Colorado Conditional Partial Waiver of Lien - Free Download
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Colorado Conditional Partial Waiver of Lien
Colorado Conditional Partial Waiver of Lien
CONDITIONAL
PARTIAL WAIVER OF LIEN
STATE OF COLORADO
COUNTY OF ________________
TO WHOM IT MAY CONCERN:
WHEREAS, the Undersigned XXX , has been employed by Alliance Construction
Solutions, LLC, hereinafter referred to as the “Contractor”, or their agents, or both, to furnish
labor and/or material in connection with improvements to the
_________________________________________ / 2012-00xM project located at
_________________________________________.
NOW THEREFORE, the Undersigned, having full authority to execute this document for
and upon receipt of PARTIAL PAYMENT in the amount of $___________ through the
_______ day of ___________, 2012, does hereby:
1. Waive and release any and all lien and claim or right to lien on said above described building
and premises or any portions thereof under the Statutes of the State of Colorado, relating to
the Mechanic’s Lien, on account of labor or materials, or both, furnished by the undersigned
to date in connection with said improvements, reserving however, all lien rights for labor
and/or materials furnished after said date.
2. Represents to the Contractor that the Undersigned has paid, or immediately upon the receipt
hereof will pay, all of its subcontractors, material suppliers or laborers who have furnished
materials, services, or labor who have or may have a lien against said property or a portion
thereof.
3. Agree that in the event the procedures set forth in Paragraph 2 above are not followed, the
Undersigned will hold the Contractor harmless from any and all claims or liabilities, to
include necessary attorney fees.
Dated this ___________ day of _________________, 2012
PLEASE SIGN AND RETURN TO:
Subcontractor Name
Alliance Construction Solutions, LLC
Email: slkeefer@allianceconstruction.com ___________________________________
or Fax: 303.228.7434 By: (Authorized Signature)
Original (12/01)
J.\std-form\4-60.doc
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