HomeMy WebLinkAbout96-00298
ul' .Ld"~b
1610.11
lIiJ.o.l21
(,
CONTRACTOR'S
AFFIDAVIT OF
RElEASE OF LIENS
AI.~ DOCl.IMENT C706A
qt, - o/9f! ty) L.b
OIV:o..E~
"'RCHITt'T
CONTR,~CTOR
SURETY
OTHE~
&
TO 101~l1er)
ftN>~ ~f..MIII:>'6<:lI.J:>/I.\\~t. ~<:'''''''l. ~\~"fn.'J\
~1I.')"'f ~f.."":'o...a.o $f....,~ 11.1\1~~<::'".",.1..
'1:l.5 'S\\"1>'1 1.........
t.:-.....,t to. '10;).5
PROJECT: t"c.."'f ~E:",...S'''u.oSILI\.~.
(name, addresl) I\u t> '"1"0 11., I)"" SH.ljt: lll" ~ III ~
SI.le 01,
Counly or;
The und."isned, Ilu,Sulnl to ....!lc'. 9 01 Ihe Cef,er.' CDod"Dnl '" !h. CDnl"CI lOr CDrllruCllon, ,~I'" DDcumenl
A201. ner.by certijies IhJI 10 rhe bell 01 hil krc\\'lr.dg~, ,nicrm'I,on "d b.);." except II Iii led below. Ihe R.'.'ICI
'" W'ilers 01 lien .tl.ched nerelo include lh. (on\'''IO', ~IJ SubcontraCIDrl, all luppllerl 01 maltri,ls ,nd equip.
menl, and .11 perlDlme,s 01 Work, I.bor or le,\,/cel who ha, e Dr mar have "enl 'C.inll any p,operll' 01 the Own.,
~rillns in Iny m.nner OUI 01 Ih. pcrform.nce of Ihe Conlr~CI refertnceo .bo..
EXCEPTIONS: III none, wr,le ..NOn.... II 'eQuired b\ Ihe 0" 0", Ine CO"I'lClor Ih,'1 'u,nish bOnd ""llacto,y 10 lhe
O....ne' 10' each eoe'pIIOn)
ARCHITECT'S PROJECT NO: q ',S1:!).)...1- .3
CONTRACT FOR, Eo. YE. II,,:! /1...", \\; S .
"\)b'''l:l~'\) "" ~-r J. G r:. ~,~" llll ~
CONTRACT DATE: 'ohl~.5
,",0 tW.
SUPPORTINC DOCUMENTS ATTACHED HERETO:
1, ConlraClOr', Release or W3iver of liens. COndi.
lional upon '~eeipt of fin.1 p,ymenl
2. SepJrUe Relus~. Or \'Vil\et' of lIens "om 5~b.
conlr~ctor, ~nd m.lIr,i.a1 ,lnd rquipmtnr Sl.lj)'
pli.", to 'he IXlenl requi,ed by Ihe Own.r, OC.
cD",p~ni~d by . /ill 'hc'eol.
CO"'TR.~CTO~~/l1r 5~P0-
,\d;".,. Z f' ~O~I/Y /lc-'( alm's.lf""gJ j1f r; 2.f-O /
6~~/ "
4't. '..{j~7'-~sll_4..r
BY,
Subscribi!d Jnd ~\\Oll' 10 1)t:l'lorf!' me lh~...
/9 d,\,of ywl,Ua"-'-! ,~9v.
Nora'\, Publ,c C'/ICU.Akt.L. (~A~',~iT;:!l
N."",,! . """:"y,,.r
1\1\' COn'lmiHiun E\'~lr('.~: \01.',..;,..
'. I)
, J2
4JAOOCU"'E.~TCiOGA.CO""U:,'ClO~~"'J"L"l"\"r:rl:r.!4"r'.,... ., ......':-......... '\.
.:,.j:~.hlt .,..I{~.C"...I'~'l1.....'.(,.:,f '''(fi-::':_ "'~'{,.. '~,., . " .,(
:, ',( ~ '(:
ebRTlAL/F'INAL WAIVER Or LIENS ANti CLAIMS
To Whom It May Concern I
Whl?re-Bs, the ''',df'orslgnE'd eor, ber"ilJ e,J D\\'\\ <S'V~~l-Y lthE'
'Company'), hall' h"NI E,mplrye-" t,y W!Nl4j~~Q~~..:r.'5f..~"..~lll~"fl\\~'T' lthe
'Contractor'), te, Jurr,let, lat,c" aflcl/e,,. mate-rial Ie,r tt,e imprOVE'mE'nt
c'( the. pre-misE's dE'scr It'E'd as t:..r"N~\~_lI"\l.Q _51\ ,1\.::'. ~ub,,,,,~u...of which
E ~ Itp ,"~~S<:"". ~, ~\("1" , Hi ti,E' OwnE'r, [,t an agrE'p.d upc'n
price 01 $\ He "Des lurthE'r cl?rtlly that the Company h~s
re-cE'ive-d.. -C) - on account 01 sa ld agrE'E'd price and the sum 01
9'\S ~<1I.St=l remaIns owing to tt,E' Company t,y the Contractor.
...
He does furthE'r CE'rtl:!y that the Ceor,tracte,r has made suitable
arrangements for payment to the Company of all sums remaining due
th~ Cc,mpany fe-I' (aId dellvl?r>' ::of rnaterlall!i arId per!or'"ance o:f
servicE'S in conne-cllon with thE' aJeresald proJect; that the Company
doE'S hE'reby WalVE' any or all r:;"tl1 WhlCh the Company may now or In
Lhl? future have to flle a llen or llens pursuant to the LIen Law of
thl? State e,f NE'w Ye,rk aga:r,st tI,e- .:.!e,rl?sald pre'.;l?ct, its Owner, or
the Ce'ntracte,r. ThE' Ce,m,"H.y ,..;I":ll':,r,al1>' walVe-s any e,r all its
rlgtlLL3 to mak", Clal'" "~Ialr."t '.t,,,. C:'"lr"C',c.,r'" L"b<"'T and Material
"B)' rne-r, l be,nd. Th.:. Ce''"I,an)' (urtL,'r ':e., tll1"'~ tt,at all amounts havE'
be-on paid by the Company ior work or rnatE'rlal lor whIch previous
payments were lssued and any 01 the sums remaining owing will be
paId In full upon receipt of the me-nlE'S owed by the Contractor to
the Company.
"
~\'\\\ ~l.1n\.~
.~~;q~
Titlt!'n"'6,ci~N .I
tla tE': !I/ Jfre:.
County Oil
State Ofl
\;..,) {I, ~~.... ~
"\~\0 "'t:),,~
tt,lS _R_ day 0:f~1.L1C1"" ,
r
~~ F kd<:O<...
Notat"y Public
Cn.'.r' -........ -,,..');-'
i\.,. . ",',.,.
..1'
,.~,l) 97
~'-
199<:.
Subscribed and sworn to be/or~
111('
(;Gmnu,.,',a
Er; \.0 r;
--l, 0 Z
,- 9 ::l:<r;
UIQ O~....
()c=: .- (~::~
It~~ -.;,,;; '.-
Cl::.J
..........
~U N ':'(rJ
- fJ; N ~)~,:
Wu. ..- "7
rf~'! -- ';jW
~< C'lU-
f" ~-
.- -, :3
P. '.0
0 u-. U