Exhibit_H_-_City_of_Doral_Partial_Waiver_and_Release_of_Lien_Form_Contractor.pdf
PDF 156 KB Posted
- 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's Capital Improvements Division for contractor payments on capital projects. 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 any associated surety for work completed on a specified project. The document requires completion of project identification information including project name, location, and county/state designation, along with the specific progress payment amount received. The form must be executed by an authorized representative of the contractor with a notarized signature and acknowledgment, with the notary confirming the statements' accuracy and documenting whether physical presence or online notarization was used for execution.
The waiver applies to all work completed through a specified date and represents a standard contractual instrument used in the progress payment process for construction projects undertaken by the City of Doral. The form requires proper notarization to ensure legal enforceability and typically must be submitted before the contractor receives each progress payment, serving as evidence that the contractor has no outstanding claims for the work period covered by the payment. This document protects the City and downstream parties by extinguishing mechanics' lien rights that contractors might otherwise possess, thereby ensuring clear title and unencumbered property interests related to the renovation project.
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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 .