Lien Waiver Instructions
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Campus Planning and Facilities Management Office of Business & Finance
LIEN WAIVER INSTRUCTIONS
Prime Contractor is expected to: 1. Fill out the Case Western Reserve University (CWRU) Prime Contractor Lien Waiver form for your own company. (Electronic Forms are available by emailing [email protected]). The lien waiver must be signed by an officer of the company. If signed by someone other than the President, documentation must be provided that the signer is authorized to sign. 2. Give the CWRU lien waiver documents in pdf form to all subcontractors and explain the CWRU lien waiver procedures to them. (Electronic Forms are available by emailing [email protected]). This includes tier subs, as well as primary subcontractors. 3. Collect conditional and unconditional lien waivers from all subcontractors on the job. Even if they performed no work during the applicable period, if they have previously submitted a lien waiver or filed a Notice of Furnishing, they must submit a lien waiver for a zero balance during the pay application period. Subcontractors should provide a conditional lien waiver for the current pay application period, and an unconditional lien waiver upon receipt of payment for the previous pay application period. All lien waivers must have the same “dated through” date, which would be the last day of the month or billing period. 4. Fill out the Lien Waiver Summary spreadsheet with appropriate general contractor and subcontractor details and submit an updated version with every pay application. 5. Follow this procedure for every pay application. 6. Collect from subcontractors a final conditional lien waiver with the final pay application. 7. Following the job close, collect from all subcontractors a final unconditional lien waiver to close-out the project.
Subcontractors are expected to: 1. Complete the CWRU lien waiver documents. The lien waiver must be signed by an officer of the company. If signed by someone other than the President, documentation must be provided that the signer is authorized to sign. 2. Submit a conditional lien waiver for the current pay application period and an unconditional lien waiver upon receipt of payment for the previous pay application period. Even if they performed no work during the applicable period, if they have previously submitted a lien waiver or filed a Notice of Furnishing, they must submit a lien waiver for a zero balance during the pay application period. Subcontractors should provide a conditional lien waiver for the current pay application period, and an unconditional lien waiver upon receipt of payment for the previous pay application period. All lien waivers must have the same “dated through” date, which would be the last day of the month or billing period. 3. Follow this procedure for every pay application. 4. Submit a final conditional lien waiver with their final pay application. 5. Submit a final unconditional lien waiver upon receipt of final payment.
Page 1 EXHIBIT A – SUBCONTRACTOR/SUPPLIER BILLINGS LIEN WAIVERS To be completed by the General Contractor and submitted with every Pay Application. Project Name: GC Job #: CWRU CIP #: GC Pay App #:
SUBCONTRACTOR NAME - SUBCONTRACTOR DATE THRU GROSS REQUEST TOTAL RETENTION TO CURRENT LESS PREVIOUS NET REQUEST ALPHABETICALLY PAY NO. _____ COMPLETED AND DATE GROSS APPLICATIONS STORED TO DATE COLUMN I AMOUNT COLUMN G
Page 2 CONDITIONAL WAIVER AND RELEASE ON PROGRESS PAYMENT FOR USE BY PRIME CONTRACTORS Prime Contractor: Project Name: CWRU CIP #:
Original Contract Amount Approved Change Orders Contract Sum to Date Total Completed and Stored to Date Held as Retainage Total Completed as Percentage 1 Less Previous Certificates for Payment Received Current Payment Due Balance to Finish, Including Retainage
On receipt by the undersigned of a check from Maker of Check in the sum of $ payable to (Payee(s) of Check) and when the check has been properly endorsed and has been paid by the bank on which it is drawn, this document becomes effective to release any Mechanic’s Lien, any state or federal statutory bond right, any private bond right, any claim for payment and any rights under any similar ordinance, rule or statute related to claim or payment rights for persons in the undersigned’s position that the undersigned has on the project of Case Western Reserve University located at (job description) to the following extent. This release covers a progress payment for all labor, services, equipment or materials furnished to the jobsite or to Case Western Reserve University through (dat e) only and does not cover any retention, pending modifications and changes or items furnished after that date.
The undersigned further represents and warrants that he/she is duly authorized and empowered to sign and execute this waiver on behalf of the company or business for which he/she is signing; that the company has properly performed all work and furnished all the materials of the specified quality per plans and specifications and in a good and workmanlike manner through the date of said payment application or invoice; that the company has paid for all the labor, materials, equipment, and services that the company has used or supplied to the above premises through the date of said payment application or invoice; that the company has no other outstanding and unpaid payment applications, invoices, retentions, holdbacks, charge backs or unbilled work or materials against Case Western Reserve University regarding the above project as of the date of the aforementioned payment application; and that any materials which have been supplied or incorporated into the above premises were either taken from the company’s fully-paid or open stock or were fully paid for and supplied.
IN WITNESS WHEREOF, the undersigned has , . executed this Release on this day of
1 The receipt and sufficiency of which is hereby acknowledged by the undersigned.
Page 3 SIGNED AND ACKNOWLEDGED IN THE PRESENCE OF: (Company Name) ______By: ______Witness (Print name below signature) (Typed Name and Title)
STATE OF OHIO ) ) SS: COUNTY OF )
Page 3 The foregoing Conditional Waiver of Mechanic’s Lien was sworn to and subscribed before me, a Notary Public, on this day of , .
______Notary Public
This document was prepared by:
Page 3 UNCONDITIONAL WAIVER AND RELEASE ON PROGRESS PAYMENT FOR USE BY PRIME CONTRACTORS Prime Contractor: Project Name: CWRU CIP #:
Original Contract Amount Approved Change Orders Contract Sum to Date Total Completed and Stored to Date Held as Retainage Total Completed as Percentage 2 Less Previous Certificates for Payment Received Current Payment Due Balance to Finish, Including Retainage
The undersigned has been paid and has received a progress payment in the sum of $ for all labor, services, equipment, or material furnished to the jobsite on the project of Case Western Reserve University located at (job description) and does hereby release any Mechanic’s Lien, any state or federal statutory bond right, any private bond right, any claim for payment and any rights under any similar ordinance, rule or statute related to claim or payment rights for persons in the undersigned’s position that the undersigned has on the above referenced project to the following extent. This release covers a progress payment for all labor, services, equipment, or materials furnished to the jobsite or to Case Western Reserve University through (date) only and does not cover any retention, pending modifications and changes or items furnished after that date.
The undersigned further represents and warrants that he/she is duly authorized and empowered to sign and execute this waiver on behalf of the company or business for which he/she is signing; that the company has properly performed all work and furnished all the materials of the specified quality per plans and specifications and in a good and workmanlike manner through the date of said payment application or invoice; that the company has paid for all the labor, materials, equipment, and services that the company has used or supplied to the above premises through the date of said payment application or invoice; that the company has no other outstanding and unpaid payment applications, invoices, retentions, holdbacks, charge backs or unbilled work or materials against Case Western Reserve University regarding the above project as of the date of the aforementioned payment application; and that any materials which have been supplied or incorporated into the above premises were either taken from the company’s fully-paid or open stock or were fully paid for and supplied.
IN WITNESS WHEREOF, the undersigned has SIGNED AND ACKNOWLEDGED IN THE PRESENCE OF: executed this Release on this day of ______, .
2 The receipt and sufficiency of which is hereby acknowledged by the undersigned.
Page 5 Witness (Print name below signature) (Company Name) STATE OF OHIO ) By: ______) SS: COUNTY OF ) (Typed Name and Title)
The foregoing Unconditional Waiver of Mechanic’s Lien was sworn to and subscribed before me, a Notary Public, on this day of , .
______Notary Public
This document was prepared by:
NOTICE: This document waives 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 release form.
Page 5 CONDITIONAL WAIVER AND RELEASE ON FINAL PAYMENT FOR USE BY PRIME CONTRACTORS Prime Contractor: Project Name: CWRU CIP #:
Original Contract Amount Approved Change Orders Contract Sum to Date Total Completed and Stored to Date Held as Retainage Total Completed as Percentage 3 Less Previous Certificates for Payment Received Current Payment Due Balance to Finish, Including Retainage
On receipt by the undersigned of a check from (Maker of Check) in the sum of $ payable to (Payee(s) of Check) and when the check has been properly endorsed and has been paid by the bank on which it is drawn, this document becomes effective to release any Mechanic’s Lien, any state or federal statutory bond right, any private bond right, any claim for payment and any rights under any similar ordinance, rule or statute related to claim or payment rights for persons in the undersigned’s position that the undersigned has on the project of Case Western Reserve University located at (job description) . This release covers the final payment to the undersigned for all labor, services, equipment, or materials furnished to the jobsite or to Case Western Reserve University, except for disputed claims in the amount of $ .
The undersigned further represents and warrants that he/she is duly authorized and empowered to sign and execute this waiver on behalf of the company or business for which he/she is signing; that the company has properly performed all work and furnished all the materials of the specified quality per plans and specifications and in a good and workmanlike manner through the date of said payment application or invoice; that the company has paid for all the labor, materials, equipment, and services that the companyhas used or supplied to the above premises through the date of said payment application or invoice; that he/she has no other outstanding and unpaid payment applications, invoices, retentions, holdbacks, charge backs or unbilled work or materials against Case Western Reserve University regarding the above project as of the date of the aforementioned payment application; and that any materials which have been supplied or incorporated into the above premises were either taken from the company’s fully-paid or open stock or were fully paid for and supplied.
IN WITNESS WHEREOF, the undersigned has , . executed this Release on this day of
3 The receipt and sufficiency of which is hereby acknowledged by the undersigned.
Page 7 SIGNED AND ACKNOWLEDGED IN THE PRESENCE OF: (Company Name) ______By: ______Witness (Print name below signature) (Typed Name and Title)
STATE OF OHIO ) ) SS: COUNTY OF )
The foregoing Conditional Waiver of Mechanic’s Lien was sworn to and subscribed before me, a Notary Public, on this day of , .
______Notary Public
This document was prepared by:
Page 7 UNCONDITIONAL WAIVER AND RELEASE ON FINAL PAYMENT FOR USE BY PRIME CONTRACTORS Prime Contractor: Project Name: CWRU CIP #:
Original Contract Amount Approved Change Orders Contract Sum to Date Total Completed and Stored to Date Held as Retainage Total Completed as Percentage 4 Less Previous Certificates for Payment Received Current Payment Due Balance to Finish, Including Retainage
The undersigned has been paid in full for all labor, services, equipment or material furnished to the jobsite on the project of Case Western Reserve University located at and does hereby waive and release any right to Mechanic’s Lien, any state or federal statutory bond right, any private bond right, any claim for payment and any rights under any similar ordinance, rule or statute related to claim or payment rights for persons in the undersigned’s position, except for disputed claims for extra work in the amount of $ .
The undersigned further represents and warrants that he/she is duly authorized and empowered to sign and execute this waiver on behalf of the company or business for which he/she is signing; that the company has properly performed all work and furnished all the materials of the specified quality per plans and specifications and in a good and workmanlike manner through the date of said payment application or invoice; that the company has paid for all the labor, materials, equipment, and services that the company has used or supplied to the above premises through the date of said payment application or invoice; that the company has no other outstanding and unpaid payment applications, invoices, retentions, holdbacks, charge backs or unbilled work or materials against Case Western Reserve University regarding the above project as of the date of the aforementioned payment application; and that any materials which have been supplied or incorporated into the above premises were either taken from the company’s fully-paid or open stock or were fully paid for and supplied.
IN WITNESS WHEREOF, the undersigned has Witness (Print name below signature) executed this Release on this day of STATE OF OHIO ) , . ) SS: COUNTY OF ) SIGNED AND ACKNOWLEDGED IN THE PRESENCE OF:
______
4 The receipt and sufficiency of which is hereby acknowledged by the undersigned.
Page 9 (Company Name) (Typed Name and Title)
By: ______
The foregoing Unconditional Waiver of Mechanic’s Lien was sworn to and subscribed before me, a Notary Public, on this day of , .
______Notary Public
This document was prepared by:
NOTICE: This document waives 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 release form.
Page 9 CONDITIONAL WAIVER AND RELEASE ON PROGRESS PAYMENT FOR USE BY SUBCONTRACTORS, TIER SUBCONTRACTORS, AND SUPPLIERS Subcontractor: Subcontracted to: Project Name: CWRU CIP #:
Original Subcontract Amount Approved Change Orders Subcontract Sum to Date Total Completed and Stored to Date Held as Retainage Total Completed as Percentage 5 Less Previous Certificates for Payment Received Current Payment Due Balance to Finish, Including Retainage
On receipt by the undersigned of a check from (Prime Contractor/Maker of Check) in the sum of $ payable to (Payee(s) of Check) and when the check has been properly endorsed and has been paid by the bank on which it is drawn, this document becomes effective to release any Mechanic’s Lien, any state or federal statutory bond right, any private bond right, any claim for payment and any rights under any similar ordinance, rule or statute related to claim or payment rights for persons in the undersigned’s position that the undersigned has on the project for Case Western Reserve University located at (job description) to the following extent. This release covers a progress payment for all labor, services, equipment or materials furnished to the jobsite or to (Contractor with whom undersig ned contracted) or to Case Western Reserve University through (date) only and does not cover any retention, pending modifications and changes or items furnished after that date.
The undersigned further represents and warrants that he/she is duly authorized and empowered to sign and execute this waiver on behalf of the company or business for which he/she is signing; that the company has properly performed all work and furnished all the materials of the specified quality per plans and specifications and in a good and workmanlike manner through the date of said payment application or invoice; that the company has paid for all the labor, materials, equipment, and services that the company has used or supplied to the above premises through the date of said payment application or invoice; that the company has no other outstanding and unpaid payment applications, invoices, retentions, holdbacks, charge backs or unbilled work or materials against (Contractor with whom undersigned contracted) regarding the above project as of the date of the aforementioned payment application; and that any materials which have been supplied or incorporated into the above premises were either taken from the company’s fully-paid or open stock or were fully paid for and supplied.
5 The receipt and sufficiency of which is hereby acknowledged by the undersigned.
Page 11 IN WITNESS WHEREOF, the undersigned has (Company Name) executed this Release on this day of By: ______, . (Typed Name and Title) SIGNED AND ACKNOWLEDGED IN THE PRESENCE OF:
______Witness (Print name below signature)
STATE OF OHIO ) ) SS: COUNTY OF )
The foregoing Conditional Waiver of Mechanic’s Lien was sworn to and subscribed before me, a Notary Public, on this day of , .
______Notary Public
This document was prepared by:
Page 11 UNCONDITIONAL WAIVER AND RELEASE ON PROGRESS PAYMENT FOR USE BY SUBCONTRACTORS, TIER SUBCONTRACTORS, AND SUPPLIERS Subcontractor: Subcontracted to: Project Name: CWRU CIP #:
Original Subcontract Amount Approved Change Orders Subcontract Sum to Date Total Completed and Stored to Date Held as Retainage Total Completed as Percentage 6 Less Previous Certificates for Payment Received Current Payment Due
The undersigned has been paid and has received a progress payment in the sum of $ for all labor, services, equipment, or material furnished to the jobsite or to (Contractor with whom undersigned c ontracted) on the project of Case Western Reserve University located at (job description) and does hereby release any Mechanic’s Lien, any state or federal statutory bond right, any private bond right, any claim for payment and any rights under any similar ordinance, rule or statute related to claim or payment rights for persons in the undersigned’s position that the undersigned has on the above referenced project to the following extent. This release covers a progress payment for all labor, services, equipment, or materials furnished to the jobsite or to (Contractor with whom undersigned contracted) or to Case Western Reserve University through (date) only and does not cover any retention, pending modifications and changes or items furnished after that date.
The undersigned further represents and warrants that he/she is duly authorized and empowered to sign and execute this waiver on behalf of the company or business for which he/she is signing; that the company has properly performed all work and furnished all the materials of the specified quality per plans and specifications and in a good and workmanlike manner through the date of said payment application or invoice; that the company has paid for all the labor, materials, equipment, and services that the company has used or supplied to the above premises through the date of said payment application or invoice; that the company has no other outstanding and unpaid payment applications, invoices, retentions, holdbacks, charge backs or unbilled work or materials against (Contractor with whom undersigned contracted) regarding the above project as of the date of the aforementioned payment application; and that any materials which have been supplied or incorporated into the above premises were either taken from the company’s fully-paid or open stock or were fully paid for and supplied.
6 The receipt and sufficiency of which is hereby acknowledged by the undersigned.
Page 13 IN WITNESS WHEREOF, the undersigned has (Company Name) executed this Release on this day of , . By: ______(Typed Name and Title) SIGNED AND ACKNOWLEDGED IN THE PRESENCE OF:
______Witness (Print name below signature)
STATE OF OHIO ) ) SS: COUNTY OF )
The foregoing Unconditional Waiver of Mechanic’s Lien was sworn to and subscribed before me, a Notary Public, on this day of , .
______Notary Public
This document was prepared by:
NOTICE: This document waives 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 release form.
Page 13 CONDITIONAL WAIVER AND RELEASE ON FINAL PAYMENT FOR USE BY SUBCONTRACTORS, TIER SUBCONTRACTORS, AND SUPPLIERS
Subcontractor: Subcontracted to: Project Name: CWRU CIP #: Original Subcontract Amount Approved Change Orders Subcontract Sum to Date Total Completed and Stored to Date Held as Retainage Total Completed as Percentage 7 Less Previous Certificates for Payment Received Current Payment Due
On receipt by the undersigned of a check from (Prime Contractor/Maker of Check) in the sum of $ payable to (Payee(s) of Check) and when the check has been properly endorsed and has been paid by the bank on which it is drawn, this document becomes effective to release any Mechanic’s Lien, any state or federal statutory bond right, any private bond right, any claim for payment and any rights under any similar ordinance, rule or statute related to claim or payment rights for persons in the undersigned’s position that the undersigned has on the project of Case Western Reserve University located at (job description) . This release covers the final payment to the undersigned for all labor, services, equipment, or materials furnished to the jobsite or to (Contractor with whom undersigned co ntracted) or to Case Western Reserve University, except for disputed claims in the amount of $ .
The undersigned further represents and warrants that he/she is duly authorized and empowered to sign and execute this waiver on behalf of the company or business for which he/she is signing; that the company has properly performed all work and furnished all the materials of the specified quality per plans and specifications and in a good and workmanlike manner through the date of said payment application or invoice; that the company has paid for all the labor, materials, equipment, and services that the company has used or supplied to the above premises through the date of said payment application or invoice; that the company has no other outstanding and unpaid payment applications, invoices, retentions, holdbacks, charge backs or unbilled work or materials against (Contractor with whom undersigned contracted) regarding the above project as of the date of the aforementioned payment application; and that any materials which have been supplied or incorporated into the above premises were either taken from the company’s fully-paid or open stock or were fully paid for and supplied.
7 The receipt and sufficiency of which is hereby acknowledged by the undersigned.
Page 15 IN WITNESS WHEREOF, the undersigned has executed this (Company Name) Release on this day of , . By: ______SIGNED AND ACKNOWLEDGED IN THE PRESENCE OF: (Typed Name and Title)
______Witness (Print name below signature)
STATE OF OHIO ) ) SS: COUNTY OF )
The foregoing Final Conditional Waiver of Mechanic’s Lien was sworn to and subscribed before me, a Notary Public, on this day of , .
______Notary Public
This document was prepared by:
Page 15 UNCONDITIONAL WAIVER AND RELEASE ON FINAL PAYMENT FOR USE BY SUBCONTRACTORS, TIER SUBCONTRACTORS, AND SUPPLIERS
Subcontractor: Subcontracted to: Project Name: CWRU CIP #:
Original Subcontract Amount Approved Change Orders Subcontract Sum to Date Total Completed and Stored to Date Held as Retainage Total Completed as Percentage 8 Less Previous Certificates for Payment Received Current Payment Due
The undersigned has been paid in full for all labor, services, equipment or material furnished to the jobsite or to (Contractor with whom undersigned contracted) on the project of Case Western Reserve University located at (job description) and does hereby waive and release any right to Mechanic’s Lien, any state or federal statutory bond right, any private bond right, any claim for payment and any rights under any similar ordinance, rule or statute related to claim or payment rights for persons in the undersigned’s position, except for disrupted claims for extra work in the amount of $ .
The undersigned further represents and warrants that he/she is duly authorized and empowered to sign and execute this waiver on behalf of the company or business for which he/she is signing; that the company has properly performed all work and furnished all the materials of the specified quality per plans and specifications and in a good and workmanlike manner through the date of said payment application or invoice; that the company has paid for all the labor, materials, equipment, and services that the company has used or supplied to the above premises through the date of said payment application or invoice; that the company has no other outstanding and unpaid payment applications, invoices, retentions, holdbacks, charge backs or unbilled work or materials against (Contractor with whom undersigned contracted) regarding the above project as of the date of the aforementioned payment application; and that any materials which have been supplied or incorporated into the above premises were either taken from the company’s fully-paid or open stock or were fully paid for and supplied.
IN WITNESS WHEREOF, the undersigned has ______executed this Release on this day of Witness (Print name below signature)
, . STATE OF OHIO ) ) SS: SIGNED AND ACKNOWLEDGED IN THE PRESENCE OF: COUNTY OF )
8 The receipt and sufficiency of which is hereby acknowledged by the undersigned.
Page 17 (Company Name)
By: ______(Typed Name and Title)
The foregoing Final Unconditional Waiver of Mechanic’s Lien was sworn to and subscribed before me, a Notary Public, on this day of , .
______Notary Public
This document was prepared by:
NOTICE: This document waives 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 release form.
Page 17