SUBCONTRACT AGREEMENT#16.130.0015
<br /> PROJECT#96.130,00
<br /> EXHIBfT H
<br /> CERT1FtCAT(ON AND WAIVER
<br /> STATE OF FL
<br /> CQUNTY OF PASCO ,
<br /> WHEREAS, CWC Roofing $ Exteriars (hereinafter "Undersigned°� has been employed by Formula
<br /> Construction Croup, 11C ta fiurnish Raofing (describe materials; services, labor and equipment} under a contract,
<br /> subcontract, and/or purchase order for ar in connection with the construction of improvements known as ViQage
<br /> Chase Apartments (hereinaftee°Praject°}, witich�s locate� in the City of Zephyrt�ilis, C�unty of Pasco, State of FL
<br /> (hereinafter"Property")and is owned by Hallmark Village Chase,LLC (hereinafter"Owner°).
<br /> NOW, THEREFORE, the Undersigned, for itseif, its employees, its subcontractars, sub-subcontractors,
<br /> mechanics, materialmen and laborers, does hereby:
<br /> (�) �ttiif�i�af'to�t�af:Got��;lNc�rk: Certify and warrant that the work performed to date is free from defects,
<br /> that the materials and equipment furnished are of good quality and new, and tha#the vuork furnished
<br /> conforms to the requirements of the c�ntract documenfs.
<br /> Cb) UU'a�it�c�€�Bo�; �ts. Waive, relinquish, and release any r�ghts it has against any labar, material,
<br /> payment, perFormance, or lien discharge bond issued by Formula Construction Group,LLC and its
<br /> banding companies.
<br /> (c) Vtt�iver of Liett�Ri,�,�t�. 1Afaive, relinquish, and release any and all.�iens, claims of liens, oe rights to
<br /> tien the foregoing described Property, through the Gurrent Date.
<br /> {�} 1Na'itr�r of.Cfaii�.. Waive, refinqutsh, and release any snd all claims, whether known or unknawn,
<br /> against Formula Construction Group, LLC and its bonding companies and the Owner for labor,
<br /> services, material, and equipment furnished t� or fnr the benefit of Forrr�ula Construction Group,
<br /> LLC or the construction project through the billing period for which its application is submitted or the
<br /> date of exec�ation belaw,whichever is later{"Current Date"}.
<br /> (e> Ceiti�catii�rt'af.Pavme�it, Certify and warrant that all of its subcontractors, suppli�rs, mechanics,
<br /> materialmen,and laborers,wi#hin the Undersigned's chain of contracts, have been paid and satisfied
<br /> in full for labar, services, material, and equipment furnished as of the Current Date.
<br /> (�j Scope. Acknowiedge and agree that this instrument is an independent covenant and shall operate
<br /> and be effective with respect to al! labor and services provided and materiafs and equiprnent
<br /> fiumished by, through, or on behaif of the Undersigned regarding th�e Project or any supplemen#a(
<br /> contract or contracts,whether ora�or written,for e�ra or additiona!work,and for any further labor or
<br /> services provided or materiais or equipment fumished at anytim�with respect to#he Project.
<br /> Sworn and subscribed before me
<br /> This day af .. _.. _. __. 20 . __ . _ _.. _.
<br /> Natary Public: �� - Su6c+ont�acto�or Supplier � �
<br /> By:
<br /> My Gommission Expires:, Titls:
<br /> ,�
<br /> Subcontract FL EX Contractor's Initiais;
<br /> Rev. 11/15 Subcontractor's Initials;,..._...... .,
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