Exhibit_K-_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, Florida's Capital Improvements Division for contractor payment processing. The document serves as a lien release mechanism whereby a contractor acknowledges receipt of a progress payment and waives all associated lien rights, claims, and demands against the City of Doral, its officials, assignees, and surety for work completed on a specified project. The form requires the contractor to identify the project name, location, and county/state information, with execution by an authorized representative of the lienor entity. The waiver remains effective through a specified date and requires notarization to validate the contractor's acknowledgment that all statements contained in the release are true and accurate.

The form functions as a standard contractual document within the City of Doral's capital improvements contracting process, requiring physical presence or online notarization by a commissioned notary public. Completion is mandatory for contractors seeking progress payments on city projects and establishes legal protection for the municipality by extinguishing all lien claims arising from the contract work. The document includes standard notarization elements, including notary signature, printed name, commission expiration date, and identification verification procedures. This waiver and release form is typically executed as a condition precedent to payment authorization within the city's construction contracting framework.

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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 .