Exhibit_J_-_Final_City_of_Doral_Waiver_and_Release_of_Lien_Form_(Subs-Suppliers).pdf

PDF 207 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 Final Waiver and Release of Lien form issued by the City of Doral Capital Improvements Division for use by sub-contractors and suppliers on capital improvement projects. The form serves as a lien release document whereby sub-contractors and suppliers acknowledge receipt of progress payments and waive all lien rights, claims, and demands against the prime contractor and the City of Doral through a specified date. The document requires completion of project identification information, payment amount received, contractor name, and lienor details. The form must be notarized and includes certification that the statements contained therein are true and correct to the best of the lienor's knowledge and belief. The notarization can be completed through physical presence or online notarization, with the notary required to verify the identity of the signatory and document whether an oath was administered.

This document is a template designed to protect the City of Doral's interests by establishing a clear record that sub-contractors and suppliers have been compensated for their work and materials, thereby eliminating potential lien claims that could encumber the project or city property. The form requires specific dates, payment amounts, and project information to be inserted, making it a flexible instrument applicable to various capital improvement projects undertaken by the City of Doral. No specific project details, contract values, or unique terms are included in this template 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 .