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1. Project Identification: Details of the construction project, including project name, location, and reference numbers
2. Party Information: Full legal names and addresses of the contractor, subcontractor, and owner
3. Payment Details: Specific information about the payment amount, payment period, and any progress payment details
4. Waiver Statement: Clear statement of the conditional waiver of lien rights upon receipt of specified payment
5. Conditions Precedent: Specific conditions that must be met for the waiver to become effective
6. Reservation of Rights: Statement preserving rights for retainage, unbilled work, and unresolved claims
7. Certification: Subcontractor's certification of the accuracy of the waiver
8. Execution Block: Signature blocks for authorized representatives with date and witness provisions
1. Through-Date Statement: Used when the waiver covers work through a specific date rather than just for a specific payment
2. Notarization Block: Added when notarization is required by the main contractor or project owner
3. Previous Payments Confirmation: Added when there's a need to confirm receipt of all previous payments
4. Underlying Contracts Reference: Used when multiple contracts or purchase orders need to be referenced
5. Release of Securities: Added when there are specific securities or bonds to be released
6. Arabic Translation: Required when the form needs to be submitted to UAE government authorities or courts
1. Schedule A - Payment Details: Detailed breakdown of the payment amount, including any adjustments or deductions
2. Schedule B - Project Scope: Description of the work covered by the waiver
3. Schedule C - Outstanding Claims: List of any preserved claims or disputed amounts
4. Appendix 1 - Supporting Documents: Copies of relevant invoices, payment applications, or other supporting documentation
5. Appendix 2 - Authorization Evidence: Proof of authority for the person signing the waiver
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