CONTRACTOR'S OWNER ^ ARCHITECT ^ AFFIDAVIT OF CONTRACTOR ^ RELEASE OF LIENS OTHER ^ AIA DOCUMENT G7O6A TO (Owner) L PROJECT: (name, address) ARCHITECT'S PROIECT NO: I~ CQ1NtY, TEXAS ~ CONTRACT FOR: PIi0.g 3 RENIIVATI0N5 700 MAIN STREET I~RRVIIIE, TX 78028 J CONTRACT DATE "ter""~:.°.~~ FfVlg 3 RENOVATIONS TO I~RR CTY COUtTH(11SE/ANNEX ~"~~ 700 MAIN SiRE1=I I~IiRVILLE, TX 78028 State of: TEXAS County of The undersigned, pursuant to Arliclr 9 of the General Condmons n( Ihr Contract for Construrunn, AIA Ihieumrnl A?Ol, herrby u•ru lies that uI the best n( his knowledge, imormauon .md brhef, except as listed bclu++, Ihr Releases or \Vaivers of lren an ached hereto Include the Coniraclor, all Subrnntrertors, all uq>phers of materal+ and equip- ment, and all performers of \lrorl.. labor or services whn h.rvr or may h.we hens aga mst any progeny of Iho O+vner ansing in any manner out of dm performance of the C+mtreU ndrronr cd ahnvr f XCCPTIONS (I( Wane, +vrite "None" If rrgwrerl by the Owner, Ihr Cnnlrarlnr .hall turnrsh bond +ah+LlUnr+- lu Ihr O+vner for each rsr rpnon I FQi PAYMEM aF: ~ "~ ~ 2 ~d Fq2 PERIOD ENDIN~~~`! '•~ ~• 9~r,~.m~~ tCa'+ll,. , FfEF;• ^IIYRCO.CIBRK YYPF.ii `ry a! SUPPORTING UOCUM[NTS ATTACIiCf) IICRCTO ~ CONTRr1 C~TOR ~I[]Gj'er 'nL 1. Contractor's Release or Waiver of Liens, condi- Ilonal upon receipt of linal payment. 2. Separate Releases or \Narvers n( Liens fmm Sub- mntractors and material and egwpmenl sup- pliers, to the extent regwred by the Owner, ac- companied by a Gst thereof. '`*""'° i-INDA ftEMF.C-HENNIG ~~~' `~:; Mn^ISSION EXPIRES ?w~:r ~}-qr,-a+r rt, 2003 i 1 Adrlress Subscnbed and scorn to before me Ihiv day of 19 Notary Public ,~~!~~( ~~~)~~ ,/~Ji-~~. w'L :~~ LINDA NE}EC EIfNIIG ` My Commission Expires' ~nl~ i~,~ CAUTION: You should use an original AIA document which has this caution printed in red. An original assures that changes will not be obscured as may occur when documents are reproduced. AIA DOCUMENT G:06A CO\TRACTOR"S 4RIDA\'IT OF BELEASE OF UENS 1PRIL 1970 [nillo.~ qL\^+ i1~E 1'\GC 79'0 • 7HE 4Vt RI( 4• I\s7iTUTE Or ARCHITCCT< 1"3i NEN' YORK A\'E , NY. \\ \SHI\(,7(l\ f) C 20006 WARNING: Unbcensetl pbotocopymg violates U. S. copyngM Isars antl is subject to legal piosecutwn. CONTRACTGR'S AFFIDAVIT OF RELEASE OF LIENS AIA Document G706 A TO OWNER: KERR COUNTY, TX /Nome mid Addre+~.+l 700 MAIN STREET KERRVILLE, TX 78028 PROI F,CT: PHASE, 3 RENOVATIONS TO (,name andAddrr...+i KERR CTY COURTHHOUSF. ANNEX 700 MAIN STREET KERRVILLE.'IR OWNER ARCHITECT [] CONTRACTOR [] SURETY [] OTHER I 1 PROJECT NO.: CONTRACT FOR: PHASE 3 RENOVS CONTRACT DATED: 02/08/99 STATE OF: COUNTY OF: The undersigned hereby certifies that to the best of the undersigned's knowledge, information and beliet; except as listed below, the Releases or Waivers of Lien attached hereto include the 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 OWR~r arising in any manner out of the performance of the Contract referenced above. EXCEPTIONS: PAYMENT OF : 1985.00 /___I~U.20 ~CJ SUPPOR"PING DOCUMENTS A"1"CACHED HERETO: SUB CONTRACTOR: OFFICE SOURCE (Name and Addre.a.d I Contractor's Release or Waiver of Liens, conditional upon receipt of final payment. ?. Separate Releases or Waiver oCLiens from Subuuntractors and material and equipment suppliers, to the extent required by [he Owner, accompanied by a list [hereof. I3Y: f I.eXK+ti'i //'„~~~7/'~--may (\'Ignalure v/uuthnr˘ed repreven[atrve/ l/'riMCd Hume and litlel " ~x~ LINDA NEMEGNENNIO W '~,.~,,~/{c~~. ~ MY OOMMISSION E1(PIRE6 1- ~iy„pc','~' Oecxnlber 11,200.4 Subscribed and sworn to before me nn this date: ~~ ~,, ~~ ~ /~ Notary Public: ~N i(~(N ~U, ~ ~4~(// I,yt.,A1i], LINDA NEMEC HENINIG ~ My commission expires: 12/1 ]/01 AIA DOCUMENT G100A.CONTRACTOR'S AFFIDA VI'1'OF RELEASE OF LIENS. ]994 ELECTRONR'SPREADSHEET EDITION, AIA.1994.THE AbIERICAN' INSTITUTE OF ARCHITEC"FS, 1735 Nt:W YORK NOT 4 PHOTOCOPY AVENUE, NW, WASHINGTON, H.C. 20006-5292 G706A-1994 CONTRACTOR'S AFFIDAVIT OF RELEASE OF LIENS AIA Document G706 A TO OWNER: KERR COUNTY, 1'X lxnn,<•ondAddra..ro 700 MAIN STREET KERRVILLE, TX 7802R PROJEC"I': PHASE 3 RF.NOVA'CIONS TO Manrv and Ad.Ges.v KERR C'fY COLIRTI IHOIISE ANNEX 700 MAIN STREET KERRVILLE, TX STATE OP: COUNTY OF: OWNER ~ ] naclltrEC°r [ 1 CON'T'RACTOR [] SURF.i'Y [ ] OTHER f 1 PROJECT NO.: C'UNTRACT FOR: PHASE 3 RF.NOVS CONTRACT DATED: 02/US/99 'Chc undersigned hereby certifies that to the best of the undersigned's knowledge, information and trclief except as listed below, the Releases or Waivers of Lien attached hereto include the Contractor, all Subcontractors, all suppliers of materials and eyuipment. and all performers of Work, labor or services who have or may have liens or encumbratrees or the right to assert liens or encumbrances against any property of *he Owner arising in any manner out of the performance of the Contract referenced above. EXCEPTIONS: PAYMEN"f OF : 9,500.00 CONTRACT AMOUNT 22475.00 OWNER PAID 70°io = 75732.50 ~ ~ LL ~~ LJ i~' PAYMENTS PRIOR'1'O Tt11S PAYRIEN'f -623250 1,,~ `. ~ ~~yy n~_.-,__,_,,,A1.=20 -C,/ 9100.00 ..,,~.:-w•r attatµ•e~l~]r1LCO. CLERK r^~8.._. SUPPORTING DOCUMENTS A~CTACHED I1ER F."CO: SUB CONTRACTOR: OPFICESOURCE fNnmr and Addre.vai I Contractor's Release or Waiver of Liens, conditional upon receipt of final payment. 2. Separate Releases or Waiver of Liens from Subcontractors and material and eywpment suppliers, to [he extent required by [he Owner, accompanied by a list thereof _J.~~ ,,,,,~ SANE 5~~ .~.~~ ~~= MY Opg~etl'ber 11,2003 W rr„ BY: a~ (.tirgnanme n/outhuri.u/ repre.vcntuhrei 'runcd Home and ode/ Subscribed and sworn tol!b//ef^^ore me otn~ythi~s date: y ~~ / ' Notary Public: ~(~({J~ ~r i t,l'.•Ci ~* `''r""'~"li' L1NUA NEMBC HENNIG V My commission expires: 12/I I/03 AIA DOCUMENT G706A. CO'VTR.4CTOR'S AFFIDAVIT OP RELEASE OE LIENS. 1994 ELECTRONIC SPREADSHEET EDITION,AIA.1994.711F..4MERICAV IV'ST17U'1'E OF ARCHITECTS, 1735 VEW YORG VOTA PHOTOCOP}' AVENUE, NW, WASIIINCTON, D.C. 211006-5292 G706A-1994