Exhibit_H_-_Final_City_of_Doral_Waiver_and_Release_of_Lien_Form_Contractor.pdf
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- Solicitation number
- 2025-25
- Issued by
- Miami-Dade County, Florida
About this file
This is a Final Waiver and Release of Lien form issued by the City of Doral, Florida's Capital Improvements Division for use by contractors and prime contractors on municipal projects. The form serves as a legal document through which a lienor (contractor or supplier) acknowledges receipt of a progress payment and voluntarily waives, releases, and relinquishes all rights, liens, claims, and demands against the City of Doral, its officials, assignees, and surety arising from a specified project. The form requires completion of project identification information, payment amount received, the date through which the waiver is effective, and the lienor's notarized signature and acknowledgment. This document type is standard in construction contracting and is typically submitted as a condition of receiving progress payments on capital improvement projects.
The form includes sections for the lienor's legal name, authorized representative signature, title, and notarization by a qualified notary public who must verify the identity of the signatory and confirm the truthfulness of the release statement. The notary must document whether the acknowledgment was conducted through physical presence or online notarization and record the date, expiration of the notary's commission, and whether an oath was administered. This instrument protects the City of Doral by creating a clear record that payment disputes have been resolved and that the contractor or supplier has no further claims against the municipality for the work or materials covered under the specified project, thereby facilitating smooth project completion and payment processing.
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Text version
"For all the right reasons! SM
CITY OF DORAL
CAPITAL IMPROVEMENTS DIVISION
FINAL 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 .