SUBCONTRACTOR
WAIVER OF MECHANICS’ LIEN
Progress
Payment No.___
TO
ALL WHOM IT MAY CONCERN:
The undersigned, in consideration of the sum of and ___/100 Dollars ($____________), does hereby waive,
release, and relinquish any and all liens and claims for liens for labor or
work performed and/or material or equipment furnished through the ____ day of __________, 2005 to the
construction project commonly known as____________________________________________________________,
located at _______________________________________ of which ______________________________is the owner. This waiver is
given to induce payment of the consideration herein for the above items and
becomes effective only at the time such total payment is received by the
undersigned for those items
The
undersigned, in
further consideration of the above-referenced sum, hereby agrees to apply the funds herein referenced only to pay in full
all obligations of the undersigned for materials and equipment supplied to or
work, labor, and services performed for the undersigned on the above-described
premises and hereby indemnifies and agrees to hold CHARLES CONSTRUCTION
SERVICES INC. and OWNER harmless for all claims, losses, damages, and expenses,
including, without limitation, attorneys' fees on account of the failure or
alleged failure of the undersigned to satisfy in full any such obligation.
THE
INDIVIDUAL SIGNING THIS LIEN WAIVER ON BEHALF OF THE UNDERSIGNED WARRANTS THAT
HE/SHE HAS FULL AUTHORITY TO EXECUTE THIS LIEN WAIVER.
Dated
this day of ,
2005.
________________________________
Company
Signature
Name and Title
COUNTY
OF ) ss:
Sworn to before me and subscribed in
my presence as being the free and voluntary act and deed of for the use and purposes therein mentioned on
the day of ,
2005.
Notary
Public