Waiver_and_Release_of_Lein.pdf
PDF 127 KB Posted
- Attached to
- Tennis Court Resurfacing and Cabana Installation
- Solicitation number
- 2026-0403
- 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, designed for contractors and vendors furnishing labor, materials, equipment, or services on municipal projects. The document serves as a formal release of any lien rights or claims against the City of Orange Beach upon completion of work. The waiver confirms that the signing party has no outstanding claims related to the project and agrees to indemnify and defend the City against any subsequent claims arising from the contractor's provision of labor, materials, equipment, or services. Execution of this form is required to induce the City to process final payment to the contractor.
The waiver explicitly limits its scope to claims against the City of Orange Beach only and does not release claims the contractor may have against other parties involved in the project. The document requires notarization before a Baldwin County, Alabama notary public to be valid. This standard form protects the City from mechanic's lien claims while allowing contractors to maintain claims against subcontractors, suppliers, or other project participants. The sample includes blank spaces for project identification, execution date, and notary information, establishing it as a template for use across multiple City of Orange Beach projects, including the referenced Tennis Court Resurfacing and Cabana Installation project at the Orange Beach Tennis Center.
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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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