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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;,..._...... ., <br />