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 from the City of Orange Beach, Alabama, used for contractors and suppliers who have furnished labor, materials, equipment, or services on municipal projects. The document serves as a legal instrument through which vendors release all lien rights and claims against the City of Orange Beach upon execution, certifying that no outstanding or unsatisfied claims exist related to their work on a specified project. The form requires notarization by a notary public in Baldwin County, Alabama, and must be executed prior to the City's issuance of final payment to the contractor or supplier. The waiver is specifically designed to indemnify and hold harmless the City of Orange Beach from any future claims arising from the undersigned's provision of labor, equipment, services, or materials for the referenced project.
The waiver explicitly clarifies that execution of the document does not constitute a release of claims the contractor may have against other parties involved in the project, limiting its scope exclusively to claims against the City of Orange Beach. This sample form is intended for use in connection with the Tennis Court Resurfacing and Cabana Installation project at Orange Beach Tennis Center, where final payment authorization depends on receipt of a completed, notarized waiver from the winning contractor. The document is a standard risk mitigation measure employed by the City to ensure clear title and protection from mechanic's lien claims upon project completion.
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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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