibit_I_-_Change_Order_Form.pdf PDF
Exhibit_H_-_Final_City_of_Doral_Waiver_and_Release_of_Lien_Form_Contractor.pdf PDF
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Exhibit_L_Change_Order_Form.pdf PDF
Exhibit_K-_Final_City_of_Doral_Waiver_and_Release_of_Lien_Form_Contractor.pdf PDF
Exhibit_J-_Final_City_of_Doral_Waiver_and_Release_of_Lien_Form_(Subs-Suppliers).pdf PDF
Exhibit_I-_City_of_Doral_Payment_Bond_Progress.pdf PDF
Exhibit_H_-_City_of_Doral_Partial_Waiver_and_Release_of_Lien_Form_Contractor.pdf PDF
Exhibit_G_-_City_of_Doral_Partial_Waiver_and_Release_of_Lien_Form_(Subs-Suppliers).pdf PDF
Exhibit_F_-_City_of_Doral_-_Consent_of_Surety_Form.pdf PDF
4._Exhibit_D_Additional_Specifications_(1).docx DOCX document
2._Exhibit_B_-_Contract.docx DOCX document
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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 .