Arizona Partial Unconditional Lien Waiver

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 _________________________________________(Owner) located at _________________________________________(Job description) and does hereby release any mechanicʼs 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 undersignedʼs position that the undersigned has o 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 _________________________________________(Date) only and does not cover any retention, 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)

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 BEEN PAID, USE A CONDITIONAL RELEASE FORM.

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