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<br />PENCE/kELLY <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 Po~tiand <br />```~ GIMl~~~` <br />o e ~: <br />~ ~a° <br />~ <br />~~ /M(~~~~ <br />cca ~ass <br />UNCONDIT[ONAL AFFIDAVIT, LIEN WAIVER ANll RELEASG <br />With refere~lce to conshuction of the Courthouse Square Project on the site at Co~nrt & High <br />Streets, Salern, Oregon (the "Project"), the undersigned for value received, acknowledges ~hat ii <br />has been paid in full for all labor, services, equipment and materiafs provided or transported i~1 <br />connection with the Project througl~ July 31 , 2000, except retainage, if any, and hereby fully <br />and unconditionally waives and releases any and all right to payment, liens, claims of lien, rights <br />to lien, bond claim rights, or any other clai-ns or demands for labor, services, equipinent, materials <br />provided or hansported in connection with the Project tluough said date except retainage, if any, <br />and except: <br />The affiant below does hereby s~vear and attest that he/she has full authoriry to sign this docu~»ent <br />on bel~alf oi~ tl~e undersi~iied company and tl~at tl~e undersigned company has paid in fuli ail of its <br />subcontractors, suppliers and consultants for labor, services, equipment, materials provided or <br />transported in connection with the Project through the date refereuced in para~raph 1 above. `I~he <br />undersigned affiant and company further acknowledge that Owner and its lenders or financing <br />sources are relying on this Unconditional Affidavit, Lien Waiver and Release in connection with <br />processing and authorizing funding requests for payment. <br />Dated this 29t1~ day of August 2000 <br />Company: Pence/ ell ~ o i tru 'on, Inc. <br />~ <br />By: <br />Title: Dave Hays - Project Maiia~er <br />STATE OF OREGON) <br />) ss. <br />County of Marion ) <br />The foregoing instrument was acknowledged before me this 29th day of August , 2000, by <br />Dave Hays : of Pence/Kel(y Construction, Inc. a corporation on behalf of the corporation . <br />_~. ---- --- - -~ <br />OFFICIAL SEAL <br />h9~TTIIEV'~ L S!lRET@i <br />` hUTARY PU6LIG - OREGON <br />~~'~~ COMMISSION N0. 303013 <br />h~Y CC~~!MiSSlON EXPIRES JULY 14, 200f <br />~. ~ <br />Notary Public for Oregon <br />My commission expues: July 14, 2001 <br />Form E2 <br />"Creating Landmarks of Excellence" <br />