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Final Waiver of Lien and Release of Claim

KNOW ALL MEN BY THESE PRESENTS:

WHEREAS, the undersigned has supplied labor and / or materials for the construction of improvements known as:

(hereinafter referred to as “Project”),

NOW THEREFORE, in consideration of One or more dollars and other valuable consideration, the receipt of which is hereby acknowledged, the undersigned does hereby waive and release any and all liens, claims, or rights of liens or claims (i) on or against the Project under the laws of the State of Florida, (ii) under any payment or performance bonds furnished in connection with the Project, (iii) against CCI, Inc. a Subsidiary of Bristol Bay Native Corporation, or any parent, affiliate, or subsidiary thereof (iv) against all sureties on any of said bonds, (v) against the owner of the Project, and (vi) against any successor or assign thereof. This waiver and release shall extend to any right which might arise on account of labor and / or materials furnished by the undersigned or its subcontractors and used or intended for use in the Project and shall become effective upon receipt of final payment in the amount of $ WITNESS the due execution hereof this

day of , 20.

Firm Name
By

Title

State of

County of

On this day of , 20, before me personally appeared , to me known, and known to me to be the of and he acknowledged the foregoing instrument, by him signed, to be his free act and deed and the free act and deed of said firm.

Notary Public
My Commission Expires:
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