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<br />Apr 04 08 02:2E ~., <br /> <br />Murray Weber <br /> <br />650-368-7631 p,1 <br />Attachment 1 <br /> <br />6.28 <br />Page 3 <br /> <br />tDFOAM 11O-CF <br /> <br />,,-- <br /> <br />, CONDmONAL WAIVER AND RELEASE UPON FINAL PAYMENT <br />[CMI CodIII3282(d)(3)l <br /> <br />Up:n receipt by the undelsignod of a check lrom Cifx ;r/J /l"k,j.lC~. <br />intheswrnof$ Z-ogf'2J" 7", -; '5 payableto ble1:Je" (M~~Y' S'()'rvJ~c::..e.. <br />I 1-" ~ (...,.... "- QI Chodtl <br />and when the check has been properly endorsed and has been paid by the bank upon which it is <br />drawn. this docum6f.1t shall become effective to release pro tanto any m n' 's Uen"stop OO!ice, or <br />bond ri!flt the ~ has on e job of '.:) PO c., <br /> <br />located at "e <br /> <br />This release covers the final payment to the undersigned for all bOl. services. equipment <br />or matElIiaJ furnished on the job. except for disputed claims for additional work In ~ amount of <br />.$ --:.~ . Before arti recipient of this document relies on it, the party should verify evidence <br />of payment to the undersigned. <br /> <br /> <br />@) <br /> <br />Datfd-7/~y <br /> <br />/A!d%&~-:;._~e;v.~ ~ <br />frt/ n ~C~.tJ~ <br /> <br />NOTE: Thti form 01 releaSe complies wilh 1h& requl~ 01 CivI Code SectiOll 3262(d)(31. II is \0 not affedlve \II1tiIlhe check that COIlsa..re& finlll <br />Jl8YII*'IlllTi been properly encIo!slll1. _ hiS ClHnld trnt bank. <br /> <br />USE REVERSE SlDE AS RELEASE FOR INDIVIOUALS PERFORMING lABOR FO.R w!ibes <br /> <br />sow 01" fIE CALfOfIIIA PBW..CODEPROVlDESm PART ASFOLLDWS: <br /> <br />'Any ;lerson who recei1le$ money tor h purpoae 'of ~ or <br />\lIIYIPg b aeMc:e8. IIbor, mMllf1ll1l1 or equlpmenl .... wlIIIuIIv I. 10 <br />IPP7 sud, money lor $UCh pIqlD$8'" ... wlIIulIy faliIlJ 10 compIeIe <br />..lmpmv....ms lor wnch IunCIs __ prOllicl8CI 01' wI....I' tailing to pay <br />Iar ..,.,tces.labor. matllriaI$ oreqaApmanlprovlclllcS~ to IIUCh 1;01'- <br />$WC:Iion. and WlO~ ~ lhe funds 10 a ~ olNr lhan IIaI for <br />whlcft Il1n funds _ AlCeived. lItlall be guIty of a public offense and <br />punishable oy . fme nal ellOllIding '1It! lnousand dol_ (55.000). or by <br />Imprilrorlrnent in .. "allt~ noI exceeclmg five yellS. or in,l!\. county <br />jail noIe> C eedir4l Dne yflI'. or ~ both sucit ~"".... wdI imprisor>lI'lllf\l.- <br /> <br />t~) OF.... CAUFOllMlA Pl!IIIIlL CODE PROVIDES AS FOLLOWS: <br /> <br />'/wi pel'iOfl Wbo sullmlls a lalse V\:Ucher to olJIaln col\!lWdiOn ban <br />Uld& IIlrl dOfl$ nol use !he furnb JorlheputpDSltlDrwflidltJWH:IlIim- <br />8IlbmittIII<1 ;5 gullly of embezzlement.' <br /> <br />,. .r:. <br /> <br />,.' <br /> <br />, <br />i2lIl,~OF T)iE CAl~ LA.cm COIlE PACM)ES, <br /> <br />'1fo ~ S~I"ul" ~ ~ cd..., reIcae Of.." <br />c:IaIm 01 rlGIlt on -=cOunt of....... die. OIto become d... or m8de <br />_ .. ~ on w...- 1llI be MmeCl. ~ paynllIRt of ....n <br />.... has beeft.... Any,.~,.qulredOl' executed In"iolation <br />01... provisions of 1tII& SIICtIoo tIWI be "uIl"'lIOkIlS ....... <br />.... em"""and .......ow-and..vloIationof...proviskln.of <br />INs MCltIDII ahIII be . ...s&de_. H <br /> <br />1$32(.) OF1Ill CA\.IFOAIllA PENAl. CQOE PllOlIllES AS FOlLOWS: <br /> <br />'NYi person OllIla nJC9I\IH .-ey lor Ih6 purpose of obIaining or <br />paying lorsef'l1CllS. "bor. malerIaIs or aquipment inCident 10 _rueling <br />Impr~ Gnfll8l PftlPIHlYa'ICl wlNIy rebaleS8Ily!)aItof1he...-v <br />104It on tlehaK of ~QOtdrlIl:ling~ soah~ forpoaYisianof lhe <br />seNien. '-bOr malRriab or .pmenllor wNcl11he money - ti<tero. <br />snail tie guiI1}1 of . mlsderneaoor. provtded. ~. thal normal 111lde <br />ciscoU1l lor Plllflllll payrrIIll'll shaH not be c:onsid8lell a vioIa1iCn 01 <br />1hilllillcliOr'I, . <br /> <br />.- <br /> <br />.. fORM 11toCF- PUeustlEDBY .......,.~_ SI5!I CWERLAHO AVENUE. LOS oUGEt.ES. CALFOAIM BlIDa. - (21-' 2Ill-m501987 <br />