Exhibit_J-_Final_City_of_Doral_Waiver_and_Release_of_Lien_Form_(Subs-Suppliers).pdf

PDF 207 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 issued by the City of Doral, Florida's Capital Improvements Division for use by sub-contractors and suppliers on public construction projects. The form serves as a legal document through which a lienor acknowledges receipt of a progress payment and waives all rights to file or enforce any lien against the prime contractor, the City of Doral as project owner, successors, assigns, and any project surety. The form requires completion of project-specific information including project number, location, and county/state designation, along with the progress payment amount received. The document must be executed with the lienor's signature, printed name, and title, and subsequently notarized before a notary public who must certify the acknowledgment through either physical presence or online notarization.

The form includes standard notarization provisions requiring the notary public to verify the lienor's identity through personal knowledge or identification, confirm oath administration if applicable, and document the notary's signature, printed name, and commission expiration date. No specific pricing, contract terms, quantities, or project deadlines are detailed within this form itself, as it functions as a supporting exhibit to be used upon receipt of progress payments throughout the duration of a construction contract. The waiver is valid through the specified date field and applies to all claims, demands, or liens arising from the identified project.

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Exhibit_K-_Final_City_of_Doral_Waiver_and_Release_of_Lien_Form_Contractor.pdf PDF
Exhibit_J-_Final_City_of_Doral_Waiver_and_Release_of_Lien_Form_(Subs-Suppliers).pdf PDF
Exhibit_I-_City_of_Doral_Payment_Bond_Progress.pdf PDF
Exhibit_H_-_City_of_Doral_Partial_Waiver_and_Release_of_Lien_Form_Contractor.pdf PDF
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

FINAL WAIVER AND RELEASE OF LIEN

(Sub-Contractor/Supplier)

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

Project No.:

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 .