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FINAL CLAIM RELEASE & ACCEPTANCE
<br />PROJECT: SID COPELAND WATER TREATMENT PLANT HIGH ZONE / MID ZONE PUMP STATION
<br />OWNERS PROJECT NUMBER: 051-499-55450-38
<br />OWNER: CITY OF LOUISVILLE, COLORADO
<br />Application for Payment Number:
<br />Application for Payment Amount:
<br />Application for Payment Date:
<br />For valuable consideration, the receipt and sufficiency of which is hereby acknowledged, the
<br />undersigned hereby releases the City of Louisville, Colorado, and waives all rights of the
<br />undersigned to file a claim for material, equipment, tools, machinery or services heretofore furnished
<br />for use in and for labor heretofore performed upon the construction, alteration, addition to or repair of
<br />the structure or improvements described in the Contract Documents as:
<br />Project: Sid Copeland Water Treatment Plant — High Zone/Mid Zone Pump Station
<br />Description of Property: Water Treatment Plant
<br />Owner: CITY OF LOUISVILLE, COLORADO
<br />We acknowledge that the foregoing is an adequate description of the real property and
<br />improvements to which this Claim Release pertains inasmuch as the foregoing description is the
<br />description given in the Contract Documents, which govern the performance of the Work for which
<br />consideration has been received.
<br />In executing this release, we certify that all claims for labor or materials, or both, furnished or
<br />performed by the undersigned or on our behalf by our material suppliers or subcontractors have
<br />been paid or that satisfactory arrangements for payment have been made and we hereby waive and
<br />release any and all rights, claims and liens which the undersigned may now or hereafter have, claim
<br />or assert against the project, the Owner, or any funds in Owner's possession or control concerning
<br />the project, or against all land and any improvements and appurtenances to the land improved by
<br />the project.
<br />In consideration of the final payment made or to be made to the undersigned and to induce said
<br />payment, we hereby further release and forever discharge the City of Louisville, its officers and
<br />employees, from any and all liability, actions, causes of action, claims, demands, damages, costs, loss
<br />of services, loss of properties, expenses, compensation and any and all consequential damages or
<br />injuries, which the undersigned may now or hereafter have, claim or assert on account of, relating to,
<br />or in any way arising out of the above described project.
<br />In further consideration of the payment made or to be made to the undersigned and to induce said
<br />payment, we agree to defend and indemnify the City of Louisville, its officers and employees from
<br />any claim or claims on the part of our material suppliers, laborers, employees, servants, and agents,
<br />or subcontractors arising from our work on this project, and we further agree to fully satisfy any such
<br />claim brought against the City of Louisville and reimburse the City of Louisville for any and all costs,
<br />including reasonable attorney fees, which it may incur as a result of such claims.
<br />CITY OF LOUISVILLE
<br />HVAC IMPROVEMENTS FOR HBWTP
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<br />AGREEMENT
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