Laserfiche WebLink
hfAR-02-99 TUE 11~38 AM PENCE KELLY ~ FAX N0, 503 585 7477 <br />• UNCONDITIONAL AFFIDA'~1T, LIEN WAIVER AND RELEASE <br />With refcrenee to eonsuuction of the Courthouse Square Project on tl~e site at Court & Hi~h <br />Streets, Salett~ Oregon (the "Projecl"), the undeasigned for value received, acknowledges iliat it <br />has been paid in full for all labor, services, eguipment and materials providcd or transportcd in <br />connection with thc Project through ,199,_,, exoept rclainagc, if any, and <br />hcrcby fully and unconditionally waives and releases any and all riglu w payment, liens, clauns of <br />lien, righ~s to licc~ bond claim risht~, or any olller clainu or demands for labor, services, <br />equipment, materials prwid~ed or ~ransported in wnncction wiQi the Project through said daie <br />excc:pt tctainage, if any, and except: <br />The aff ant below docs hcreUy swear and attest tha~. he/she has fiill authoriry to sign this documcnt <br />on bc:h.~if of thc undcrsigned company and tk4~l tl~c undersig-ed comp~ny has paid in fulI a1l of ils <br />subconvactors, supplicrs and consultants for I~zbor~ sc~viccs. aquipment, matcrials providcd or <br />uansported in connection with thc Project thcough the date refcrcnced in paragaph 1 abovc. Tl~e <br />undersigned aa'iant and company fiuther acknowlcdge t~~at Owner and its lenders or fu~ancing <br />sources arc rclying on this Unconditional AtFdavit, Lien Waiver and Rclcasc in coruiection with <br />p~ocessin~; and authoridng ficnding requests fvr paymcn~ <br />Dated ttiis day of <br />Comp,zny; <br />~y: <br />• Tidc: <br />Pencc/Kclly Construction, Inc <br />STATE OF OREGON) <br />) S5. <br />County of Marion ) <br />199 <br />Tlie foregoing u~slnuncnt was ackisowledged before me lhis day of , <br />199^, by of Pcnce/I~clly Constniction, In~ a Corporytion on bcl~alf of the <br />Carporatioe. <br />Notary Public for Oregan <br />My cammission ea~pires~_ <br />P, 05/08 <br />~ <br />