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CONTRACTOR'S AORCHITECT °^ LL c~-It~~r DEC 1 `~ 1999
AFFIDAVIT OF CONTRACTOR ^
,_._ RELEASE OF LIENS OTHER ^ _______,____
AIA DOCUMENT G706A
TO (Owner) ARCHITECT'S PROJECT NO:
~ I~ ~~~ TE)~lS -I CONTRACT FOR: PIi1lSE 3 RENOVATIONS
700 MRIN STREET Iff32RVILIE, TX 78028
L ~ CONTRACT DATE: FEH2l1ARY 8, 1999
PROJECT: PHASE 3 RENOVATIONS TO I~ CiY COUtTHQ1SE/ANVD(
(name, address) ~ hWIN SIRFFI I~RRVIIlE, TX 78028
State of: TD(AS
County oL
The undersigned, pursuant h> Article 9 of the General Conditions of the Contract for Construction, AIA Document
A20'I, hereby certifies that to the best of his knowledge, information and belief, except as listed below, the Releases
or Waivers of Lien attached hereto include the Contractor, all Subcontractors, all suppliers of materials and equip-
ment, and all performers of Work, labor or services who have or may have liens against any property of the Owner
arising in any manner out of the performance of the Contract referenced above.
CXCEPTIONS Of none, write "None". If required by the Owner, the Contractor shall (u rnish bond satisfactory to the
Owner for each exception.)
FaR PAYhFNi oF: ?f 2g, 5y J ~~
FOR PERIOD ETDING: C~GT l "J I
'yti~Ptl~~I~.~W ~~
D P X~R Cri.
u ,G,,
SUPPORTING DOCUr`1ENT5 ATTACHED IICRCTO SUB CONTRACTOK ~Q(/~r El~ UC(,! UI~
1 Contractor's Release or Waiver of Liens, condi-
tional upon receipt of final payment.
2. Separate Releases or Waivers of Liens from Sub-
contractors and material and equipment sup-
pliers, to the extent required by the Owner, ac-
companied by a list thereof.
Z~ i
U;Nl7A NEMEG~HENNIG
^6Y COni~iSSIUPI EXPIRES
G"'.-u"tbP° 11.2003
Address
BY ~ ,
Subscribed and sworn to before me this
` D day of I-I 19
Notary Public. 7/l~~C,~ ~~n/~I ~ ~'(J ~~ //~ ,(a/
LINDA NEAEC HENNIGNEI+EC FffPNIG nnF -Fvv`--' "' V _a
hty Commission Expires I2/II/$S 03
CAUTION: You should use an original AIA document which has this caution printed in red.
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AIA DOCUMENT G706A CO~A'TF ACTOR'S 4FFl DAVIT OF RELEASE OF LIEfGS APRIL 1970 CDITION A14'^: ~).AE P4GC
~' 79; 0 • THE AA4RY A.A INSTITUTE OI ARCHITECTS 1iJ5 NE\N YORK AA'E, NV'. AVASIIINGTON, n C 2000ti
WARNING: Unlicensetl photocopying violates U.S. copyright laws antl is subject to legal prosecution.
CONTRACTOR'S AFFIDAVIT OF
RELEASE OF LIENS
A/A Document G706 A
TO OWNER: KERB COUNTY, TX
(Name mrd Addrea.vl 700 MAIN STREET
KF,RRVILLE, TX 780:8
OWNER []
ARCHITECT []
CONTRACTOR []
SURETY []
OTHER I1
PROJECT NO.:
CONTRACT FOR: PHASE 3 RENOVS
PROJECT: PHASE 3 RENOVATIONS TO
INamc and.4ddrrnsl KERR CTY COLIRTHHOUSE
ANNEX
700 MAIN STREET KERRVILLE, TX
CONTRACT DATED: 02/08/99
STATE OF:
COUNTY OF:
The undersigned hereby certifies that to the best of the undersigned's knowledge, information and belief, except as listed below, the Releases or
Waivers of I•ien attached hereto include [he Contractor, all Subcontractors, all suppliers of materials and equipment, and all performers of Work,
labor or services who have or may have liens or encumbrances- or the right to assert liens or encumbrances against any property of the Owner
arising in any manner out of the performance of the Contract referenced above.
EXCEPTIONS:
PAYMENT OF : 9981.70
7 Y.ERR CO.
n Y
SUPPORTING DOCl1MENTS ATTACHED HERETO:
L Connac[or's Release or Waiver of Liens', conditional upon
receipt of final payment.
2. Separate Releases or Waiver of Liens from Subcontractors
and material and equipment suppliers, [o the extent
required by the Owner, accompanied by a list thereof.
r'" I.INDANEMEG-HENNIG
=~ ~'- MY COMMISSION EXPIflES
n,~€ D6caMber 11,2003
W-
I-
SUB CONTRACTOR: DOVER ELEVA"I'OR CO
/Name and Addre.r.cl
~_ ~ ~ 9-~z-~o
BY:
(Slgnaluve n/'aulharicu(rcf~resenlanneJ "
(Printed name and oi(el -
Subscribed and swoorn to befor~ey2me on thisJd/ate: e~~ ~.Q~P-/Kr~-r r ~~
Notary Public:~C W~~ //~~ N~"'E~
LINDA NEMEC HENNIG
My commission expires: 72/11/03
AIA DOCUMENT G706A. CONTRACTOR'S AFFIDAVIT OF REEEASE OF LIENS. 199J ELECTRONIC SPREADSHEET
EDITfON, AIA.1999.THE ADIERICAN INSTITUTE OF ARCHITECTS. 1735 NEW YORK NOT A PHOTOCOPY
AVENUE, NW, WASHINGTON, D.C. 200065292
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