Conditional waiver on progress payment
- Claimant
- Your Company LLC
- Customer
- ABC General Contractors
- Owner
- Example Property Owner LLC
- Project
- Office Renovation, Floor 3
- Job location
- 123 Main Street, Chicago, IL
- Through date
- Amount
- $22,815.00
Upon receipt by Your Company LLC of a payment from ABC General Contractors in the amount of $22,815.00, and only after that payment has been honored and paid by the bank on which it is drawn, the undersigned waives and releases its lien rights, payment bond rights and claims for payment against the owner and the customer for labor, services, equipment and materials furnished to the project known as Office Renovation, Floor 3, located at 123 Main Street, Chicago, IL, owned by Example Property Owner LLC, through [through date].
This waiver does not cover retainage; extra work, change orders or claims that have not been paid; disputed claims; or labor, services, equipment and materials furnished after [through date].
Exceptions: None
This waiver is conditional. It does not take effect until the payment described above has been received and has cleared.
Claimant signature
Date
Printed name and title
Company
Prepared with the free lien waiver template at sub-office.com. Not legal advice. Some states require their own statutory waiver forms.