Exhibit_H_-_Final_City_of_Doral_Waiver_and_Release_of_Lien_Form_Contractor.pdf

PDF 155 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 Final Waiver and Release of Lien form used by the City of Doral'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 liens, lien rights, claims, and demands against the City of Doral, its officials, assignees, and surety related to a specified project. The form requires completion of standard identification fields including the lienor's name, title, signature, and the project name and location, along with the specific payment amount received and the effective date through which the lien is released.

The document must be notarized to authenticate the contractor's acknowledgment that the statements contained in the release are true and correct. The notary section accommodates both physical presence and online notarization options and requires the notary's signature, printed name, and commission expiration date. This waiver form is a standard requirement in construction contracting to protect the project owner by ensuring that contractors cannot file subsequent liens after receiving progress payments, thereby clearing title and allowing the project to proceed without encumbrances.

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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 .