Laserfiche WebLink
CONDITIONAL AFFIDAVIT, LIEN WAIVER AND RELEASE <br />With reference to construction of the Courthouse Square Project on the site at Court & High <br />Streets, Salem, Oregon (the "Project"), the undersigned for value received, acknowledges that, <br />when a check for $ 1,092.439.65 has been properly endorsed and has been paid by the bank <br />upon which it is drawn, it has been paid in full for all labor, services, equipment and materials <br />provided or transported in connection with the Project through Seatember 30 , 1999, except <br />retainage, if any, and hereby fully and uncondidonally 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 provided or transported in connection with the Project <br />through said date except retainage, if any, and except: <br />2. The ~ant below does hereby swear and attest that helshe has full authority to sign this document <br />on behalf of the undersigned 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 in connection with the Project through the date referenced in paragraph 1 above. The <br />undersigned ~ant and company further acknowledge that Owner and its lenders or financing <br />sources aze relying on this Conditional ~davit, Lien Waiver and Release in connection with <br />processing and authorizing funding requests for payment. <br />Dated this 27'~ day of Seatember 1999. <br />C <br />Company: Pence/Kellv Construction. Inc. <br />By: <br />Title: Dave Aavs - Proiect Manager <br />STATE OF OREGOI~ <br />) ss. <br />County of Marion ) <br />The foregoing instrument was acknowledged before me this 27~' day of Seutember , 1999, by <br />Dave Havs : of Pence/Kellv Construction, Inc. a coraoration on behalf of the cornoration . <br />! .._.~_~_~_-- . _JFFI~IA! j~Al -- <br />~` ~st~"7HE4Y ~ SitifOTFi <br />~ ;T,~Rv P~BLiC - OREGON <br />4~~~;µ;SS!Oh h'v. 3U3013 <br />41Y CUki~i5S10~ E`;PIRES JULY 14, 2001 <br />, <br />Notary Public for Oregon <br />My commission expires: Julv 14, 2001 <br />Form E.1 <br />