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:==AI Document G706X — 1994 <br /> Contractor's Affidavit of Release of Liens <br /> PROJECT: (Name and address) ARCHITECT'S PROJECT NUMBER: OWNER: ❑ <br /> IRC Fire Station #5 <br /> 6585 U .S. Highway 1 CONTRACT FOR: General ARCHITECT: E] <br /> Vero Beach, FL 32967 Construction CONTRACTOR: ❑ <br /> TO OWNER: (Name and address) CONTRACT DATED: 5/24/06 SURETY: ❑ <br /> Indian River County <br /> 1840 25th Street OTHER: ❑ <br /> Vero Beach, FL 32960 <br /> STATE OF: Florida <br /> COUNTY OF: Indian River <br /> The undersigned hereby certifies that to the best of the undersigned' s knowledge, information and belief, except as <br /> listed below, the Releases or Waivers of Lien attached hereto include the Contractor, all Subcontractors, all suppliers <br /> of materials and equipment, and all performers of Work, labor or services who have or may have liens or <br /> encumbrances or the right to assert liens or encumbrances against any property of the Owner arising in any manner <br /> out of the performance of the Contract referenced above. <br /> EXCEPTIONS: <br /> SUPPORTING DOCUMENTS ATTACHED HERETO: CONTRACTOR: (Name and address) <br /> 1 . Contractor' s Release or Waiver of Liens, Barth Construction, Inc. <br /> conditional upon receipt of final payment. 1717 Indian River Blvd . , Suite 202A <br /> Vero Beach, FL 32960 <br /> 2. Separate Releases or Waivers of Liens from BY: - " h1/ <br /> Subcontractors and material and equipment Signature of authorized <br /> suppliers, to the extent required by the Owner, 'entative) <br /> accompanied by a list thereof. t/f/S +/� <br /> (Printed name and title) <br /> Subscribed and swom to before me on this date: <br /> Notary Public : <br /> My Commission Expires: <br /> AIA Document G706Aw — 1994. Copyright C 1982 and 1994 by The American Institute of Architects. All rights reserved. WARNING: This Al e <br /> Document is protected by U.S. Copyright Law and International Treaties. Unauthorized reproduction or distribution of this AIA® Document, of any 1 <br /> portion of it, may result in severe civil and criminal penalties, and will be prosecuted to the maximum extent possible under the law. This document <br /> was produced by AIA software at 08:56:16 on 10/17/2007 under Order No. 1000304448_1 which expires on 5129/2008, and is not tot resale, <br /> User Notes: (2167666425) <br />