United Irrigation Inc - Unconditional Waiver and Release on Final PaymentPage 1 of 1
UNCONDITIONAL WAIVER AND RELEASE ON
FINAL PAYMENT
NOTICE TO CLAIMANT: THIS DOCUMENT WAIVES AND RELEASES LIEN, STOP
PAYMENT NOTICE, AND PAYMENT BOND RIGHTS UNCONDITIONALLY AND
STATES THAT YOU HAVE BEEN PAID FOR GIVING UP THOSE RIGHTS. THIS
DOCUMENT IS ENFORCEABLE AGAINST YOU IF YOU SIGN IT, EVEN IF YOU HAVE
NOT BEEN PAID. IF YOU HAVE NOT BEEN PAID, USE A CONDITIONAL WAIVER AND
RELEASE FORM.
Identifying Information:
Name of Claimant PORTER RENTS LLC, 13013 TEMESCAL CANYON RD, 13013
TEMESCAL CANYON RD,CORONA CA 92883
Name of Customer: UNITED IRRIGATION INC, 2195 FARADAY AVE #E, CARLSBAD CA
92008
Job Location: PALOS VERDE, 30940 HAWTHORNE BLVD, RANCHO PALOS VERDES
CA, 90275,
Owner: CITY OF RANCHO PALOS VERDES, 30940 HAWTHORNE BLVD, RANCHO
PALOS VERDES CA 90275
Unconditional Waiver and Release
This document waives and releases lien, stop payment notice, and payment bond rights the
claimant has for all labor and service provided, and equipment and material delivered, to the
customer on this job. Rights based upon labor or service provided, or equipment or material
delivered, pursuant to a written change order that has been fully executed by the parties prior to
the date that this document is signed by the claimant, are waived and released by this document,
unless listed as an Exception below. The claimant has been paid in full.
Exceptions:
This document does not affect the following:
Disputed claims for extras in the amount of. $ 0
SIGNATURE
Claimant's
Signature:
ANGELA MILLICAN
Claimant's A/R
Title:
Date of 6/24/19
Signature:
For Prelim # CA726577
http://login.cnslien.com/Rdisplay_new.cfm 6/24/2019