CONTRACTOR’S FINAL RELEASE AND WAIVER OF LIEN
Project Name: Siphon Rehabilitation Project
Project Address: 229 Main Street Nashua NH 03060
City/Town State ZIP
Owner Name: City of Nashua, New Hampshire
Contractor Name:
Contractor Address:
City/Town State ZIP
TO ALL WHOM IT MAY CONCERN:
For good and valuable consideration, the receipt and sufficiency of which is hereby acknowledged, the undersigned
Contractor hereby waives, discharges, and releases any and all liens, claims, and rights to liens against the above-
mentioned project, and any and all other property owned by or the title to which is in the name of the above-referenced
Owner and against any and all funds of the Owner appropriated and available for the construction of said project, and
any and all warrants drawn upon or issued against any such funds or monies, which the undersigned Contractor may have
or may hereafter acquire or process as a result of the furnishing of labor, materials and/or equipment, and the
performance of work by the Contractor on or in connection with said project, whether under and pursuant to the above-
mentioned contract between the Contractor and the Owner pertaining to said project or otherwise, and which said liens,
claims or rights of lien may arise and exist.
The undersigned further hereby acknowledges that the sum of:
Dollars ($ ) constitutes the entire unpaid balance due the under
said contract or otherwise and that the payment of said sum to the contractor will constitute payment in full and will fully
satisfy any and all liens, claims, and demands which the contractor may have or assert against the owner in connection
with said contract or project.
Dated this day of 20__
(Contractor)
Witness to Signature
BY: BY:
Title Title
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