Unconditional Waiver & Release upon Progress Payment

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This form is to be used as an unconditional waiver & release based on a progress payment but only to the extent of the progress payment.

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This form is generally used in the construction industry, however it has many other applications. It requires a claimant to some right or sum of money to execute an unconditional waiver and release in exchange for a progress payment, but only to the extent of the progress payment.

Among others this packet includes the following provisions:
  • Names of parties: Identifies the parties to the transaction
  • Sum paid: Clarifies the money paid for the waiver and release
  • Job description: Indicates the job for which the release applies
  • Extent of release of claim: Describes the extent to which the waiver applies
This attorney-prepared packet contains:
  1. Unconditional Waiver & Release upon Progress Payment Information
  2. Unconditional Waiver & Release upon Progress Payment form
State Law Compliance: Designed for use in all states
This is the content of the form and is provided for your convenience. It is not necessarily what the actual form looks like and does not include the information, instructions and other materials that come with the form you would purchase. An actual sample can also be viewed by clicking on the "Sample Form" near the top left of this page.
 
 
Unconditional Waiver and Release
Upon Progress Payment

 

 

 
The undersigned has been paid and has received a progress payment in the sum of $________ [Enter Progress Payment Sum] for labor, services, equipment, or material furnished to ______________________________________________ [Your Customer] on the job of ______________________________________________ [Job Description] and does hereby release any mechanics lien, stop notice, or bond right that the undersigned has on the above referenced job to the following extent.  
 
This release covers a progress payment for labor, services, equipment, or materials furnished to ______________________________________________ [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 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 by 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 mechanics lien, stop notice, or bond right shall not 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 compensation 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 any recipient of this document relies on it, said party should verify evidence of payment to the undersigned.
 
 
Dated: ________________
 
By: ______________________________________
      [Name of Person Granting Release]
 
       ______________________________________
                [Title]
 
        ______________________________________
         [Company Name]
 
NOTICE: THIS DOCUMENT WAIVES RIGHTS UNCONDITIONALLY AND STATES THAT YOU HAVE PAID FOR GIVING UP THOSE RIGHTS. THIS DOCUMENT IS ENFORCEABLE AGAINST YOU IF YOU SIGN IT, EVEN IF YOU HAVE NOT BEEN PAID. IF YOU HAVE NOT BEEN PAID, USE A CONDITIONAL RELEASE FORM.
Number of Pages2
DimensionsDesigned for Letter Size (8.5" x 11")
EditableYes (.doc, .wpd and .rtf)
UsageUnlimited number of prints
Product number#29286
This is the content of the form and is provided for your convenience. It is not necessarily what the actual form looks like and does not include the information, instructions and other materials that come with the form you would purchase. An actual sample can also be viewed by clicking on the "Sample Form" near the top left of this page.
 
 
Unconditional Waiver and Release
Upon Progress Payment

 

 

 
The undersigned has been paid and has received a progress payment in the sum of $________ [Enter Progress Payment Sum] for labor, services, equipment, or material furnished to ______________________________________________ [Your Customer] on the job of ______________________________________________ [Job Description] and does hereby release any mechanics lien, stop notice, or bond right that the undersigned has on the above referenced job to the following extent.  
 
This release covers a progress payment for labor, services, equipment, or materials furnished to ______________________________________________ [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 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 by 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 mechanics lien, stop notice, or bond right shall not 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 compensation 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 any recipient of this document relies on it, said party should verify evidence of payment to the undersigned.
 
 
Dated: ________________
 
By: ______________________________________
      [Name of Person Granting Release]
 
       ______________________________________
                [Title]
 
        ______________________________________
         [Company Name]
 
NOTICE: THIS DOCUMENT WAIVES RIGHTS UNCONDITIONALLY AND STATES THAT YOU HAVE PAID FOR GIVING UP THOSE RIGHTS. THIS DOCUMENT IS ENFORCEABLE AGAINST YOU IF YOU SIGN IT, EVEN IF YOU HAVE NOT BEEN PAID. IF YOU HAVE NOT BEEN PAID, USE A CONDITIONAL RELEASE FORM.
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NC

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