Conditional waiver and release on progress payment
Project: ______________________
Job No.: ______________________
On receipt by the undersigned of a check from _________________
(maker of check)
in the sum of $______________ payable to _______________________
(amount of check) (payee or payees of check)
and when the check has been properly endorsed and has been paid by the bank on which it is drawn, this document becomes effective to release any mechanic's lien, any state or federal statutory bond right, any private bond right, any claim for payment and any rights under any similar ordinance, rule or statute related to claim or payment rights for persons in the undersigned's position that the undersigned has on the job of ______________________________________________________________
(owner)
located at __________________________________ to the following
(job description)
extent. This release covers a progress payment for all labor, services, equipment or materials furnished to the jobsite or to ______________________________________________________________,
(person with whom undersigned contracted)
through _______________ only and does not cover any retention,
(date)
pending modifications and changes or items furnished after that date. Before any recipient of this document relies on it, that person should verify evidence of payment to the undersigned.
The undersigned warrants that he either has already paid or will use the monies he receives from this progress payment to promptly pay in full all of his laborers, subcontractors, materialmen and suppliers for all work, materials, equipment or services provided for or to the above referenced project up to the date of this waiver.
Date: ____________________ _________________________________
(Company name)
By: ____________________________
(Signature)
_________________________________
(Title)
Unconditional waiver and release on progress payment
Project: _________________
Job No.: _________________
The undersigned has been paid and has received a progress payment in the sum of $_____________ for all labor, services, equipment or material furnished to the jobsite or to ______________________________________________________________
(person with whom undersigned contracted)
on the job of ________________________________________________
(owner)
located at ___________________________________________________
(job description)
and does hereby release any mechanic's lien, any state or federal statutory bond right, any private bond right, any claim for payment and any rights under any similar ordinance, rule or statute related to claim or payment rights for persons in the undersigned's position that the undersigned has on the above referenced project to the following extent. This release covers a progress payment for all labor, services, equipment or materials furnished to the jobsite or to _______________________________________________________________
(person with whom undersigned contracted)
through ________________ only and does not cover any retention,
(date)
pending modifications and changes or items furnished after that date.
The undersigned warrants that he either has already paid or will use the monies he receives from this progress payment to promptly pay in full all of his laborers, subcontractors, materialmen and suppliers for all work, materials, equipment or services provided for or to the above referenced project up to the date of this waiver.
Dated: ____________________ ________________________________
(Company name)
By: ____________________________
(Signature)
________________________________
(Title)
(Each unconditional waiver shall contain the following language, in type at least as large as the largest type otherwise on the document:)
Notice: This document waives rights unconditionally and states that you have been paid for giving up those rights. This document is enforceable against you if you sign it, even if you have not been paid. If you have not been paid, use a conditional release form.
Conditional waiver and release on final payment
Project: _______________
Job No.: _______________
On receipt by the undersigned of a check from ________________
(maker of check)
in the sum of $_________________ payable to ____________________
(amount of check) (payee or payees of check)
and when the check has been properly endorsed and has been paid by the bank on which it is drawn, this document becomes effective to release any mechanic's lien, any state or federal statutory bond right, any private bond right, any claim for payment and any rights under any similar ordinance, rule or statute related to claim or payment rights for persons in the undersigned's position, the undersigned has on the job of ___________________ located at ______________________________.
(owner) (job description)
This release covers the final payment to the undersigned for all labor, services, equipment or materials furnished to the jobsite or to _________________________________________________________,
(person with whom undersigned contracted)
except for disputed claims in the amount of $__________. Before any recipient of this document relies on it, the person should verify evidence of payment to the undersigned.
The undersigned warrants that he either has already paid or will use the monies he receives from this final payment to promptly pay in full all his laborers, subcontractors, materialmen and suppliers for all work, materials, equipment or services provided for or to the above referenced project up to the date of this waiver.
Dated: ____________________ _________________________________
(Company name)
By: _____________________________
(Signature)
_________________________________
(Title)
Unconditional waiver and release on final payment
Project: _______________
Job No.: _______________
The undersigned has been paid in full for all labor, services, equipment or material furnished to the jobsite or to _______________________________________________________________,
(person with whom undersigned contracted)
on the job of _____________ located at _______________________
(owner) (job description)
and does hereby waive and release any right to mechanic's lien, any state or federal statutory bond right, any private bond right, any claim for payment and any rights under any similar ordinance, rule or statute related to claim or payment rights for persons in the undersigned's position, except for disputed claims for extra work in the amount of $ ___________.
The undersigned warrants that he either has already paid or will use the monies he receives from this final payment to promptly pay in full all of his laborers, subcontractors, materialmen and suppliers for all work, materials, equipment or services provided for or to the above referenced project.
Dated: ____________________ _________________________________
(Company name)
By: ____________________________
(Signature)
_________________________________
(Title)
(Each unconditional waiver shall contain the following language in type at least as large as the largest type otherwise on the document:)
Notice:
This document waives rights unconditionally and states that you have been paid for giving up those rights. This document is enforceable against you if you sign it, even if you have not been paid. If you have not been paid, use a conditional release form.
A.R.S. § 33-1008