Waiver & Release of Lien 1
WAIVER AND RELEASE OF LIEN UPON FINAL PAYMENT
The undersigned lienor,in consideration of the final payment in the amount of TEN AND
00/100($10.00), hereby waives and releases its lien and right to claim a lien for labor,
services,or materials furnished to ECOSENSE INTERNATIONAL,INC on the job of
CITY OF OKEECHOBEE,to the following described property:
Description of Property:
SE 4TH STREET DRAINAGE IMPROVEMENTS
SE 4 ST,OKEECHOBEE
PORTION OF PUBLIC LAND IN OKEECHOBEE COUNTY FL
CONTRACT PW 04-10-05-23 JD JOB 12102
(BOND AMT$190000.00)
Dated on January 12,2024
Lienors Name ALL AMERICAN PRECAST
MANUFACTU' t, . • C
1300 NW 4 ' ET
HOME AD,F 03
By ''--
Printed Name A )/S Z,j i.Q:7— (_- V.C.C_C -'t--/—
The foregoing instrument was acknowledged before me by eans of physical presence or
o e notarization,this 12 day of January,2024,by /g iVY2e €�_
ersonally Known OR—Produced Identification ype of Ide tfication Produced
• fi""`�, i- MARLEN FALCO
�-`. MY COMMISSION N HH 450843
••3• tAe. EXPIRES:November 6,2027
N ARY PUBLIC, STATE OF FLORIDA
(Notary Seal)
Stamped My Commission Expires: // • 1.0 ' 2-7
re: 2656675 - 11230
NOTICE TO OWNER/NOTICE TO CONTRACTOR
TO:
CITY OF OKEECHOBEE
OWNER: %CONSTRUCTION ADMINISTRATION
55 SE 3RD AVE WO#2656675
OKEECHOBEE FL 34974-2903 BATCH:051749 ID:ALL91 DATE:11/21/23
T:JM R:RM S:RM
The undersigned hereby informs you that he or she has furnished or is furnishing services or materials as
follows: DRAINAGE STRUCTURES&RELATED SERVICES
For improvement of the real property described as: SE 4TH STREET DRAINAGE IMPROVEMENTS
SE 4 ST,OKEECHOBEE (long legal available 800-432-1959)
PORTION OF PUBUC LAND IN OKEECHOBEE COUNTY FL CONTRACT PW 04-10-05-23 JD JOB 12102
(BOND AMT$190000.00)
Under an order given by: ECOSENSE INTERNATIONAL,INC 11230
Florida law prescribes the serving of this Notice and restricts your right to make payments under your contract in accordance with Section
713..0op6 Florida
JJStatutes.
Pursuant to Florida Statute 713.16(1) please furnish �atcopy of your direct contract with the contractor. Responsibility
for ACL lPiE99lii8A PEECAT IAANUFACLu INGrINC.1300 NW 4THn T HOMESTEAD FL 33030-56210 sed to:
If a payment bond exists for this project, this notice shall serve as the preliminary notice of intention to make claim against any such
bond(s). Request for a copy of the bond(s) is hereby made, with acknowledgment of responsibility for copy costs. Failure to furnish the
requested copy may have adverse consequences as described in Florida Statutes.
IMPORTANT INFORMATION FOR YOUR PROTECTION
Under Florida's laws, those who work on your property or provide materials and are not paid have a right to enforce their claim for payment
against your property. This claim is known as a construction lien. If your contractor fails to pay subcontractors or material suppliers or
neglects to make other legally required payments, the people who are owed money may look to your property for payment, EVEN IF YOU
HAVE PAID YOUR CONTRACTOR IN FULL.
PROTECT YOURSELF
--RECOGNIZE that this Notice to Owner may result in a lien against your property unless all those supplying a Notice to Owner have been
paid.
The undersigned will look to contractors bond for protection of the work
--LEARN more about the Construction Lien Law, Chapter 713, Part I, Florida Statutes, and the meaning of this notice by contacting an
attorney or the Florida Department of Business and Professional Regulation.
FOWNERI E( )
72
Lienor: ALL AMERICAN PRECAST C%CONSTDDRUCTIONADMINIST7RATION
MANUFACTURING INC. 55 SE 3RD AVE
PHONE 954-391-8283 OKEECHOBEE FL 34974-2903
1300 NW 4TH ST ECUST-CUST SUB CONTR
HOMESTEAD FL 33030-5621 ECOSENSE INTERNATIO AL,INC(321)636-6708
ATTN KEN
PO 1101647
1800 HUNTINGTON LN
By: ` ROCKLEDGE FL 32955-3156
[GENERAL CONTRACTORI
Certified:7101 0412 3440 3105 3375
JOHNSON-DAVIS INC
604 HILLBRATH DR
Regina Durand,Agen LANTANA FL 33462-1656
ISURETYI
Certified:7101 0412 3440 3105 3382
LIBERTY MUTUAL INSURANCE CO
BOND 016234013
"US TREASURY RATED"
175 BERKELEY ST
BOSTON MA 02116-3350
To assemble manually, fold A to A then fold B to B
WAIVER AND RELEASE OF LIEN
UPON FINAL PAYMENT
The undersigned lienor, in consideration of the final payment in the amount of$10.00,hereby
waives and releases its lien and right to claim a lien for labor,services or materials furnished to
Johnson-Davis Inc. on the job of City of Okeechobee (Owner),for improvements to the following
described project:
City of Okeechobee Southeast 4th Street Drainage Improvements,FDEP Grant
Agreement LPQ0007, BOND NUMBER 01623401
Okeechobee County,Florida
Dated On JANUARY 9, 2024
Lienor's Name: Synergy Rents-Stuart 406
Address: 8451 SW Old Kansas Ave.
Stuart, FL 34997
By:
Printed Name/Title: OPE TIONS MANAGER
State of Florida
County of MANATEE
The foregoing instrument was acknowledged before me by means of:
X physical presence or online notarization this 9TH day of JANUARY
20 24
By GERRY MILLER
As OPERATIONS MANAGER for SYNERGY RENTS LLC
Individual identified by X personal knowledge Satisfactory
Evidence Type
MY COMMISSION EXPIRES
,0YPl JENNIFERMACDONALD
''E
� ' ' Commistian i1HH 013114 c /
. `,i j Wises June 22,2024 t TARY PUBLIC State of FLORIDA
-'FopsS nlnded1lrueudpettda9Sent —
NOTE: This is a statutory form prescribed by Section 713.20, Florida Statutes(1996).
Effective October 1, 1996, a person may not require a lienor to furnish a waiver or release of
lien that is different from the statutory form.
WARNING! FLORIDA'S CONSTRUCTION LIEN LAW ALLOWS SOME UNPAID CONTRACTORS, SUBCONTRACTORS, AND
MATEI(IAL SUPPLIERS TO FILE LIENS AGAINST YOUR PROPERTY EVEN IF YOU HAVE MADE PAYMENT IN FULL.
UNDER FLORIDA LAW, YOUR FAILURE TO MAKE SURE THAT WE ARE PAID MAY RESULT IN A LIEN AGAINST YOUR
PROPERTY AND YOUR PAYING TWICE.
TO AVOID A LIEN AND PAYING TWICE, YOU MUST OBTAIN A WRITTEN RELEASE FROM US (Lienor) EVERY TIME YOU
PAY YOUR CONTRACTOR. 9407109206017007889600 '
NOVEMBER 30, 2023 - 9407109206017007889600-7889624
NOTICE TO OWNER / NOTICE TO CONTRACTOR
To: (Owner)
9407109206017007889600
CITY OF OKEECHOBEE
55 SE 3RD AVE
OKEECHOBEE FL 34974-2903
The undersigned hereby informs you that he or she has furnished or is furnishing services or materials as follows:
RENTAL EQUIPMENT AND RELATED SERVICES
for the improvements of real property identified as "CITY OF OKEECHOBEE SOUTHEAST 4TH STREET DRAINAGE
IMPROVEMENTS, FDEP GRANT AGREEMENT LPQ0007, BOND NUMBER 016234013, OKEECHOBEE COUNTY,
FLORIDA.
under an order given by JOHNSON DAVIS INC.
Florida law prescribes the serving of this notice and restricts your rights to make payments under your contract in accordance with
Section 713.06, Florida Statutes. In the event that the contract for improvement is bonded, pursuant to Section 255.05, 713.23,
713.245 or 337.18 Florida Statutes, Title 40 USC Section 3131, et seq., or any other form of bond, the undersigned intends to look
to that bond for protection and payment. The undersigned requests a copy of the payment bond and a copy of any direct contracts
pertaining to the improvements for this project and agrees to pay reasonable copy costs for such copy.
IMPORTANT INFORMATION FOR YOUR PROTECTION
Under Florida's laws, those who work on your property or provide materials and are not paid, have a right to enforce their claim for payment
against your property. This claim is known as a construction lien.
If your contractor fails to pay subcontractors or material suppliers or neglects to make other legally required payments, the people who are
owed money may look to your property for payment, EVEN IF YOU HAVE PAID YOUR CONTRACTOR IN FULL.
PROTECT YOURSELF:
--RECOGNIZE that this Notice to Owner may result in a lien against your property unless all those supplying a Notice to Owner have been paid.
--LEARN more about the Construction Lien Law,Chapter 713,Part I,Florida Statutes,and the meaning of this notice by contacting an attorney or
the Florida Department of Business and Professional Regulation.
COPIES TO:
9407109206017007889624 JOY BODOH/ ZoomLien (813)289-8894 info@zoomlien.com
8y.(GEN CONTR) Any demand made pursuant to Section 713.16, Florida Statutes,
JOHNSON DAVIS INC must he directed to the attention of the Lienor's representatwe
at the address of the Lienor shown below.
604 HILLBRATH DR
As Authorized Agent for Lienor:
LANTANA FL 33462
SYNERGY RENTS - STUART 406
(Under an order given by) ATTN: ALLISON GILLAM
JOHNSON DAVIS INC 8451 SW OLD KANSAS AVE
604 HILLBRATH DR STUART FL 34997
LANTANA FL 33462 (Ref#: 4062307689)
9407109206017007889617
(BOND)
LIBERTY MUTUAL INSURANCE CO
175 BERKLEY ST
BOSTON MA 02116
2931800
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- 1
Patty Burnette
From: Larisa Ditu <Iditu@johnsondavis.com>
Sent: Friday,January 12, 2024 10:29 AM
To: Patty Burnette;Jim Amster
Cc: Keli Trimnal; David Allen;Gary Ritter;Jacqueline Boer; Doug Ipolito
Subject: [EXTERNAL]RE: [EXTERNAL]RE: PW 04-10-05-23 SE 4th Street Drainage Improvements
Bid---final docs for final payment
Attachments: All American Precast - FINAL.pdf; Untitled_4-8-Synergy Rents-FINAL.pdf
You don't often get email from Iditu@johnsondavis.com.Learn why this is important
Hi Patty, please see attached final ROL from vendors. Please send me check for FINAL payment when available.
Sincerely,
Larisa Pelkey I Accounts Receivable Manager
Johnson-Davis, Inc. 1604 Hillbrath Drive I Lantana, FL 33462
t: 561.588.1170 Ext 302/d: 561.275.7768/f: 561.585.5252
LdituAlohnsondavis.com
Ark
Johnson-Davis Inc.
Construct with Confidence
Please consider the environment before printing this email.
From: Patty Burnette<pburnette@cityofokeechobee.com>
Sent:Tuesday,January 9, 2024 1:45 PM
To: Larisa Ditu <Iditu@johnsondavis.com>;Jim Amster<jamsler@johnsondavis.com>
Cc: Keli Trimnal<ktrimnal@cityofokeechobee.com>; David Allen <dallen@cityofokeechobee.com>; Gary Ritter
<gritter@cityofokeechobee.com>;Jacqueline Boer<executiveassistant@cityofokeechobee.com>
Subject: RE: [EXTERNAL]RE: PW 04-10-05-23 SE 4th Street Drainage Improvements Bid
Importance: High
Thank you Larisa, much appreciated. The only other item that we need are the releases from the two
Notice to Owners that we received.
Thank you so much for your assistance.
Patty M. Burnette
general Services Director
City of Okeechobee
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FINAL RELEASE OF LIEN
The undersigned lienor, in consideration of the final payment in the amount of$ 190,000.00, hereby
waives and releases its lien and right to claim a lien for labor, services or materials furnished to
(Customer) City of Okeechobee, on the job of City of Okeechobee(Owner), to the following described
property:
PW 04-10-05-23 City of Okeechobee SE 4th Street Drainage Improvements
JD 12102
Dated On 2a41 a) Co, 20 24
Lienor's Name: Johnson-Davis Inc.
Address: 604 Hillbrath Drive
Lantana, FL 33462
By: L
Printed Name: i 'am C er
Title: Nice Pfesident
State of Florida.?
County of V A V ie
The foregoing instrument was acknowledged before me by means of:
physical presence or online notarization this day of 4' 20 24
By 1r,),I(;Q,y
As V2, f � / for `' r 4nS %AC.
Individual identified by t/ personal knowledge Satisfactory
Evidence Type
MY COMMISSION EXPIRES
U-*
-0(PUee LARISADITU PELKEYt ��con,r„ission FI 1»sl» TARY LIC S fe ofExpires January 22,2026
-OFFloo Bonded Mu Budget Notary Services
NOTE: This is a statutory fora:prescribed by Section 713.20, Florida Statutes(1996). Effective
October 1, 1996, a person may not require a lienor to furnish a waiver or release of lien that is
different from the statutory form.