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2025-157
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Last modified
9/11/2025 2:38:52 PM
Creation date
9/11/2025 2:37:43 PM
Metadata
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Template:
Official Documents
Official Document Type
Change Order
Approved Date
08/19/2025
Control Number
2025-157
Agenda Item Number
9.P.
Entity Name
Proctor Construction Company, LLC
Subject
Change Order No. 2 for Fire Station 11, Renovations to make final adjustments
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Project: <br />Exhibit A-2 <br />CONDITIONAL WAIVER AND RELEASE UPON <br />PAYMENT <br />(Conditional Lien Waiver) <br />Fire Station #11 Remodel <br />The undersigned has been contracted by Indian River County to perform work <br />which includes labor, services, materials and/or equipment to the jobsite of the project known as <br />Fire Station #11 Remodel <br />This progress payment lien waiver is conditional upon receipt of payment by Proctor Construction Company, LLC <br />of the sum of $ 61,740.71 , which represents payment for the application for payment dated <br />Pay App 6 Through JULY 31, 2025 , to the extent of this payment, the undersigned does hereby waive and release <br />any and all liens or claim of liens, or right to lien or to withholding of labor, services, materials, fixtures, apparatus, <br />or machinery furnished and included in the foregoing application for payment, by the undersigned, with respect to <br />and on behalf of said above-described premises, and the improvements thereon. The undersigned additionally <br />certifies that to the extent of the payments made to date all obligations for materials, equipment furnished, and <br />payment for all work, labor, and services performed, have been satisfied. <br />By signing below, the undersigned states that he/she has full authority to sign on behalf of the below -named <br />contractor. <br />Dated this 4th day of August 12025 <br />Printed Name Anderson Proctor <br />Signature <br />Title Vice President <br />Company <br />Proctor Construction Company, LLC <br />e--' <br />State of Florida County of C11 G �rl <br />Subscribed and sworn to before me this L-01— day of , 20 <br />Notary Public <br />My Commission expires p (F. <br />Please return to: Proctor Construction Company, LLC <br />Thank you. <br />(Seal)CARIANN GOWIN <br />*V1 <br />Notary Public <br />State of Florida <br />Comm# HH279116 <br />Expires 6/21/2026 <br />
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