CONTRACTOR'S AORCHITECT p
AFFIDAVIT OF CONTRACTOR ^
RELEASE OF LIENS O7HER ° RECEIVED FEB T Y 2000
AIA DOCUMENT G706A
TO (Owner) ARCHITECT'S PROJECT NO:
~ KEI~t ~~,~ TEJUIS -) CONTRACT FOR: PFV15E 3 RQJpVATIONS
700 MAIN SiRFfT KFRRVIIIE, TX 78028
L J CONTRACT DATE: FEBPo.UIRY 8, 1999
PROJECT: PHASE 3 RENOVATIt70.S TO KERB CiY I~JUtiHQ1SE/AMIEX
(name, address) ~ MAIN SlRE1-I KII2RVILLE, TX 78028
State of: TEJfAS
County oL
The undersigned, pursuant to Article 9 of the General Conditions of the Contract for Construction, AIA Document
A201, 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 Wnrk, 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.
EXCEPTIONS (If Hong write "None" If required by the Owner, the Contractor shall furnish bond vatisfactory k) the
Owner for each exception.)
FOR PAYNEM OF: ~ ~ + ~2. ~
FITt PERI(D EI~OING: ~ -~ ~-~~
i-r ppu ~' zo~^
%':1'41 tA. ,
SUPPORTING DOCUMCNTS AT1:4CHED IiCRETC!' 9,JR ("ONTRACTOR ~~r~oC~r l CD>/Un'1nS
1. Contractor's Release or Waiver of Liens, condi- it ~I ~J
tional upon receipt of final payment. PD ,SOX /
2. Separate Releases or Waivers of Liens from Sub- Address ~~jj
contractors and material and equipment sup- C~P~s~ .~ 02-7~`~ /
pliers, to the extent required by the Owner, ac- ~~'~2`r "-- (/ ~/~
companied by a list thereof. BY
Suhcrrlbed~a.`~d_ sworn la before me thi~-
al ~ ~ ~`'- day of ~n,y,c~nti 1~i ~~n'U
y ~t. C~ J
" „ $.~t Notary Public
.w •~• ,l1,1`
F"~`~'""'~ My Commission Expires: a ~ ~. (~
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An original assures that changes will not be obscured as may occur when documents are reproduced.
AtA DOCUMENT G706A CONTRACTOR'S Ar FIDAVIT OF RELEASE OF LIENS APRIL 1970 EDITION AIA OkE PAGE
' 19'0 • THE AntE RICAn INSTITUTE Or ARCHITECTS, 1035 NEN' YORK AVE. N\1', W.ASHINGTO N, D C 2000G
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