ࡱ>   4=bjbjVV <<y::}4(T---EA- <979797977("((9797_(L9797(:,T97-tl u0RTTX E"gEEE$EEE((((EEEEEEEEE: C:  Campus Planning and Facilities Management Office of Business & Finance Lien Waiver Instructions Prime Contractor is expected to: Fill out the ǿմý (ǿմý) Prime Contractor Lien Waiver form for your own company. (Electronic Forms are available by emailing const-admin@case.edu). The lien waiver must be signed by an officer of the company. If signed by someone other than the President, documentation must be provided that the signer is authorized to sign. Give the ǿմý lien waiver documents in pdf form to all subcontractors and explain the ǿմý lien waiver procedures to them. (Electronic Forms are available by emailing const-admin@case.edu). This includes tier subs, as well as primary subcontractors. Collect conditional and unconditional lien waivers from all subcontractors on the job. Even if they performed no work during the applicable period, if they have previously submitted a lien waiver or filed a Notice of Furnishing, they must submit a lien waiver for a zero balance during the pay application period. Subcontractors should provide a conditional lien waiver for the current pay application period, and an unconditional lien waiver upon receipt of payment for the previous pay application period. All lien waivers must have the same dated through date, which would be the last day of the month or billing period. Fill out the Lien Waiver Summary spreadsheet with appropriate general contractor and subcontractor details and submit an updated version with every pay application. Follow this procedure for every pay application. Collect from subcontractors a final conditional lien waiver with the final pay application. Following the job close, collect from all subcontractors a final unconditional lien waiver to close-out the project. Subcontractors are expected to: Complete the ǿմý lien waiver documents. The lien waiver must be signed by an officer of the company. If signed by someone other than the President, documentation must be provided that the signer is authorized to sign. Submit a conditional lien waiver for the current pay application period and an unconditional lien waiver upon receipt of payment for the previous pay application period. Even if they performed no work during the applicable period, if they have previously submitted a lien waiver or filed a Notice of Furnishing, they must submit a lien waiver for a zero balance during the pay application period. Subcontractors should provide a conditional lien waiver for the current pay application period, and an unconditional lien waiver upon receipt of payment for the previous pay application period. All lien waivers must have the same dated through date, which would be the last day of the month or billing period. Follow this procedure for every pay application. Submit a final conditional lien waiver with their final pay application. Submit a final unconditional lien waiver upon receipt of final payment. EXHIBIT A SUBCONTRACTOR/SUPPLIER BILLINGS Lien Waivers To be completed by the General Contractor and submitted with every Pay Application. Project Name:  FORMTEXT       GC Job #:  FORMTEXT       CWRU CIP #:  FORMTEXT       GC Pay App #:  FORMTEXT       Subcontractor Name - aLPHABETICALLYSUBCONTRACTOR PAY nO.Date thru _____gROSS rEQUEST tOTAL COMPLETED AND STORED TO DATE COLUMN gRETENTION TO DATE COLUMN iCURRENT GROSS AMOUNT LESS PREVIOUS APPLICATIONSnET REQUEST FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       Conditional Waiver and Release on Progress Payment for use by Prime Contractors Prime Contractor:  FORMTEXT       Project Name:  FORMTEXT       CWRU CIP #:  FORMTEXT       Original Subcontract Amount FORMTEXT      Approved Change Orders FORMTEXT      Contract Sum to Date FORMTEXT      Total Completed and Stored to Date FORMTEXT      Held as Retainage FORMTEXT      Total Completed as Percentage FORMTEXT      Less Previous Certificates for Payment Received FORMTEXT      Current Payment Due FORMTEXT      Balance to Finish, Including Retainage FORMTEXT      On receipt by the undersigned of a check from  FORMTEXT  (Maker of Check)     in the sum of $ FORMTEXT       payable to  FORMTEXT  (Payee(s) 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 undersigneds position that the undersigned has on the project of ǿմý located at  FORMTEXT  (job description)     to the following extent. This release covers a progress payment for all labor, services, equipment or materials furnished to the jobsite or to Case Western Reserve University through  FORMTEXT   (date)    only and does not cover any retention, pending modifications and changes or items furnished after that date. The undersigned further represents and warrants that he/she is duly authorized and empowered to sign and execute this waiver on his/her own behalf and on behalf of the company or business for which he/she is signing; that he/she has properly performed all work and furnished all the materials of the specified quality per plans and specifications and in a good and workmanlike manner through the date of said payment application or invoice; that he/she has paid for all the labor, materials, equipment, and services that he/she has used or supplied to the above premises through the date of said payment application or invoice; that he/she has no other outstanding and unpaid payment applications, invoices, retentions, holdbacks, charge backs or unbilled work or materials against ǿմý regarding the above project as of the date of the aforementioned payment application; and that any materials which have been supplied or incorporated into the above premises were either taken from his/her fully-paid or open stock or were fully paid for and supplied. In Witness Whereof, the undersigned has executed this Release on this  FORMTEXT       day of  FORMTEXT       ,  FORMTEXT      . Signed and Acknowledged in the Presence of: Witness (Print name below signature) State of Ohio ) ) SS: County of  FORMTEXT       )  FORMTEXT   (Company Name)    By:  FORMTEXT    (Typed Name and Title)   The foregoing Conditional Waiver of Mechanic s Lien was sworn to and subscribed before me, a Notary Public, on this  FORMTEXT       day of  FORMTEXT       ,  FORMTEXT      . Notary Public This document was prepared by: Unconditional Waiver and Release on Progress Payment for use by Prime Contractors Prime Contractor:  FORMTEXT       Project Name:  FORMTEXT       CWRU CIP #:  FORMTEXT       Original Contract Amount FORMTEXT      Approved Change Orders FORMTEXT      Contract Sum to Date FORMTEXT      Total Completed and Stored to Date FORMTEXT      Held as Retainage FORMTEXT      Total Completed as Percentage FORMTEXT      Less Previous Certificates for Payment Received FORMTEXT      Current Payment Due FORMTEXT      Balance to Finish, Including Retainage FORMTEXT      The undersigned has been paid and has received a progress payment in the sum of $ FORMTEXT       for all labor, services, equipment, or material furnished to the jobsite on the project of Case Western Reserve University located at  FORMTEXT   (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 undersigneds 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 ǿմý through  FORMTEXT    (date)   only and does not cover any retention, pending modifications and changes or items furnished after that date. The undersigned further represents and warrants that he/she is duly authorized and empowered to sign and execute this waiver on his/her own behalf and on behalf of the company or business for which he/she is signing; that he/she has properly performed all work and furnished all the materials of the specified quality per plans and specifications and in a good and workmanlike manner through the date of said payment application or invoice; that he/she has paid for all the labor, materials, equipment, and services that he/she has used or supplied to the above premises through the date of said payment application or invoice; that he/she has no other outstanding and unpaid payment applications, invoices, retentions, holdbacks, charge backs or unbilled work or materials against ǿմý regarding the above project as of the date of the aforementioned payment application; and that any materials which have been supplied or incorporated into the above premises were either taken from his/her fully-paid or open stock or were fully paid for and supplied. In Witness Whereof, the undersigned has executed this Release on this  FORMTEXT       day of  FORMTEXT       ,  FORMTEXT       . Signed and Acknowledged in the Presence of: Witness (Print name below signature) State of Ohio ) ) SS: County of  FORMTEXT       )  FORMTEXT   (Company Name)    By:  FORMTEXT    (Typed Name and Title)   The foregoing Unconditional Waiver of Mechanic s Lien was sworn to and subscribed before me, a Notary Public, on this  FORMTEXT       day of  FORMTEXT       ,  FORMTEXT       . Notary Public This document was prepared by: 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 for use by Prime Contractors Prime Contractor:  FORMTEXT       Project Name:  FORMTEXT       CWRU CIP #:  FORMTEXT       Original Contract Amount FORMTEXT      Approved Change Orders FORMTEXT      Contract Sum to Date FORMTEXT      Total Completed and Stored to Date FORMTEXT      Held as Retainage FORMTEXT      Total Completed as Percentage FORMTEXT      Less Previous Certificates for Payment Received FORMTEXT      Current Payment Due FORMTEXT      Balance to Finish, Including Retainage FORMTEXT      On receipt by the undersigned of a check from  FORMTEXT  (Maker of Check)     in the sum of $ FORMTEXT       payable to  FORMTEXT  (Payee(s) 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 Mechanics 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 undersigneds position that the undersigned has on the project of ǿմý located at  FORMTEXT  (job description)    . This release covers the final payment to the undersigned for all labor, services, equipment, or materials furnished to the jobsite or to Case Western Reserve University, except for disputed claims in the amount of $ FORMTEXT      . The undersigned further represents and warrants that he/she is duly authorized and empowered to sign and execute this waiver on his/her own behalf and on behalf of the company or business for which he/she is signing; that he/she has properly performed all work and furnished all the materials of the specified quality per plans and specifications and in a good and workmanlike manner through the date of said payment application or invoice; that he/she has paid for all the labor, materials, equipment, and services that he/she has used or supplied to the above premises through the date of said payment application or invoice; that he/she has no other outstanding and unpaid payment applications, invoices, retentions, holdbacks, charge backs or unbilled work or materials against ǿմý regarding the above project as of the date of the aforementioned payment application; and that any materials which have been supplied or incorporated into the above premises were either taken from his/her fully-paid or open stock or were fully paid for and supplied. In Witness Whereof, the undersigned has executed this Release on this  FORMTEXT       day of  FORMTEXT       ,  FORMTEXT      . Signed and Acknowledged in the Presence of: Witness (Print name below signature) State of Ohio ) ) SS: County of  FORMTEXT       )  FORMTEXT   (Company Name)    By:  FORMTEXT    (Typed Name and Title)   The foregoing Conditional Waiver of Mechanic s Lien was sworn to and subscribed before me, a Notary Public, on this  FORMTEXT       day of  FORMTEXT       ,  FORMTEXT       . Notary Public This document was prepared by: Unconditional Waiver and Release on Final Payment for use by Prime Contractors Prime Contractor: FORMTEXT       Project Name: FORMTEXT       CWRU CIP #:  FORMTEXT       Original Contract Amount FORMTEXT      Approved Change Orders FORMTEXT      Contract Sum to Date FORMTEXT      Total Completed and Stored to Date FORMTEXT      Held as Retainage FORMTEXT      Total Completed as Percentage FORMTEXT      Less Previous Certificates for Payment Received FORMTEXT      Current Payment Due FORMTEXT      Balance to Finish, Including Retainage FORMTEXT      The undersigned has been paid in full for all labor, services, equipment or material furnished to the jobsite on the project of Case Western Reserve University located at  FORMTEXT       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 $ FORMTEXT       . The undersigned further represents and warrants that he/she is duly authorized and empowered to sign and execute this waiver on his/her own behalf and on behalf of the company or business for which he/she is signing; that he/she has properly performed all work and furnished all the materials of the specified quality per plans and specifications and in a good and workmanlike manner through the date of said payment application or invoice; that he/she has paid for all the labor, materials, equipment, and services that he/she has used or supplied to the above premises through the date of said payment application or invoice; that he/she has no other outstanding and unpaid payment applications, invoices, retentions, holdbacks, charge backs or unbilled work or materials against ǿմý regarding the above project as of the date of the aforementioned payment application; and that any materials which have been supplied or incorporated into the above premises were either taken from his/her fully-paid or open stock or were fully paid for and supplied. In Witness Whereof, the undersigned has executed this Release on this  FORMTEXT       day of  FORMTEXT       , FORMTEXT      . Signed and Acknowledged in the Presence of: Witness (Print name below signature) State of Ohio ) ) SS: County of  FORMTEXT       )  FORMTEXT (Company Name) By:  FORMTEXT  (Typed Name and Title)  The foregoing Unconditional Waiver of Mechanic s Lien was sworn to and subscribed before me, a Notary Public, on this  FORMTEXT       day of  FORMTEXT       , FORMTEXT       . Notary Public This document was prepared by: 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 Progress Payment for use by Subcontractors, Tier Subcontractors, and Suppliers Subcontractor:  FORMTEXT       Subcontracted to:  FORMTEXT       Project Name:  FORMTEXT       CWRU CIP #:  FORMTEXT       Original Subcontract Amount FORMTEXT      Approved Change Orders FORMTEXT      Subcontract Sum to Date FORMTEXT      Total Completed and Stored to Date FORMTEXT      Held as Retainage FORMTEXT      Total Completed as Percentage FORMTEXT      Less Previous Certificates for Payment Received FORMTEXT      Current Payment Due FORMTEXT      Balance to Finish, Including Retainage FORMTEXT      On receipt by the undersigned of a check from  FORMTEXT  (Prime Contractor/Maker of Check)     in the sum of $ FORMTEXT       payable to  FORMTEXT  (Payee(s) 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 Mechanics 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 undersigneds position that the undersigned has on the project for ǿմý located at  FORMTEXT  (job description)     to the following extent. This release covers a progress payment for all labor, services, equipment or materials furnished to the jobsite or to  FORMTEXT  (Contractor with whom undersigned contracted)     or to Case Western Reserve University through  FORMTEXT   (date)    only and does not cover any retention, pending modifications and changes or items furnished after that date. The undersigned further represents and warrants that he/she is duly authorized and empowered to sign and execute this waiver on his/her own behalf and on behalf of the company or business for which he/she is signing; that he/she has properly performed all work and furnished all the materials of the specified quality per plans and specifications and in a good and workmanlike manner through the date of said payment application or invoice; that he/she has paid for all the labor, materials, equipment, and services that he/she has used or supplied to the above premises through the date of said payment application or invoice; that he/she has no other outstanding and unpaid payment applications, invoices, retentions, holdbacks, charge backs or unbilled work or materials against  FORMTEXT  (Contractor with whom undersigned contracted)      regarding the above project as of the date of the aforementioned payment application; and that any materials which have been supplied or incorporated into the above premises were either taken from his/her fully-paid or open stock or were fully paid for and supplied. 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lalyt=Ȅʄބ&.0PRfhjtvЅ؅څ멓lT멓Dhhq^P5CJOJQJaJ.jhhq^P>*CJOJQJUaJ.jnhhq^P>*CJOJQJUaJhhq^PCJOJQJaJ*hhq^P>*CJOJQJaJmHnHu3jhhq^P>*CJOJQJUaJmHnHu.jhhq^P>*CJOJQJUaJhhq^P>*CJOJQJaJ(jhhq^P>*CJOJQJUaJɇʇԇՇ$,.NPdfhjĉ̉Ή܉,.BDFJ̴ܚlܚ\Dܚ.jFhhq^P>*CJOJQJUaJhhq^P5CJOJQJaJ.jҤhhq^P>*CJOJQJUaJ*hhq^P>*CJOJQJaJmHnHu3jhhq^P>*CJOJQJUaJmHnHu.j^hhq^P>*CJOJQJUaJhhq^P>*CJOJQJaJ(jhhq^P>*CJOJQJUaJhhq^PCJOJQJaJJV\^VXlnprޏGлjj[O@0hhq^P:CJOJQJaJh%@hq^PCJOJQJaJhq^PCJOJQJaJhKyhq^PCJOJQJaJ0jhhq^PCJOJQJUaJmHnHu+jhhq^PCJOJQJUaJ%jhhq^PCJOJQJUaJhhq^PCJOJQJaJ(jhhq^P>*CJOJQJUaJ3jhhq^P>*CJOJQJUaJmHnHu*hhq^P>*CJOJQJaJmHnHuGHRS   468BD`bdʳs[As1jhq^PCJOJQJUaJ3jhOhq^P>*CJOJQJUaJmHnHu.jhOhq^P>*CJOJQJUaJhOhq^P>*CJOJQJaJ(jhOhq^P>*CJOJQJUaJhq^PCJOJQJaJhhq^PCJOJQJaJ-jhq^P>*CJOJQJUaJmHnHuU(j0hq^P>*CJOJQJUaJhq^P>*CJOJQJaJ"jhq^P>*CJOJQJUaJ      day of  FORMTEXT       , FORMTEXT      . Signed and Acknowledged in the Presence of: Witness (Print name below signature) State of Ohio ) ) SS: County of  FORMTEXT       )  FORMTEXT   (Company Name)    By:  FORMTEXT    (Typed Name and Title)   The foregoing Conditional Waiver of Mechanic s Lien was sworn to and subscribed before me, a Notary Public, on this  FORMTEXT    day of  FORMTEXT       ,  FORMTEXT      . Notary Public This document was prepared by: Unconditional Waiver and Release on Progress Payment for use by Subcontractors, Tier Subcontractors, and Suppliers Subcontractor:  FORMTEXT       Subcontracted to:  FORMTEXT       Project Name:  FORMTEXT       CWRU CIP #:  FORMTEXT       Original Subcontract Amount FORMTEXT      Approved Change Orders FORMTEXT      Subcontract Sum to Date FORMTEXT      Total Completed and Stored to Date FORMTEXT      Held as Retainage FORMTEXT      Total Completed as Percentage FORMTEXT      Less Previous Certificates for Payment Received FORMTEXT      Current Payment Due FORMTEXT      The undersigned has been paid and has received a progress payment in the sum of $ FORMTEXT       for all labor, services, equipment, or material furnished to the jobsite or to  FORMTEXT    (Contractor with whom undersigned contracted)   on the project of Case Western Reserve University located at  FORMTEXT   (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  FORMTEXT    (Contractor with whom undersigned contracted)   or to Case Western Reserve University through  FORMTEXT    (date)   only and does not cover any retention, pending modifications and changes or items furnished after that date. The undersigned further represents and warrants that he/she is duly authorized and empowered to sign and execute this waiver on his/her own behalf and on behalf of the company or business for which he/she is signing; that he/she has properly performed all work and furnished all the materials of the specified quality per plans and specifications and in a good and workmanlike manner through the date of said payment application or invoice; that he/she has paid for all the labor, materials, equipment, and services that he/she has used or supplied to the above premises through the date of said payment application or invoice; that he/she has no other outstanding and unpaid payment applications, invoices, retentions, holdbacks, charge backs or unbilled work or materials against  FORMTEXT  (Contractor with whom undersigned contracted)     regarding the above project as of the date of the aforementioned payment application; and that any materials which have been supplied or incorporated into the above premises were either taken from his/her fully-paid or open stock or were fully paid for and supplied. In Witness Whereof, the undersigned has executed this Release on this  FORMTEXT       day of  FORMTEXT       ,  FORMTEXT       . Signed and Acknowledged in the Presence of: Witness (Print name below signature) State of Ohio ) ) SS: County of  FORMTEXT       )  FORMTEXT   (Company Name)    By:  FORMTEXT    (Typed Name and Title)   The foregoing Unconditional Waiver of Mechanic s Lien was sworn to and subscribed before me, a Notary Public, on this  FORMTEXT       day of  FORMTEXT       ,  FORMTEXT       . Notary Public This document was prepared by: 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 for use by Subcontractors, Tier Subcontractors, and Suppliers Subcontractor:  FORMTEXT       Subcontracted to:  FORMTEXT       Project Name:  FORMTEXT       CWRU CIP #:  FORMTEXT       Original Subcontract Amount FORMTEXT      Approved Change Orders FORMTEXT      Subcontract Sum to Date FORMTEXT      Total Completed and Stored to Date FORMTEXT      Held as Retainage FORMTEXT      Total Completed as Percentage FORMTEXT      Less Previous Certificates for Payment Received FORMTEXT      Current Payment Due FORMTEXT      On receipt by the undersigned of a check from  FORMTEXT  (Prime Contractor/Maker of Check)     in the sum of $ FORMTEXT       payable to  FORMTEXT  (Payee(s) 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 project of Case Western Reserve University located at  FORMTEXT  (job description)    . This release covers the final payment to the undersigned for all labor, services, equipment, or materials furnished to the jobsite or to  FORMTEXT  (Contractor with whom undersigned contracted)     or to Case Western Reserve University, except for disputed claims in the amount of $ FORMTEXT      . The undersigned further represents and warrants that he/she is duly authorized and empowered to sign and execute this waiver on his/her own behalf and on behalf of the company or business for which he/she is signing; that he/she has properly performed all work and furnished all the materials of the specified quality per plans and specifications and in a good and workmanlike manner through the date of said payment application or invoice; that he/she has paid for all the labor, materials, equipment, and services that he/she has used or supplied to the above premises through the date of said payment application or invoice; that he/she has no other outstanding and unpaid payment applications, invoices, retentions, holdbacks, charge backs or unbilled work or materials against  FORMTEXT  (Contractor with whom undersigned contracted)      regarding the above project as of the date of the aforementioned payment application; and that any materials which have been supplied or incorporated into the above premises were either taken from his/her fully-paid or open stock or were fully paid for and supplied. In Witness Whereof, the undersigned has executed this Release on this  FORMTEXT       day of  FORMTEXT       ,  FORMTEXT       . Signed and Acknowledged in the Presence of: Witness (Print name below signature) State of Ohio ) ) SS: County of  FORMTEXT       )  FORMTEXT   (Company Name)    By:  FORMTEXT    (Typed Name and Title)   The foregoing Final Conditional Waiver of Mechanic s Lien was sworn to and subscribed before me, a Notary Public, on this  FORMTEXT       day of  FORMTEXT       ,  FORMTEXT       . Notary Public This document was prepared by: Unconditional Waiver and Release on Final Payment for use by Subcontractors, Tier Subcontractors, and Suppliers Subcontractor:  FORMTEXT       Subcontracted to:  FORMTEXT       Project Name:  FORMTEXT       CWRU CIP #:  FORMTEXT       Original Subcontract Amount FORMTEXT      Approved Change Orders FORMTEXT      Subcontract Sum to Date FORMTEXT      Total Completed and Stored to Date FORMTEXT      Held as Retainage FORMTEXT      Total Completed as Percentage FORMTEXT      Less Previous Certificates for Payment Received FORMTEXT      Current Payment Due FORMTEXT      The undersigned has been paid in full for all labor, services, equipment or material furnished to the jobsite or to  FORMTEXT    (Contractor with whom undersigned contracted)   on the project of Case Western Reserve University located at  FORMTEXT   (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 disrupted claims for extra work in the amount of $ FORMTEXT      . The undersigned further represents and warrants that he/she is duly authorized and empowered to sign and execute this waiver on his/her own behalf and on behalf of the company or business for which he/she is signing; that he/she has properly performed all work and furnished all the materials of the specified quality per plans and specifications and in a good and workmanlike manner through the date of said payment application or invoice; that he/she has paid for all the labor, materials, equipment, and services that he/she has used or supplied to the above premises through the date of said payment application or invoice; that he/she has no other outstanding and unpaid payment applications, invoices, retentions, holdbacks, charge backs or unbilled work or materials against  FORMTEXT  (Contractor with whom undersigned contracted)      regarding the above project as of the date of the aforementioned payment application; and that any materials which have been supplied or incorporated into the above premises were either taken from his/her fully-paid or open stock or were fully paid for and supplied. In Witness Whereof, the undersigned has executed this Release on this  FORMTEXT       day of  FORMTEXT       ,  FORMTEXT      . Signed and Acknowledged in the Presence of: Witness (Print name below signature) State of Ohio ) ) SS: County of  FORMTEXT       )  FORMTEXT   (Company Name)    By:  FORMTEXT    (Typed Name and Title)   The foregoing Final Unconditional Waiver of Mechanic s Lien was sworn to and subscribed before me, a Notary Public, on this  FORMTEXT       day of  FORMTEXT       ,  FORMTEXT      . Notary Public This document was prepared by: 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.  The receipt and sufficiency of which is hereby acknowledged by the undersigned.  The receipt and sufficiency of which is hereby acknowledged by the undersigned.  The receipt and sufficiency of which is hereby acknowledged by the undersigned.  The receipt and sufficiency of which is hereby acknowledged by the undersigned.  The receipt and sufficiency of which is hereby acknowledged by the undersigned.  The receipt and sufficiency of which is hereby acknowledged by the undersigned.  The receipt and sufficiency of which is hereby acknowledged by the undersigned.  The receipt and sufficiency of which is hereby acknowledged by the undersigned.     700  Lien Waiver Templates Page 1 CWRU LIEN WAIVER INSTRUCTIONS FOR AIA A101  00700-2 700  Lien Waiver Templates Page 2 700  Lien Waiver Templates Page 3 CWRU Form # C.2-1 700  Lien Waiver Templates Page 4 700  Lien Waiver Templates Page 5 700  Lien Waiver Templates Page 6 700  Lien Waiver Templates Page 7 700  Lien Waiver Templates Page 8 700  Lien Waiver Templates Page 9 700  Lien Waiver Templates Page 10 700  Lien Waiver Templates Page 11 700 - Lien Waiver Templates Page 12 700  Lien Waiver Templates Page 13 700  Lien Waiver Templates Page 14 700  Lien Waiver Templates Page 15 CWRU Form # C.2-7 CWRU LIEN WAIVER INSTRUCTIONS FOR AIA A101  0700 - 15 700  Lien Waiver Templates Page 16 700  Lien Waiver Templates Page 17 CWRU Form # C.2-8 700  Lien Waiver Templates Page 18 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