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ng Release] ______________________________________ [Title] ______________________________________ [Company Name] Conditional Waiver & Release Upon Progress Payment 1 ny recipient of this document relies on it, said party should verify evidence of payment to the undersigned. Dated: ________________ By: ______________________________________ [Name of Person Grantiompensation for furnished labor, services, equipment, or material covered by this release if that furnished labor, services, equipment or material was not compensated by the progress payment. Before anot otherwise affect the contract rights, including rights between parties to the contract based upon a rescission, abandonment, or breach of the contract, or the right of the undersigned to recover cy the parties prior to the release date are covered by this release unless specifically reserved by the claimant in this release. This release of any mechanic's lien, stop notice, or bond right shall which payment has not been received; extras or items furnished after the release date. Rights based upon work performed or items furnished under a written change order which has been fully executed b_____________________________ [Your Customer] through ____________ [Date] only and does not cover any retentions retained before or after the release date; extras furnished before the release date for________________________ _______________________ [Job Description] to the following extent. This release covers a progress payment for labor, services, equipment, or material furnished to ____________s document shall become effective to release any mechanic's lien, stop notice, or bond right the undersigned has on the job of ____________________ _______________________ [Owner] located at __________ [Sum of Check] Payable to ___________________________________________ [Person Receiving Check] and when the check has been properly endorsed and has been paid by the bank upon which it is drawn, thi. Conditional Waiver & Release upon Progress Payment Upon receipt by the undersigned of a check from ________________________________ __________________ [Maker of the Check] in the sum of $__________y, whether in contract, strict liability, or tort (including negligence or otherwise) arising in any way out of the use of these materials. An attorney should be consulted for all serious legal matterconsequential damages (including, but not limited to, procurement of substitute goods or services; loss of use, data, or profits; or business interruption) however caused and on any theory of liabilitndLegalForms, Inc, its agents, partners, or affiliates, or ii) the providers, authors or publishers of the forms, be responsible or liable for any direct, indirect, incidental, special, exemplary, or e any express or implied warranties of merchantability, suitability or completeness for any of the materials for your particular needs. The materials are used at your own risk. In no event will: i) Fidoes not provide legal advice. The purchase and use of these materials is subject to the "Disclaimers and Terms of Use" found at findlegalforms.com. These materials are provided "AS-IS." We do not giv is not in fact been paid yet but will be paid a progress payment that is not the final payment. Disclaimer No Attorney-Client relationship is created by use of these materials. FindLegalForms, Inc. Conditional Waiver & Release upon Progress Payment Information This form should be used when a claimant is required to execute a waiver and release in exchange for a progress payment, and the claimant