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. <br /> SUBCONTRACTOR <br /> - WAIVER OF LIEN TO DATE - <br /> HVAC BAS REPLACEMENT <br /> DECATUR CIVIC CENTER <br /> STATE OF ILLINOIS ) <br /> ) SS <br /> COUNTY OF MACON ) <br /> TO WHOM IT MAY CONCERN: <br /> WHEREAS, the undersigned has been employed by Landis & Staefa, <br /> Inc. , (General Contractor) , to furnish <br /> for the HVAC BAS Replacement in the Decatur Civic Center (see below <br /> for legal description) of which Decatur Metropolitan Exposition, <br /> Auditorium and Office Building Authority is the owner. <br /> The undersigned, for and in consideration of <br /> Dollars ($ ) , and for other good and <br /> valuable consideration, the receipt whereof is hereby acknowledged, <br /> do(es) hereby waive and release any and all liens or claims of, or <br /> right to, lien, under the Statutes of the State of Illinois, <br /> relating to mechanics ' liens, with respect to and on said above- <br /> described premises, and the improvements thereon, and on the <br /> material, fixtures, apparatus or machinery furnished, and on the <br /> moneys, funds or other considerations due or to become due from the <br /> owner, on account of labor services, material, fixtures, apparatus <br /> or machinery, furnished to this date by the undersigned for the <br /> above-described premises . <br /> Dated , 1998. <br /> (Name of Subcontractor) <br /> By <br /> Signature of Authorized , <br /> Agent of Subcontractor <br /> Title <br />