Prepared by
Name
Address
Address
Return to:
City of Coconut Creek
4800 West Copans Road
Coconut Creek, Fl 33063
CONTRACTOR'S FINAL WAIVER OF LIEN
(From a corporation)
PROJECT NO:
PROJECT NAME:
KNOW ALL MEN BY THESE PRESENTS: That ,
, a corporation, (Contractor) for and in consideration of payment in full
from , (Owner), the sufficiency and receipt of which is
hereby acknowledged, has a direct contract with the Owner for work, labor,
and materials or services heretofore and/or hereafter furnished in regards thereto, including all
extras and change orders, hereby releases and waives any and all liens, lien rights or claims
whatsoever which the Contractor now has or may acquire against the Owner’s property in
Broward County, Florida, legally described as
(Subject Property).
Contractor certifies that all laborers employed by the Contractor for work provided to the
subject property have been paid in full and that all suppliers, materialmen and subcontractors
who have furnished labor, materials or supplies to Subject Property under a direct contract with
the Contractor have been paid in full or, if not, are shown on the Final Contractor's Affidavit
attached. Final Waivers of Lien have been obtained or are attached, from all parties who have
filed a Notice to Owner as a Vendor to the Contractor, or have not furnished any labor, material
or services under the Notice to Owner.
I, , the undersigned, an Officer of , a
corporation, hereby certify that I have the power and authority to execute this Final
Waiver of Li