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Get Zlien Conditional Waiver and Release on Progress Payment

CONDITIONAL WAIVER AND RELEASE ON PROGRESS PAYMENT NOTICE THIS DOCUMENT WAIVES THE CLAIMANT S LIEN STOP PAYMENT NOTICE AND PAYMENT BOND RIGHTS EFFECTIVE ON RECEIPT OF PAYMENT. A PERSON SHOULD NOT RELY ON THIS DOCUMENT UNLESS SATISFIED THAT THE CLAIMANT HAS RECEIVED PAYMENT. Identifying Information Name of Claimant Name of Customer Job Location Owner Through Date Conditional Waiver and Release This document waives and releases lien stop payment notice and payment bond rights the claimant has for labor and service provided and equipment and material delivered to the customer on this job through the Through Date of this document. 2 Extras for which the claimant has not received payment. 3 The following progress payments for which the claimant has previously given a conditional waiver and release but has not received payment Date s of waiver and release Amount s of unpaid progress payment s 4 Contract rights including A a right based on rescission abandonment or breach of contract and B the right to recover compensation for work not compensated by the payment. Signature Claimant s Signature Claimant s Title Date of Signature 2012 Express Lien Inc. dba Zlien. This document is effective only on the claimant s receipt of payment from the financial institution on which the following check is drawn Maker of Check Amount of Check Check Payable To This document does not affect any of the following 1 Retentions. 2 Extras for which the claimant has not received payment. 3 The following progress payments for which the claimant has previously given a conditional waiver and release but has not received payment Date s of waiver and release Amount s of unpaid progress payment s 4 Contract rights including A a right based on rescission abandonment or breach of contract and B the right to recover compensation for work not compensated by the payment. Rights based upon labor or service provided or equipment or material delivered pursuant to a written change order that has been fully executed by the parties prior to the date that this document is signed by the claimant are waived and released by this document unless listed as an Exception below. This document is effective only on the claimant s receipt of payment from the financial institution on which the following check is drawn Maker of Check Amount of Check Check Payable To This document does not affect any of the following 1 Retentions. Signature Claimant s Signature Claimant s Title Date of Signature 2012 Express Lien Inc* dba Zlien. Rights based upon labor or service provided or equipment or material delivered pursuant to a written change order that has been fully executed by the parties prior to the date that this document is signed by the claimant are waived and released by this document unless listed as an Exception below. This document is effective only on the claimant s receipt of payment from the financial institution on which the following check is drawn Maker of Check Amount of Check Check Payable To This document does not affect any of the following 1 Retentions. .

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