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2025-157
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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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PARTIAL WAIVER AND RELEASE OF LIEN UPON PROGRESS PAYMENT <br />The undersigned lienor, in consideration of the sum listed below, hereby waives and releases its lien and right to claim <br />a lien for labor, services, or materials furnished through date shown below <br />Name of Claimant: <br />Name of Customer: <br />Job: <br />Owner: <br />Through Date: <br />EVEREST MECHANICAL SERVICES <br />INDIAN RIVER COUNTY <br />T -FIRE - FIRE STATION #11 REMODEL <br />Proctor Construction Company, LLC <br />06/20/202S <br />Conditional Waiver and Release <br />This document waives and releases lien, stop payment notice, and payment bond rights the claimant has for labor and <br />service provided, and equipment and material delivered, to the customer on this job through the Through Date of this <br />document. Rights based upon labor or service provided, or equipment or material delivered, pursuant to a written <br />change order that has been fully executed by the parties prior to the date that this document is signed by the <br />claimant, are waived and released by this document, unless listed as an Exception below. This document is effective <br />only on the claimant's receipt of payment from the financial institution on which the following check is drawn: <br />Maker of Check: <br />Proctor Construction Company, LLC <br />Amount of Check: <br />13,654.26 (thirteen thousand, six hundred and fifty-four dollars and twenty-six cents) <br />Check Number: <br />0000061025 <br />Check Payable to: <br />EVEREST MECHANICAL SERVICES <br />This waiver and release does not cover any retention or labor, services, or materials furnished after the date specified. <br />Signature <br />Claimant's Signature: <br />Claimant's Title: Prt5l <br />Date of Signature: 2u'LS <br />Notary: <br />ma <br />o1pR�' n�Bt. <br />JULIA A. BIENEMANN <br />Commission # HH 378777 <br />9FOF F1.� Expires March 26, 2027 <br />
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