_____________________________________, the undersigned, has furnished labor, materials. services and or equipment for the construction of ________________________ project in the State of Colorado.

In consideration of the sum of $_____________________ representing partial payment for the above-mentioned labor, materials, services and equipment furnished to the above Project acknowledged, the undersigned, except for unresolved change order issues, does hereby, forever waive and release any and all lien, all labor and material bond rights and claims, and all equitable hereafter accrue on or against the Project and Property, and General Contractor, on account of labor, materials, services and equipment fumished bv the undersigned up to and including the above stated amount.

This RELEASE, and WAIVER shall inure to the benefit of, and may be relied upon by: General Contractor, any applicable Construction Lender, and any Principal and Surety of any Bond furnished in connection with the construction of the Project.

The undersigned represents and warrants that based upon its knowledge and belief, all labor, materials, services, and equipment, performed or supplied to date by or through the undersigned or incorporated in the Project or Property are free from any claims, liens, or encumbrances. The undersigned represents and warrants that based upon its knowledge and belief payment has been made by the undersigned to all persons working on this Project or Property and entitled to compensation on said Project or Property including trust funds and to all workmen, (Sub) Subcontractors, suppliers, laborers, and materialmen who may have delivered materials or rented equipment to or performed work at or on behalf of the Project. The undersigned further represents and warrants that based upon its knowledge and belief all federal, state, county, city or any other taxes required to be paid by the undersigned have been paid. The undersigned shall and does hereby indemnify, except for monies that may be due which are included in the current Pay Request, save and hold the General Contractor harmless from any and all claims, damages, liens, or losses, expenses, including all costs, professional fees, and attorneys fees, which the General Contractor may suffer or incur by reason of the filing of any claims, notices, liens, encumbrances, suits against the General Contractor and the Property, upon 10 days written notice and the failure of the undersigned to obtain cancellation discharge thereof.

Signed:___________________________________ Date:_______________

Title:___________________________________________________________

Notary Public:_______________________________ Date:________________