HomeMy WebLinkAboutInv# PAY APP#3 - A.D.A. Engineering, Inc. - 12/08/2021 WAIVER AND RELEASE OF LIEN
UPON PARTIAL PAYMENT
The undersigned lienor, in consideration of the sum of $57,680.65 hereby waives and releases its
lien and right to claim a lien for labor, services, materials furnished or any other rights under
Chapter 713, Florida Statues (The Mechanic’s Lien Law) through: September 6, 2021 to: City
of Dania Beach, FL on the job and real property described as follows:
Description of Project:
OCEAN PARK INTERIM DRAINAGE IMPROVEMENTS PROJECT ITB NO. 21-003
Dated on December 20, 2021
Signed By: _____________________________
Print Name: ____________________________
A.D.A. Engineering, Inc.
8550 NW 33rd St, Suite 202
Doral, FL 33122
The foregoing instrument was acknowledged before me this ____day of ___________________
By _____________________________ who is personally known to me or furnished
the following identification________________________.
_______________________
My commission expires: ________________________ Notary Public
Albert Argudin, CGC
20th
Albert Argudin
December