06/13/2001 13:27 2106536127 STODDARD CONST CO PAGE 03
CONTRACTOR'S AFFIDAVIT OF	owNER [ ]
RELEASE OF LIENS	ARCxITECT [ )
	CONTRACTOR []
AlA pocument G706 A	SURETY [ ]
	OTHER []
TO 0 WNER:	COUNTY OF KERR PROJECT NO.:
(NamenndAddrcn)	700 MAIN STREET
	KERRVJLLE, TX 78028
	CONTRACT FOR: KC3
PROJECT:	KERRVILLE COUNTY COURTHOUSE CONTRACT DATED:
(Noma andAJdrcar~	PHASE 3 RENOVATIONS
STATE OF: ~F PII=t
COUNTY OF:
The undersigned herehy certifies that to the best of the undersigned's lmowlcdga, information and belief except as listed below, the Releases of
Waivers of Lien attached hereto include the Contractor, all Subcontractors, all suppliers of materials and equipment, and all performers of Wor1S
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 im any manna out of the pfaformancc of the Contract referenced above.
EXCEPTIONS:
FOR PAYMENT OF INVOICE (S) 20287, (MARRIOTT), 29033, 29223, 29617, 30269, 22230
SUPPORTING DOCUMENTS ATTACHED HERETO:
I. Contractor's RclcaSC or waives of Liens, rgnditionsd upon
receipt offinal payment.
2. Sepazate Releases or Waiver of Liens from Subcon[ractors
and material and equipment suppliers, to the extent
required by the Owner, accompanied by a list thereof.
W-
I-
EOPfION, AIA.
A6pNUli, NW,
(Prmred name antl rllF
Subscribed and swo
Notary Publi
My wmttt1~~s ' e~~ccpi
fl r I.n
Mu'IT Of Rt:L6ASI:OF UIaNS. IYHS ELI!i
OFARCMrfKC.`r5, n35 NfW'f.'ORK NOT'
me on this date:
'Y~~Y Hp~%%
PUB` ~
Q
~r9TE OF ~~5 ~ .
G706A-1994
~~
,,
SUB CONTRACTOR: WESSELY-TFIOMPSONHARDWARE
(Name anQAddxu)
BY~~~
i amne oho evi.-e
l
05/21/2001 15:30 2106536127
GQNTRgCTOR'S AFFIDAVIT OF
ece~cA~c a~ UEIi1S
AIA Document G706 A
~TO OtNNER: COUNTY OF RERR
RJamc nndAddroarJ ~~~ ~~ 5 ~ ~$L1Zg
~,RRVILLE,
PROJECT: KERRVII,LE COUNT NS UR'CHOUSE
(plane andAJdxa'~~) PHASE 3 RENO
STODDARD CONST CO
OWNER I l
ARCHITECT Il
CONTRACTOR (1
oT~ [ i
PROJECT NO.:
CONTRACT FOR: KC3
CONTRACT DATED:
PAGE 01
STATE OF: f ~}~.OI, ~~,
COUNTY OF:t/1,JI,i( ed's Jmowledge, information and belief, except ~ bsted below' the Releases or
~[`~~ ••__ liens of materials and equipment az'd ~lto~O of =he Owner
The undersigned hereby ctrdfies that to the best of ~c'~~ b otraetors, L1t ~Pe~ liens or encumbrances against say P p m'
Waivers of Lien attached hereto inclha e~liens o encumbrances or the ngh
labor or serviexs who have or may referenced above.
arising in any manner out of the performance of the Contract
EXCEP'fJONS:
FORPAYM.ENTOF 3oaasz ~~`(,GS'. ~2~'-~br ~--~~~Zr2~~1~1~ 2~'Ra'~r
~tI ~p~~~ ,2.q 117 ~ ~1-a~3Z
~~l`"/n~~ ~a~ 2saesraq~2~~9~1er
SUPPORTINO AOCUMENTS AfTACIfCD HERETO: 5UB CONTRACTOR w'ESSELY THOMPSON FIARDWARF'
(Nome andAddress)
1. Convac[or's Release or W civet of'Liens, condi[ional upon
receipt oPfinal payment.
2.
G706A-1994