SUB-TIER INTERIM RELEASE OF LIEN AND WAIVER OF LIEN RIGHTS

19900 144th Avenue NE • Woodinville, WA 98072 • Phone (425) 487-5200 • Fax (425) 487-5290 • Acctg Fax (425) 487-5296 • CL #SIERRCC145N8 • CCB #121086 Rev. 4/10/13

FROM: PROJECT: (Name of Firm Giving Release/Sub-Tier) (Project Name)

(Remittance Address) (Project Street Address)

(City, State, Zip Code) (City, State, Zip Code)

SUB-TIER CONTACT: SUBCONTRACTOR CONTACT: CONTACT PHONE: CONTACT PHONE: CONTACT EMAIL: CONTACT EMAIL:

CONDITIONAL RELEASE The undersigned does hereby acknowledge that upon receipt by the undersigned of a check from Sierra Construction Company, Inc. AND/OR

in the sum of: (Subcontractor)

Dollars $ and when the check has been properly endorsed and has been paid by the bank upon which it was drawn, this document shall become effective to release any and all claims and rights of lien which the undersigned has on the above-referenced project for labor, services, equipment, materials and/or claims through not including retention. Before any recipient of this document relies on it, said party should verify evidence of payment to the undersigned.

I CERTIFY UNDER PENALTY OF PERJURY UNDER LAWS OF THE STATE IN WHICH THE PROJECT IS LOCATED THAT THE ABOVE IS A TRUE AND CORRECT STATEMENT. (Sub-Tier) (Subcontractor)

X DATE: X DATE: (Authorized Signer) (Authorized Signer)

BY: TITLE: BY: TITLE:

UNCONDITIONAL RELEASE UPON PROGRESS PAYMENT The undersigned does hereby acknowledge that the undersigned has been paid and has received progress payments from Sierra Construction

Company, Inc. AND/OR in the sum of: (Subcontractor) $ not including retention, for labor, services, equipment and materials furnished to the above-referenced project and does hereby release any and all claims and rights of lien which the undersigned has on the above-referenced project. This release covers all payments for labor, services, equipment, materials furnished and/or claims to the above-referenced project through .

NOTICE: THIS DOCUMENT WAIVES RIGHTS UNCONDITIONALLY AND STATES THAT YOU HAVE BEEN PAID FOR GIVING UP THOSE RIGHTS. THIS DOCUMENT IS ENFORCEABLE AGAINST YOU IF YOU SIGN IT, EVEN IF YOU HAVE NOT BEEN PAID. IF YOU HAVE NOT BEEN PAID, USE THE CONDITIONAL RELEASE FORM.

I CERTIFY UNDER PENALTY OF PERJURY UNDER LAWS OF THE STATE IN WHICH THE PROJECT IS LOCATED THAT THE ABOVE IS A TRUE AND CORRECT STATEMENT. (Sub-Tier) (Subcontractor)

X DATE: X DATE: (Authorized Signer) (Authorized Signer)

BY: TITLE: BY: TITLE:

**IF YOU HAVE NOT RECEIVED ANY PAYMENTS TO DATE, USE THE CONDITIONAL RELEASE AND SIGN BELOW** I CERTIFY THAT OUR FIRM HAS NOT RECEIVED ANY PAYMENTS TO DATE FOR THE ABOVE-REFERENCED PROJECT.

(Sub-Tier)

X BY: TITLE: DATE: (Authorized Signer) (Print Name)