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WAIVER OF CONSTRUCTION LIEN, PAYMENT <br />BOND AND LIEN FUNDS <br />August I, 2003 <br />For good and valuable consideration, the undersigned hereby inevocably and unconditionally waives and <br />releases any and all (a) rights and claims for a construction or other hen on land and buildings being <br />constructed, altered, erected or repaired and to the appurtenances thereunto, (b) rights and claims on any <br />payment bond(s) furnished in conjunction with said construction, alteration, erection or repair, and (c) <br />nshts and claims for hen on money, bonds, or warrants due or to become due to the prime contractor <br />therefor The property covered by this waiver is owned by City of Long Lake (owner), is located at 3^ <br />Willow Drive. Lone Lake. MN is described as Lone Lake Fire Stanon and this waiver pertains to a portion <br />of the work to be perfonned by Rochon Corporation (prune contractor).-^1 <br />This w’aiver covers all labor, material and supplies for construction, alteration, erection, and repairs <br />fiimished by the undersigned under a contract with City of Long Lake through the date of this waiver in the <br />amount of S1XT\' THOUSAN’D THREE HUNDRED SEVENTi' EIGHT & 53'100 DOLLARS <br />(S60.378 S3) <br />This hen waiver is not valid until the amount listed above has been received. <br />^AAAA/>A>AAAAAAAAAAAA| <br />L GU.'^CHARDT <br />hC V'..* Tw-tLIC - Wlf*NSS0TA <br />Cc.r-iv t.^rw J«n. 31.2005 <br />Company Name iy)chon Corporation <br />Contractor Waiver Form <br />•aiUB