WA9401-CS 950609'CblNTRACTOR'S
'AFFIDAVIT OF
RELEASE OF LIENS
AIA DOCUMENT G706A
OWNER []
ARCHITECT []
CONTRACTOR []
SURETY []
OTHER
TO (Owner)
F"
L_
PROJECT:
(name, address)
City of Coppell
P. O. Box 478
Coppell, TX 75019
East Beltline Road Water Line
ARCHITECT'S PROJECT NO:
"J CONTRACT FOR:
CONTRACT DATE:
State of: ~
County of: ~LRRAL'~
The undersigned, pursuant to Article 9 of the General Conditions of the Contract for Construction, AIA Document
A201, hereby certifies that to the best of his knowledge, information and belief, except as listed below, the Releases
or Waivers of Lien attached hereto include the Contractor, all Subcontractors, all suppliers of materials and equip-
ment, and all performers of Work, labor or services who have or may have liens against any property of the Owner
arising in any manner out of the performance of the Contract referenced' above.
EXCEPTIONS: (If none, write "None".' If required by the Owner,' ihe Contractor shall furnish bond satisfactory to the
Owner for each exception.)
None
SUPPORTING DOCUMENTS ATTACHED HERETO:
1. Contractor's Release or Waiver of Liens, condi-
tional upon receipt of final payment.
2. Separate Releases or Waivers of Liens from Sub-
contractors and material and equipment sup-
pliers, to the extent required by the Owner, ac-
companied by a list thereof.
CONTRACTOR: ARCHI~ UTILITIES, INC.
Address:
P. O. Box 11586
BY: j:~r e~
Subscribed and sworn to before me this
~ %~ ......... JANE RAT[IFF, Notary Public
Nora Pubti ~ ,! n n or the State of Texas
mission Expires I)8-l)5-95
My C~mmis ~' ~'~'t~
AIA DOCUMENT G706A · CONTRACTOR'S AFFIDAVIT OF RELEASE OF LIENS · APRIL 1970 EDITION · AIA® ONE PAGE
1970 * THE AMERICAN INSTITUTE OF ARCHITECTS, 1735 NEW YORK AVE., NW, WASHINGTON, D.C. 20006
ARCHITECTURAL UTILITIES, INC.
GENERAL CONTRACTORS
300 WEST RAMSEY - ~
P.O, BOX 11586 ~ ~ '~"")
FORT WORTH. TX 76110
817-926-4377
429-8191 METRO
817-926-4387 FAX ~
TO: City of Coppell %te
: June 9, 1995
P. O. Box 478
Attn: Mr. Ken Griffin
CODDell, TX 75019
Re: East Beltline Road Water Line Project
WE ARE SENDING YOU x Attached
__ Shop Drawings
__ Copy of Letter
Under seperate cover via the
following
__ Prints Samples Specifications
__Change Order Brochures
Affidavit & Release of Liens
X For Approval
For your Use
THESE
Approved as Submitted
Approved as Noted
As Requested Returned for Corrections
For Review & Comment
REMARKS & REQUESTS:
ARE TRANSMITTED as checked below:
Resubmit copies for Approval
Submit .... c~}pies for Distribution
Return Corrected Prints
COPY TO:
ARCHITECTURAL UTILITIES, INC.
By ~ ~7/~
HOUSTON L. CAVIN