The form below is a demonstration of the information necessary to complete a Certificate of Substantial Completion.

AIA FORM 706A is the form that should be completed and submitted.

 

Certificate of Affidavit of Release of Liens

 

 

TO OWNER: Board of Trustees of the University of Arkansas acting on behalf of (insert campus name)

 

PROJECT CAMPUS:

(Name and address)

 

 

ARCHITECT PROJECT NO:

CONTRACT DATE:

TO CONTRACTOR:

STATE OF ARKANSAS:

COUNTY OF :

The undersigned hereby certifies that to the best of the undersigned’s knowledge, information and belief, except as listed below, the Releases or Waivers of Lien attached hereto include the Contractor, the Subcontractors, all suppliers of materials and equipment, and all performers of Work, labor or services who have or may have liens or encumbrances or the right to asset liens or encumbrances against any property of the Owner arising in any manner out of the performance of the Contract referenced above.

EXCEPTIONS:

SUPPORTING DOCUMENTS ATTACHED HERETO:

  1. Contractor’s Release or Waiver or Liens, conditional upon receipt of final payment.
  2. Separate Releases or Waivers of Liens from Subcontractors and material an dequipment suppliers, to the extent required by the Owner, accompanied by a list thereof.

CONTRACTOR:

(Name and Address)

 

 

BY: _____________________________________________________

(Signature of authorized representative)

Printed name and Title: ________________________________________

Subscribed and sworn to before me on this date: ___________________

Notary Public: _______________________________________________

My commission expires: _______________________________________