Unconditional Waiver and Release on Progress Payment

Unconditional Waiver and Release on Progress Payment
Notice to Claimant: This document unconditionally waives and releases lien, stop payment notice, and payment bond rights and states that you have been compensated for giving up these rights. If you sign this document, it will be enforceable against you, even if you have not been paid. Use a conditional waiver and release form if you have not been paid.
Identifying Information
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Name of Claimant Name of Customer Job Location Owner Through Date
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Unconditional Waiver and Release
This agreement waives and releases the claimant's lien, stop payment notice, and payment bond rights for labor and service given, as well as equipment and material delivered, to the customer on this job through the document's Through Date. This agreement waives and releases rights based on labor or service given, or equipment or material delivered, according to a written change order that has been fully executed by the parties prior to the date this document is signed by the claimant, unless an exception is specified below.
The following progress payment was made to the claimant:
Exceptions
None of the following are affected by this document:
1) Holdings.
2) Additional expenses for which the claimant has not been reimbursed.
3) Contract rights, such as (A) the right to rescission, abandonment, or breach of contract, and (B) the right to recompense for services not covered by the payment.
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Claimant's Title:*
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Date of Signature*
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Unconditional Waiver and Release on Progress Payment

Identifying Information

Unconditional Waiver and Release

Exceptions

Signature