Free Subcontractor Lien Waiver Template
Subcontractor Lien Waiver
I. SUBCONTRACTOR INFORMATION
Subcontractor Name: [YOUR COMPANY NAME]
Address: [YOUR COMPANY ADDRESS]
Phone Number: [YOUR COMPANY NUMBER]
Email Address: [YOUR COMPANY EMAIL]
II. PROJECT INFORMATION
Project Name: Chandler Office Renovation
Project Address: Chandler, AZ 85224
General Contractor: Builders Plus Inc.
Property Owner: Chandler Properties LLC
Project Number/ID: CP5678
III. DESCRIPTION OF WORK
The subcontractor has completed work for the above-mentioned project as follows:
Scope of Work: Electrical installation and lighting for office renovation
Completion Date: October 15, 2060
IV. PAYMENT INFORMATION
Amount Due: $25,000
Invoice Number: INV-1001
Payment Period (if applicable): October 1, 2060 - October 15, 2060
V. WAIVER OF LIEN RIGHTS
By signing this document, the subcontractor acknowledges receipt of payment or the commitment to pay the amount specified above for services rendered on the project listed. In consideration of this payment, the subcontractor hereby waives any lien rights, claims, or demands for payment against the property, the property owner, the general contractor, and any affiliated parties related to this project, to the extent of the payment amount received.
This waiver is limited only to the amount of payment received and does not waive lien rights for future or additional work performed beyond the scope of this document.
VI. REPRESENTATIONS AND WARRANTIES
The subcontractor represents and warrants that all labor, materials, and services provided for the project were in compliance with the agreed scope of work and that all due diligence was taken to ensure quality and completion of the work. The subcontractor further confirms that any payments made will satisfy all outstanding obligations, including payments to sub-subcontractors and suppliers involved in the project work covered by this lien waiver.
VII. SIGNATURE AND ACKNOWLEDGMENT
Name: [YOUR NAME]
Title: Project Manager
Date: October 16, 2060
VIII. NOTARY ACKNOWLEDGMENT
State of: Arizona
County of: Chandler
On this 16th day of October, 2060, before me, a notary public, personally appeared [YOUR NAME], who proved to me on the basis of satisfactory evidence to be the individual whose name is subscribed to within this instrument, and acknowledged that they executed the same in their authorized capacity.
Notary Public: Javier Jacobs
Commission Expiration Date: December 31, 2060
