Laserfiche WebLink
MAR-02-99 TUE 11:39 AM PENCE KEILY FAX N0. 503 585 7477 P. 06/08 <br />~ - <br />• T.INCONDITIONAL AFFIDAVIT, LIEN WAIVER AND R.ELEASE ~ <br />Witti refer~:nce to constcuction of ~e c:ourcnot~se ~quare <br />Pr~~ ~i~t on ct,c site at .Court & HiEh Strcct~. Salem, Oregon (thc <br />"I'roject"), the undersigned i'or value received, aciaiowledges that it has beea paid iu full for all <br />labor, secvices, equipment and materi<ils providcd or transported in conne,cl.ion witli ilie Project <br />iluougli , 199~ except retainage, if any, and hcrcby fully and <br />uncondilionally waives and releases any and all right to payinent, Gens, elaims of iicn, riglus to <br />licTM bond claim rights, or any other claims or dcmancls for labor, services, oquip~ncnt, materials <br />pravided or tr~u~sported in eou~ieeuon widi the Project thcough said clxue excapt retain,~ge, if Tny, <br />a~id cxccpt: <br />2. The affiant below docs l~crcby swear and attest that heJshe has fuil authority to sign this documcnt <br />on behalf of the Zu~dersigned company ar~d thai ttie undersigned company has paid in full all of its <br />subcontrictors, suppliers and wnsultants for labor, services, equipment, materials providc;d or <br />tr~uisporicd in co~cction with the Project through thc datc rcfercnced in paragraph 1 abovc. 17ie <br />undersi~ed ~ant and compa~ly furtlier aclrnowledge that Owncr and its lenders or financing <br />sourccs are re[}+~g on this UncondidQn,tl_~davi~ Licn Waiver and Relcase in oonncction widi ~ <br />grocessing and authori-ring funding requests for payment <br />3:Bi~86FiE~l~iAR-E~iE•~ifl~Fi~-~Qy~ille~E-rA-v~ ' o c 'a~ •t~° ifF1E~8fSig71Q~ <br />~V~li~BSr$f~'6~8585-&~~~18R6,•41(!1 E!1 , fli5'6C <br />~~#~y OjeoE: <br />Datcd d~is day of <br />199 <br />• <br />Co-npany: PencelKcllv Canytruction. Tne <br />By: <br />Tide: <br />STATE OF OREGOI~ <br />) ss. <br />Counly ot M~uion ) <br />The fore~;oinb instrumcnt was aclrnowlccigcd bcfore me this day of ~ <br />199^, by ~ , <br />i:R ~.t .~,,.e ,.~'e.,,: ~. ~ <br />~~ i:canvv~vBmp~A~fZ ~ ~r ~i o <br />eorporE~tion~otrbett°,~_r.,.,, r~~~~fPencellCdlv Constnictian, inc. ~ <br />(;orpor tion on bchalf of tl~e Corn_oration. <br />Not~-ry Pubtic for Orcgon <br />My cotmnission expires:_ <br />• <br />