(CA CIVIL CODE 8134) Effective 7/01/2012
NOTICE TO CLAIMANT: THIS DOCUMENT WAIVES AND RELEASES LIEN, STOP PAYMENT NOTICE, AND PAYMENT BOND 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 WAIVER AND RELEASE FORM.
||Primus Contracting Group, Inc.
This document waives and releases lien, stop payment notice, and payment bond rights the claimant
has for labor and service provided, and equipment and material delivered, to the customer on this job
through the Through Date of this document. Rights based upon labor or service provided, or
equipment or material delivered, pursuant to a written change order that has been fully executed by
the parties prior to the date that this document is signed by the claimant, are waived and released by
this document, unless listed as an Exception below. The claimant has received the following progress
This document does not affect any of the following: