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~ <br />~ <br />PENCE/14ELLY <br />CONSTRUCTION, INC. <br />P.O. Box 4109 <br />2747 Pence Loop SE <br />Salem, OR 97302-8109 <br />(503) 399-7223 <br />(503) 585-7477 Fax <br />(503) 224-8681 Porlland <br />,,,o ~,~,,,,~ <br />o^ <br />i ~'~Ctia <br />ccs acaass <br />CONDITIONAL ATFIDAVIT, LIEN WAIVER AND RELEASE <br />With reference to conshuction of the Courthouse Square Project on the site at Court & Higli <br />Streets, Salem, Oregon (tlie'Project"), the uudersigned for value received, acknowledges tliat, <br />wlien a cl~eck for $ 2,052,89G.00 Las Ueen properly endorsed and l~as been paid by tl~e bank <br />upon wl~ich it is drawu, it has beeu paid iu full for all labor, services, equipment and materials <br />provided or transported in connectiou witli the Project through January 31 , 200Q except <br />retainage, if any, and hereby fully and unconditionally waives and releases any and all right to <br />payment, liens, claims of lien, rights to lien, bond claim rights, or any other claims or demands for <br />labor, services, equipment, materials piovided or uansported in connection with the Project <br />through said date except cetainage, if any, and except: <br />2. The affiant below does hereby swear and attest tliat he/she has full autliority to sign this documen[ <br />on behalf of the undersigiied company and that the undersigned company will pay in full all of its <br />subcontractors, suppliers and consultants for labor, services, equipment, materials provided or <br />transported iu coimection with the Project through the date referenced in paragraph I above. The <br />undersigned affiaut and company further acknowledge that Owner and its lenders or fuiancn~g <br />sources are relying on this Conditionai Affidavit, Lien Waiver and Release in connection with <br />processing and authorizing fuud'n~g requests for payment. <br />Dated tl~is 251h day of Ja~marV 2000. <br />i <br />Company: ~'PenceQ ell ~ onstructiou Inc. <br />By: <br />Title: DaveHays-Pi•ojectMana~er <br />STATE OF OREGON) <br />) ss. <br />County of Marion ) <br />The foregoing inshument was acknowledged before me tl»s 25fh day of January , 200Q by <br />Dave Hays : of Pence/Ke11Y Constructiou, Inc. a corporation on behalf of die corpm•ation . <br />OFFICIAL SEpI ~ <br />MA7THE4i~ L SMITH <br />~ NOTARY PUBLIC - OREGON Notary Public for Oregou <br />~ COMMISSIQN N0. 303015 My commission expixes: July 14, 2001 <br />MY COFlMISSION €%PIRES JULY 14, 2001 <br />Form E.1 <br />"Creating Landmarks of Excellence" <br />