District of Columbia's lien waiver law.

NOTICE: THIS DOCUMENT WAIVES THE CLAIMANT’S LIEN AND PAYMENT BOND RIGHTS EFFECTIVE ON RECEIPT OF PAYMENT. A PERSON SHOULD NOT RELY ON THIS DOCUMENT UNLESS SATISFIED THAT THE CLAIMANT HAS RECEIVED PAYMENT. Identifying Information Name of Claimant:________ Name of Customer:________ Job Location:________ Owner:________ Through Date:________ Conditional Waiver and Release This document waives and releases lien and payment bond rights the claimant has for labor and service provided, and equipment and material delivered, to the customer on this job through the Through Date of this document. Rights based upon labor or service provided, or equipment or material delivered, pursuant to a written change order that has been fully executed by the parties prior to the date that this document is signed by the claimant, are waived and released by this document, unless listed as an Exception below. This document does not waive or release rights for labor or service provided, or equipment or material delivered, after the Through Date. This document is effective only on the claimant’s receipt of payment from the financial institution on which the following check is drawn: Maker of Check:________ Amount of Check: $________ Check Payable to:________ Exceptions This document does not affect any of the following: (1) Retentions. (2) Extras for which the claimant has not received payment. (3) The following progress payments for which the claimant has previously given a conditional waiver and release but has not received payment: Date(s) of waiver and release:________ Amount(s) of unpaid progress payment(s): $________ (4) Contract rights, including (A) a right based on rescission, abandonment, or breach of contract, and (B) the right to recover compensation for work not compensated by the payment. Signature Claimant’s Signature:________ Claimant’s Title:________ Date of Signature:________

NOTICE TO CLAIMANT: THIS DOCUMENT WAIVES AND RELEASES LIEN AND PAYMENT BOND RIGHTS UNCONDITIONALLY AND STATES THAT YOU HAVE BEEN PAID FOR GIVING UP THOSE RIGHTS. IF YOU HAVE NOT BEEN PAID, USE A CONDITIONAL WAIVER AND RELEASE FORM. Identifying Information Name of Claimant:________ Name of Customer:________ Job Location:________ Owner:________ Through Date:________ Unconditional Waiver and Release This document waives and releases lien and payment bond rights the claimant has for labor and service provided, and equipment and material delivered, to the customer on this job through the Through Date of this document. Rights based upon labor or service provided, or equipment or material delivered, pursuant to a written change order that has been fully executed by the parties prior to the date that this document is signed by the claimant, are waived and released by this document, unless listed as an Exception below. This document does not waive or release rights for labor or service provided, or equipment or material delivered, after the Through Date. The claimant has received the following progress payment: $________ Exceptions This document does not affect any of the following: (1) Retentions. (2) Extras for which the claimant has not received payment. (3) Contract rights, including (A) a right based on rescission, abandonment, or breach of contract, and (B) the right to recover compensation for work not compensated by the payment. Signature Claimant’s Signature:________ Claimant’s Title:________ Date of Signature:________

NOTICE: THIS DOCUMENT WAIVES THE CLAIMANT’S LIEN AND PAYMENT BOND RIGHTS EFFECTIVE ON RECEIPT OF PAYMENT. A PERSON SHOULD NOT RELY ON THIS DOCUMENT UNLESS SATISFIED THAT THE CLAIMANT HAS RECEIVED PAYMENT. Identifying Information Name of Claimant:________ Name of Customer:________ Job Location:________ Owner:________ Conditional Waiver and Release This document waives and releases lien and payment bond rights the claimant has for labor and service provided, and equipment and material delivered, to the customer on this job. Rights based upon labor or service provided, or equipment or material delivered, pursuant to a written change order that has been fully executed by the parties prior to the date that this document is signed by the claimant, are waived and released by this document, unless listed as an Exception below. This document is effective only on the claimant’s receipt of payment from the financial institution on which the following check is drawn: Maker of Check:________ Amount of Check: $________ Check Payable to:________ Exceptions This document does not affect any of the following: Disputed claims for extras in the amount of: $ ________ Signature Claimant’s Signature:________ Claimant’s Title:________ Date of Signature:________

NOTICE TO CLAIMANT: THIS DOCUMENT WAIVES AND RELEASES LIEN AND PAYMENT BOND RIGHTS UNCONDITIONALLY AND STATES THAT YOU HAVE BEEN PAID FOR GIVING UP THOSE RIGHTS. IF YOU HAVE NOT BEEN PAID, USE A CONDITIONAL WAIVER AND RELEASE FORM. Identifying Information Name of Claimant:________ Name of Customer:________ Job Location:________ Owner:________ Unconditional Waiver and Release This document waives and releases lien and payment bond rights the claimant has for all labor and service provided, and equipment and material delivered, to the customer on this job. Rights based upon labor or service provided, or equipment or material delivered, pursuant to a written change order that has been fully executed by the parties prior to the date that this document is signed by the claimant, are waived and released by this document, unless listed as an Exception below. The claimant has been paid in full. Exceptions This document does not affect the following: Disputed claims for extras in the amount of: $ ________ Signature Claimant’s Signature:________ Claimant’s Title:________ Date of Signature:________