Exhibit_H_-_City_of_Doral_Partial_Waiver_and_Release_of_Lien_Form_Contractor.pdf

PDF 156 KB Posted

Attached to
Government Center 3rd Floor Renovation – Recondition of the Existing City Manager’s and Finance Department Office Areas
Solicitation number
2026-16
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 and prime lienor acknowledgments. The document serves as a formal release by a lienor confirming receipt of a progress payment and waiving all rights, liens, claims, and demands against the City of Doral, its officials, assignees, and sureties related to a specified 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 with the lienor's signature and notarized through either physical presence or online notarization to authenticate the release statement.

The form includes standard notarization requirements with specification of the notary's identification method and oath administration. No pricing terms, contract amounts, set-asides, funding sources, or renewal options are specified within this form, as it functions as a supporting document for payment processing and lien release procedures within the broader City of Doral capital improvements contracting process. The waiver applies through a specified date determined at the time of execution and operates as a conditional release dependent upon receipt of the stated progress payment amount.

View the file

Other files

On GovTribe

Work with this file

  • Download the original file
  • Contacts named in this file
  • Similar government files
  • Ask GovTribe AI about this file

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 .