Fillable Printable General Contractor Waiver and Release Form
Fillable Printable General Contractor Waiver and Release Form
General Contractor Waiver and Release Form
GENERAL CONTRACTOR WAIVER AND RELEASE
Upon receipt of the sum of $____________
, the sufficiency of which is hereby acknowledged, the undersigned does
hereby waive, release and relinquish any and all rights, claims, demands, liens, claims for relief, causes of action and the
like, whether arising at law, under a contract, in tort, in equity or otherwise, which the undersigned has now, may have
had or may hereafter have pursuant to the Contract, Subcontract, Purchase/Service Agreement (“Contract”) with
______________________________________________
(“Contractor”) in connection with the construction of
_______________________________________________________
(“Project”) for
______________________________________________
(“Owner”). The term “Contractor” shall be deemed to mean
and refer to the Contractor and its agents, representatives, employees, directors, and all those acting on their behalf.
This Waiver and Release applies to all facts, acts, events, circumstances, changes, constructive or actual delays,
accelerations, extra work, disruptions, interference’s and the like which have occurred, or may be claimed to have
occurred, excepting only any claims currently unresolved for which written notice has been provided to the Owner from
the Contractor in accordance with the Contract.
Except as specifically described above, the undersigned expressly waives all claims against the Contractor, any surety , the
Owner or the Project. The undersigned freely and voluntarily chooses to accept the terms and conditions of this Waiver
and Release in return for the payment recited above and agrees that those funds shall be held in trust for the benefit of all
suppliers or subcontractors of the undersigned providing labor or material to the Project and shall be used first to pay all
such suppliers or subcontractors, although those funds may be commingled with the undersigned’s own funds.
The undersigned further represents that all employees, laborers, materialman and subcontractors employed by the
undersigned in connection with the Project and all bills currently due for labor, materials, supplies and taxes furnished by
others to the undersigned in connections with the construction of improvements upon the Project have been fully paid and
that no obligations, legal, equitable or otherwise are owed by the undersigned in connection with its work on the Project.
With respect to this representation and warranty, the undersigned does hereby agree to indemnify and hold harmless the
Owner, the Contractor, its payment and performance bond surety, if any, and any others claiming by or through them,
from any and all claims, damages, losses, expensed and the like incurred by reason of any claim that the undersigned has
not fully paid for all labor, materials and expenses incurred in connection with its work on the Project, including
reasonable attorney’s fees.
The undersigned further agrees that making and receipt of payment and execution of this Waiver and Release shall in no
way release the undersigned from its continuing obligations with respect to the completion of any work remaining
undone, punch list work, warranty and guaranty work, and any other obligations of the undersigned to the Owner.
Application and Certification for Payment # _________: $ ___________
IN WINESS WHEROF, on behalf of the undersigned, with full authority, I have executed this waiver and Release
under seal effective the ____
day of __________, 20____.
CONTRACTOR: STATE OF __________________
ADDRESS: COUNTY OF ________________
Sworn to and subscribed to before me
this _____ day of _________________.
SIGNATUR E:
BY: _____________________________
Notary Public
TITLE:
My Commission Expires:____________
