CONTRACTOR'S AFf~IDAVIT OF
RELEASE OF LIENS
AIA Document G706 A
TO OWNER: KERR COUTJTY, TX
/Name andAddrrsel 700 MAIN STREET
KF.RRVILLE'., TX 78028
OWNER []
ARCHITECT [ ]
CONTRACTOR []
SURF.T'Y [ ]
OTHER I 1
PROJECT NO.:
CONTRAC"I'FOR: PHASE3 RENOVS
PROJF.CL: PHASE 3 RENOVATIONS'FU
(Name mvd Addres,y KERR CTY COURT'HHOUSE
ANNBX
700 MAIN STREET KF.RRVILLF„ TX
CONTRACT DAl'ED: 02/08/99
S"PATE OF:
COUNTY OF:
The undersigned hereby certifies that to the best of the undersigned's knowledge, information and belief, except as listed below, ~ he Releases nr
Waivers of Lien attached hereto include the Contractor, all Subcontractors, all suppliers of materials anc. equipment, and all pertbrmers of 'tiJor;,
labor or services who have or may have liens or encumbrances or the right [o assert liens or encumbrances against any property of thr, (Iwro,r
arising in any manner out of the performance of the Contract referenced above.
EXCEPTIONS:
PAYMENT OF : 2645.28
SUPPORTING DOCUMENTS ATTACHED HERETO:
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 equipment suppliers, to [he extent
required by [he Owner, accomp:mied by a list [hereof
~----- -
t'~Xt
LINpA NEMEC-hiENNIG
~
'
'~
~t.`.ar,',~~"	MY COMMISSION EXPIRES
Decambar 11,2003
W-
I-
(} l~/ (JI~f-
f-.d l Yia oP
~•~-
bti @ ~': f F'.; . CO. 'FOf~I-
,y
SUB CONTRACTOR: OVERHEAD DOOR CO
(Nome and Addre.a9
~'_. _. _--_._ ir----_-~
B r . Y "'~--~'~-
(SiKnature oJ'au(hurized reprevenmbre,
~~djgrp>t ~ IS f rzuo wee-_--
(1'rlnted name mid bdel
Subscribed and swo/ yt~o~b/ef/o~re m~e o~n~fhyis d~at~z~:
Notary Public: ~~ `tom-t'1 'r "" ' ""
LINDA NEMEC H' :NNIG
My commission expires: 12/11/03
AIA DOCUMENT G706A. CONTRACTOR'S AFFIDAVIT OF RELEASE OF LIENS. 1994 ELECTRONIC SPREADSHEET
EDITION, AIA.1994.THE AMERICAN INSTITUTE OF 4RCHITECTS, 1735 NEW YORK NOT A PHOTOCOPY
AVENUE, NW, WASHINGTON, D.C. 2000(x5292
G706A-'1994
CONTRACTOR'S AFFIDAVIT OF
RELEASE OF LIENS
AIA Document G706 A
TO OWNER: KERB COLIN'i'Y. TX
IName and Addrev./ 700 MAIN STREET
KERRVILLE, TX 78028
OWNER []
ARCHITECT [
CONTRACTOR []
SURETY [ ~
OTHER f 1
PROJECT NO.:
CONTRACT FOR: PHASE 3 RENOVS
PROJECT PHASE 3 RENOVATIONS TO
(Nome and AddreveJ KF.RR CTY COURTHHOUSE
ANNEX
700 MAIN STRF,E'h KERRVILLE, TX
CONTRACT DATED: 02/08/99
STATF: 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 Lien attached hereto include thz 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 [he Owner
arising in any manner out of the performance of the Contract referenced above.
EXCEPTIONS:
PAYMENT OF : 2532.42
C. 2"
s u„+i:L
SUPPORTING DOCUMENTS ATTACHED HERETO:
L Contractor's Release or Waiver of Liens, conditional upon
receipt of tinal payment.
2. Separate Releases or Waiver of Liens from Subcontractors
and material and equipment supplizrs, to [he extent
required by the Owner, accompanied by a list thereof.
,.~ryk i LINDN NEMEGHENNIG
>~; Mw COMMISSION EXPIRES
=.y~s Oazertber ii, 2003
W-,
1-
SUB CONTRACfOR: OVF.Rt~'.AD DOOR CO
/Nome rmd Addrevvl
i . ~
BY: --~-
(1iXnalure ofauthonaed repreven(aavel
(]h'mled name and utlel
Subscribed and sworn to bef/o~re me on this date: / /~ /~,j'~~( '
Notary Public: /i~/ lJ~~ / (,@„rn~ 1`~~/Y-" -' %f
LINDA NEMEC HENNIG V
My commission expires: 12/11/03
AIA DOCUMENT G7a6A, (r6u'17iACl UR"` N~F7DAVr1 OF NP.I NL454. trF IJIiV 6. 19?4 FLI r 7RO~IC 1CRN VDSH ta_'I'
EU[f10i, 41.1.1994.rHi[.LYi I:RIG1~AtVS'CIIt IY OF iKCHI'CFC tS. 1735 M1I:w PORK VO1 lPHOYY1C111"V'
\1'P.tiL E, R'w'. ~\' ~\tiHI \G 1111, Il.t 1. LII11lLa?92
G706A-1994