Exhibit_G_-_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 used by the City of Doral, Florida Capital Improvements Division for subcontractors and suppliers. The form serves as a legal document executed by lienors (subcontractors or suppliers) who have received progress payments from prime contractors on City of Doral projects. Upon receipt of payment in a specified amount, the lienor waives, releases, and relinquishes all rights, liens, lien rights, claims, or demands against the prime contractor, the City of Doral, its successors, assigns, and any surety associated with the project through a specified date. The form requires completion of project identification information, including project number, location, and county/state designation.

The document requires execution by an authorized representative of the lienor with signature, printed name, and title, followed by notarization to verify the authenticity of the release. Notarization can be completed either through physical presence or online means, with the notary required to confirm the lienor's identity through personal knowledge or identification. The form is a standard administrative requirement for City of Doral construction projects to document the release of potential liens and protect all parties involved in the project delivery process.

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4._Exhibit_D_Additional_Specifications_(1).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 .