Fill and Sign the Unconditional Progress Payment Form

UNCONDITIONAL WAIVER AND RELEASE ON PROGRESS PAYMENT— CORPORATION, LLC, etc. Project: ____________________________________ Job No.: ___________________________________ The undersigned has been paid and has received a progress payment in the sum of $ ____________________ for all labor, services, equipment or material furnished to the jobsite or to ____________________________________ (person with whom undersigned contracted) on the job of _____________________________________ (owner) located at ___________________________________ (job description) and does hereby release any mechanic's lien, any state or federal statutory bond right, any private bond right, any claim for payment and any rights under any similar ordinance, rule or statute related to claim or payment rights for persons in the undersigned's position that the undersigned has on the above referenced project to the following extent. This release covers a progress payment for all labor, services, equipment or materials furnished to the jobsite or to ___________________________________ (person with whom undersigned contracted) through the _____ day of __________ , 20 ______ , only and does not cover any retention, pending modifications and changes or items furnished after that date. The undersigned warrants that he either has already paid or will use the monies he receives from this progress payment to promptly pay in full all of his laborers, subcontractors, materialmen and suppliers for all work, materials, equipment or services provided for or to the above referenced project up to the date of this waiver. The _____ day of ___________ , 20 ______ . ______________________________ Name of Company Unconditional Waiver and Release on Progress Payment Page 1 of 2 By: __________________________ ___ _____ __ Signature Title ______________________________ Type or Print Name Notice: This document waives rights unconditionally and states that you have been paid for giving up those rights. This document is enforceable against you if you sign it, even if you have not been paid. If you have not been paid, use a conditional release form. AZ § 33-1008 Unconditional Waiver and Release on Progress Payment Page 2 of 2