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1. Header Information: Date, project identification, property address, and document reference number
2. Party Details: Full legal names and addresses of the material supplier (waiving party), the contractor/subcontractor (if applicable), and the property owner
3. Project Information: Detailed description of the construction project, including project name, location, and any relevant permit numbers
4. Materials Description: Itemized list or general description of materials supplied to the project
5. Payment Information: Details of the payment received or to be received, including amount and payment period covered
6. Waiver Statement: Clear and unambiguous statement waiving lien rights for the specified materials and payment
7. Certification: Statement certifying that all suppliers and subcontractors have been or will be paid
8. Execution Block: Signature lines, date, and notary section if required
1. Conditional Waiver Language: Used when the waiver is conditional upon receipt of payment, typically for progress payments
2. Retention Rights Reservation: Include when retaining rights for retention amounts not yet paid
3. Previous Rights Reservation: Used when preserving lien rights for previously supplied materials or unpaid amounts not covered by current payment
4. Warranty Statement: Optional statement regarding the warranty of materials supplied
5. Indemnification: Additional protection for owner/contractor against future claims
1. Schedule A - Material Details: Detailed itemization of materials supplied, including quantities, dates, and values
2. Schedule B - Payment History: Record of all payments received and pending for the project
3. Schedule C - Project Documents: References to relevant purchase orders, delivery receipts, and invoices
4. Appendix 1 - Supporting Documents: Copies of relevant invoices, delivery receipts, and purchase orders
5. Appendix 2 - Corporate Authority: If waiver is signed by corporation, evidence of signatory's authority
Project
Property
Contract Price
Payment Amount
Waiver Date
Effective Date
Lien Rights
Project Site
Supply Agreement
Material Supplier
Owner
Contractor
Subcontractor
Purchase Order
Delivery Date
Invoice
Payment Period
Retention Amount
Final Payment
Progress Payment
Conditional Waiver
Unconditional Waiver
Supporting Documents
Authorized Representative
Outstanding Balance
Through Date
Work Performed
Governing Law
Jurisdiction
Project Description
Material Description
Payment Acknowledgment
Lien Waiver
Representation and Warranty
Indemnification
Governing Law
Execution
Notarization
Conditional Waiver
Release of Rights
Retention Rights
Authority
Certification
Prior Rights Reservation
Dispute Resolution
Notices
Severability
Amendment
Construction
Real Estate Development
Infrastructure
Manufacturing
Industrial Development
Commercial Property
Residential Property
Mining
Oil and Gas
Renewable Energy
Hospitality
Legal
Procurement
Construction
Project Management
Contract Administration
Risk Management
Property Management
Commercial Operations
Supply Chain
Real Estate Development
Construction Manager
Project Manager
Contract Administrator
Procurement Manager
Legal Counsel
Property Developer
Site Supervisor
Quantity Surveyor
Commercial Manager
Supply Chain Manager
Construction Director
Facilities Manager
Real Estate Manager
Development Director
Risk Manager
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