Exhibit_H_-_City_of_Doral_Partial_Waiver_and_Release_of_Lien_Form_Contractor.pdf

PDF 156 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's Capital Improvements Division for contractor payment processing. The form serves as a legal document through which a contractor (lienor) acknowledges receipt of a progress payment and waives all lien rights, claims, and demands against the City of Doral, its officials, assignees, and surety related to a specific capital improvement project. The form requires completion of project identification information including project name, location, and county/state designation, along with the progress payment amount received. The document must be executed by an authorized representative of the contracting entity and notarized, with the notary required to verify the signatory's identity and record whether an oath was administered. The form includes specific date fields and signature blocks for both the lienor and notary public, with the notary's commission expiration date required for authentication.

This document is a standard contractual instrument designed to facilitate progress payments under capital improvement contracts by providing the municipality with documented evidence that contractors have received payment and relinquish mechanics' lien rights for the payment period covered. The form's requirement for notarization ensures the authenticity of the contractor's acknowledgment and compliance with Florida statutory requirements for lien waivers. By utilizing this form, the City of Doral protects itself from subsequent lien claims while providing contractors with a streamlined method to document payment receipt and release their lien rights incrementally throughout the project duration, which is standard practice in construction contracting.

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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
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Text version

"For all the right reasons! SM

CITY OF DORAL

CAPITAL IMPROVEMENTS DIVISION

PARTIAL WAIVER AND RELEASE OF LIEN

(Contractor/Prime)

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 The City of Doral and does hereby waive, release and relinquish any and all rights, liens, lien rights, claims or demands of any kind whatsoever, through ,(date) against City of Doral the owner, its officials and/or assignees and its surety if one exists, arising out of or in connection with the following project:

Project Name:

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 .