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2023.04.03 Packet
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2023.04.03 Packet
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4/17/2023 4:01:53 PM
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4/17/2023 4:01:14 PM
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City Council
Document Type
Agenda/Packets
Meeting Date
4/3/2023
Meeting Type
Regular
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DocuSign Envelope ID: 60DD4F80-DD42-458E-A590-31025E56BD9B <br />M <br />CIVIL <br />TANKS, TOWER FOUNDATIONS, INC. <br />Subcontract#: 374235318-SC-CV-001 /OS# 376311 <br />Final Waiver of Lien <br />WATER TOWER NO. 4 <br />CITY OF HUGO <br />HUGO, MN <br />Project Number: 374235318 <br />The foregoing shall not relieve the Subcontractor of its obligations under the provisions of said Subcontract or <br />applicable law, which have not been expressly and specifically released or discharged herein or by their nature <br />survive completion of the Work or services including, without limitation, warranties, guarantees and indemnities, <br />all as set forth in said Subcontract. <br />IN WITNESS WHEREOF the undersigned has duly executed this Subcontractor Final Affidavit, Waiver of Lien <br />and Release this fo day of <br />Principal: ^ ^ • <br />By:, <br />J, Subcontractor Name <br />STATE OF V Mt-wcto-l- <br />OP U3COUNTY <br />Authorized Sionature <br />(L QAqfi. <br />Name and Title <br />ArvcintuJ Cft-ruL <br />•fiust (Lent- <br />% <br />being duly sworri'o Doses ana says te/she is the <br />of the Subcontractor narped above, that ne/she is duly authorized to <br />execute the foregoing Subcontractor Final Affidavit, Waiver of Lien and Release and to make this Final Affidavit, <br />and that the representations, certifications, warranties and statements made in the foregoing Subcontractor Final <br />Affidavit, Waiver of Lien and Release and in this Final Affidavit) ar^ue to his/h§^own knqwiedge. <br />Subscribed and sworn to before me thi <br />Notary Public <br />Signature <br />CHRISTINA MARIE KATH <br />NOTARY PUBUC-MINNESOTA <br />MY COMMISSION EXPIRES 01/31/24 <br />Document Number; <br />Form Number: <br />CMS-770-03-PR-10000 <br />CMS-770-03-FM-21412 <br />Issued for Use: 12Oct2015 Page 2 of 2 <br />Initial by Company:
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