Exhibit_G_-_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 used by the City of Doral Capital Improvements Division for sub-contractors and suppliers. The form is designed for use in conjunction with 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 legal instrument through which sub-contractors and suppliers acknowledge receipt of progress payments and waive all lien rights, claims, and demands against the prime contractor, the City of Doral, and the project owner's successors, assigns, and surety for work completed through a specified date. The form requires completion of standard identification fields including the lienor's name, title, project number, and project location, along with the specific progress payment amount received.
The form must be executed with notarization to certify the truthfulness of the lien waiver statements. Signatories must provide their printed name, signature, and title, and the notary must document whether the acknowledgment was completed through physical presence or online notarization, note the lienor's identification method, and indicate whether an oath was administered. This form represents standard construction industry practice for documenting that sub-contractors and suppliers have received payment in full for services rendered up to the release date, thereby releasing all mechanic's lien rights that may have otherwise been available under Florida law.
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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 .