(Consult an attorney before using this form or relying on this information)
WAIVER OF RIGHT TO CLAIM AGAINST THE PAYMENT BOND
The undersigned, in consideration of the sum of $_____ hereby waives its right to claim against the payment bond for labor, services, or materials furnished through (insert date) , to (insert the name of your customer) on the job of (insert the name of the owner) , for improvements to the following described project:
(description of project)
This waiver does not cover any retention or any labor, services, or materials furnished after the date specified.
DATED on _____