Waiver_and_Release_of_Lein.pdf
PDF 127 KB Posted
- Attached to
- 2026 Roadway Resurfacing Project
- Solicitation number
- 2026-1001
- Issued by
- Baldwin County, Alabama
About this file
This is a Waiver and Release of Lien (sample form) for the City of Orange Beach, Alabama, applicable to the 2026 Roadway Resurfacing Project. The form is executed by contractors, vendors, or suppliers who have furnished labor, materials, equipment, or services for the referenced project. By executing this document, the signatory waives and releases any and all liens and claims against the City of Orange Beach related to work performed on the project. The form requires notarization in Baldwin County, Alabama, and must be dated and executed by the responsible party.
The waiver certifies that no outstanding or unsatisfied claims exist relative to the furnishing of labor, equipment, services, and materials for the project. The signatory agrees to indemnify, defend at its own expense, and hold the City of Orange Beach harmless from any claims or liens arising from the signatory's work on the project. Importantly, execution of this document is conditioned upon the City of Orange Beach making final payment and does not constitute a release of claims against parties other than the municipality. This sample form is a standard requirement for final payment processing on municipal construction projects in Alabama and ensures lien protection for the project owner.
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Text version
WAIVER AND RELEASE OF LIEN (SAMPLE)
FROM:
TO: City of Orange Beach, Alabama (Owner)
PROJECT: PROJECT NAME
KNOW ALL MEN BY THESE PRESENTS:
1. The undersigned, having been employed by the City of Orange Beach to furnish labor and/or materials for the referenced project, does hereby waive and release any and all lien and claim or right to lien and claim against the City of Orange Beach on the referenced project on account of labor, services, equipment, materials, etc. furnished for the referenced project.
2. The undersigned further certifies that to the best of his knowledge and belief, there are no unsatisfied or outstanding claims of any character arising out of the furnishing of labor, equipment, services, and/or materials for the referenced project.
3. The undersigned further agree that, after execution of this document, it will indemnify, defend at its expense, and save the City of Orange Beach harmless from any and all claims or liens arising out of the undersigned's furnishing of labor, equipment, services, and/or materials for the referenced project.
4. The undersigned has executed this document in order to induce the City of Orange Beach to make final payment to and in no way acts as a release of any claim the undersigned may have against parties other than the City of Orange Beach arising out of the furnishing of labor and/or materials for the referenced project.
IN WITNESS WHEREOF, the undersigned has signed and sealed this instrument this ______ day of _____________, 20___.
STATE OF ALABAMA
COUNTY OF BALDWIN
Personally appeared before me the undersigned Notary Public in and for said County and State, _____________________, who is known to me and who, after being duly sworn, deposes and says that the facts stated in the above affidavit are true.
NOTARY PUBLIC
Rebecca Kanter Cross-Out
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