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MAR-02-99 TUE 11~37 AM PENCE KELLY FAX N0, 503 585 7477 P, 03/08 • CONDIT~ONAL AFFIDAVTT, LIEN WAI'VER AND RELEASE 1, Wilh r~;Ccrcnce to construction of the Cuurthouse Square Project on the sitc at Court & High Strccts, Salerq Orcgon (tl~e "Project"), d~e undersigncd for value ceceived, acknowlccigcs tl~at, wl~ca a clicck for $ has bccn properly endorsed and has bcen paid by the bank npon wl~ieh i[ is clrawq it has been paid in full for all labor, services, ec~uipinc~t a~~d matcrials provided or vansported in conncction with tl~e Ptoject tiuough , , 199^, except rctainagc, iC any, and hereby fully and unconditionally waives and r~la~5cs any au-d all right to payment, liens, ctaims of lien, rights to lie~ bond daim rigk~ts, ur any oQier clainu or dan.~ncls . for ktbor, Serviees, equipment, tuaterials providcd or transported in connection wi~h tlie Project through said datc exeept retainage, if any, and except: ~ 2, The a~iant belaw does hereby swear and aetcst diat l~eJshe has full authority to siga tlus documcat on belk~lf of U~e euidcrsigned company aad that the undersigned eompa~iy will pay in full ali of its subcoiitractors, suppliers and consultac-ts for labor, secvices, equipment, materials provided or transported in conneclion wiih the Project through the date referenced ia para~pli 1 abovc. Tlic undersi~cd atFiant and company funl~er aclaiowiedge that Owncr and its lenders or finaricing sources arc relying on tlus Conditional A~'idavit, Lien Waiyer and Release in conneclaon with proccssing and aud~orizing funding requests for paymciit Dated this day of 199 Company: PcncdKelly Construction, Inc ~y: Tiilc: - - -- STATE OF OREGOI~ ) ss. County of Marion ) 'I1ic foregoing instrumer~t was acknowlcdged bcforc me tbis day of ~ 199_, by of Pence/Kelly Constructioa, Yne. a Corporation on bch~tlf of I]~e C01"purBtiUn. Notary Public for Or~gon My cammissian expices: •