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UNCONDITIONAL AFFIDAVTT, LIEN WAIVER AND RELEASE <br />1. With refenena to construction af thc Courthouse Squsu~e Project on thc sit~ at Court &~igh <br />Streets, Salem, Oregon (the "Projed")~ the ~ for valac t+ooeivod, aclmawlcdges that it <br />~ has bcen paid in full for all labor, savioes, oquiPmeut and mataials pmvidod or t~ansported in <br />conna~tion with the Projxt throug~ /'~h? °,l~ 199~ exctPt c+ct,ainaS0. ~~Y. and <br />hecrby fully and uncondidonally waives and releases any and alI ri8ht to PaYm~nt, lieus, claims of <br />lieu, rights to lie~ bond claim rights, or atry otha claims or demands for labor~ seiviccx, <br />aI~P~~, materials provided or t~ansported in connection with the Projxt through said date <br />~Pt ~g0. ~'any. and excep~ <br />2• The affiant below does hereby swear and ai~.st thai helshe h~ ~ a~ority to sign this ~ment <br />on behalf of the undersigned company and Wat the undersigned company has paid in full all of its <br />subcontractors, suppliers and consultants for labor, servicxs, ~quiPment. materials provided or <br />transported in connection with the Projeci through the datt re,f'erenced in paragraph 1 above. The <br />undersigned affiant and company further acknowledge that Owner and its lendess or financing <br />sources are relying on this Unconditional Affidavi4 Lien Waiva and Release in conneciion with <br />pnoce.ssing and authorizing funding requests for payment <br />Dated this ~~ day of ~ 199~. <br />Company: <br />sy: <br />Tide: <br />STATE OF OREI <br />County of Marion <br />The foregoing instcument was acknawledged before me this ~_ d <br />199~, by [if signed on behalf of an entity, <br />{'insert name of Company) a <br />corporation) on behalf of the (type of enrity).] <br />ryof p~~ ~ <br />complete e following: of <br />_. (insert type of entity, eg <br />~ <br />N Public for Oregon <br />My commission expires:_~ ~. <br />.~-~ ~~-~ <br /> <br />'4 ~ .y'1" ~~ <br /> <br />' <br />~ ~- =-~- ~.ti <br />~ ~ ~~'_: ~~^ 1 "`•. _~~"\!'` • <br />sr <br />•, ~' <br />j <br />,~ ~ ~.. ~ <br />, <br />~ <br />{,~ L r:';i~ <br />~ <br />; . <br />rt~r:~~ tivar~~ ~ , ~ <br />NOT.a~;y Pi!f, , Yrti_ F.T}i (~1 <br />t <br />> <br />U <br />. <br />- .u,~o~:~~~ <br />~ _ ~orv ~.i <br />r_.t,n~;,;~.;~,~~ <br />, <br />~ <br />~, , fdt7. <br />_ h4 ( C(;~_~~~~"„SS;t'~ Fi(F':R~~ <br />~! <br />~ <br />; <br />v; r <br />% <br /> _ <br />` <br />` <br />.= <br />~n~ <br />~; <br />Form E.2 <br />