CONDITIONAL WAIVER AND RELEASE UPON “PROGRESS PAYMENT”

Upon receipt by the undersigned of a check from: Clovis Unified School District

In the sum of $

Payable to:

(Amount of Check) (Payee)

and when the check has been properly endorsed and has been paid by the bank upon which it is drawn, this

document shall become effective to release any mechanic’s lien, stop notice, or bond right the undersigned

has on the Clovis Unified School District project described as follows:

Name & Location:

Bid No. or Bid Package No.:___________________________

to the following extent. This release covers a progress payment for labor, services, equipment, or material

furnished to Clovis Unified School District through:

Date

only and does not cover any retention’s retained before or after the release date; extras furnished before the

release date for which payment has not been received; extras or items furnished after the release date.

Rights based upon work performed or items furnished under a written change order which has been full

executed by the parties prior to the release date are covered by this release unless specifically reserved by

the claimant in this release. This release of any mechanic’s lien, stop notice, or bond right shall not

otherwise affect the contract rights, including rights between parties to the contract based upon a recession,

abandonment, or breach of the contract, or the right of the undersigned to recover compensation for

furnished labor, services, equipment, or material covered by this release if that furnished labor, services,

equipment, or material was not compensated by the progress payment. Before any recipient of the

document relies on it, said party should verify evidence of payment to the undersigned.

(Company Name) (Date)

By:

(Title)

Exclusions: Listing of Claims, of which Notice has been given:

1. Claim for:

In the amount of $

2. Claim for:

In the amount of $

3. Claim for:

In the amount of $

4. Claim for:

In the amount of $

5. Claim for:

In the amount of $