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2013-231
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2013-231
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Last modified
12/11/2015 1:51:13 PM
Creation date
10/1/2015 5:45:08 AM
Metadata
Fields
Template:
Official Documents
Official Document Type
Change Order
Approved Date
11/19/2013
Control Number
2013-231
Agenda Item Number
15.B.2
Entity Name
Paul Jacquin & Sons
Subject
Oslo Customer Convenience Center Change
Change Order No. 3
Project Number
6706-647687
Supplemental fields
SmeadsoftID
12610
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FINAL RELEASE <br /> The undersigned for and in consideration of the final payment of S 4.491 .53 and other good and valuable <br /> consideration to the undersigned having been paid for work performed under an order given by CARTER <br /> CONCRETE CONSTRUCTION & PAUL JACOUIN & SONS INC , on the job of OSLO <br /> CUSTOMER CONVENIENCE CENTER the receipt and sufficiency of such being hereby <br /> acknowledged, does hereby waive, release. rdmise and relinquish in favor of the Owner any and all rights, <br /> claims, demands, liens, claims for relief, causes of action and the like, whether arising at law, under <br /> contact, in tort, in equity or otherwise, whether known or unknown which the undersigned has now or <br /> may have had arising out of the performnnce of work or the furnishing of labor or materials by lite <br /> undersigned at any and all times as to or on the real property at 950 l ` r PLACE. VERO BEACH, FL <br /> 32962 known as OSLO CUSMINNUMENETOMER CONVENIENCE. CENTER. <br /> This Waiver and Release is freely and voluntarily given and the undersigned acknowledges, warrants and <br /> represents that it has filly reviewed the ternts and conditions of this Waiver and Release, that it is fully <br /> informed with respect to the legal eflcct of this Waiver and Release and that it has voluntarily chosen to <br /> accept the terms and conditions of this Waiver and Release in return for the payment recited above. The <br /> undersigned further agrees that making and receipt of payment and execution of the Waiver and Release <br /> shall in no sway release the undersigned from its continuing obligations with respect to the completion of <br /> any work remaining undone, punch list work, warranty and guaranty work, and any other obligations of <br /> the undersigned to CARTER CONCRETE CONSTRUCTION & PAUL JACOUIN & SONS INC. <br /> IN WITNESS WHEREOF the undersigned has caused this Final Release to be executed, this <br /> 1 day oft , 3013 . <br /> COMPANY: CIIF.ROKF. E PUMPING OF FL. LLC <br /> Signature: <br /> Name : - 7jL jA6 atj <br /> Title : .,x' a e <br /> Must be a corporate officer, President, Vice President, 60ecrear-yi Treasure or a letter of <br /> authorization must be attached that is signed by a corporate officer listing the authorized signers. <br /> Subsc ibed,IIs porn to an acknowledged before me the day and year written above. <br /> NOTARX.(;jjj9�LIC, State of t)at Large <br /> , ��' <br /> dPo TINA INIs RICE <br /> s * 9we NOTA <br /> ~ RY PUBLIC <br /> AND ?~ r s � :r STATE OF OHIO <br /> • 0 e Becordad in <br /> : Butter County <br /> '•.,�,9 .j.�•` My Comm. Exp. 411117 <br />
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