(California Civil Code Section 3262(d)(4))
Re: NASSCO Purchase Order No. ______________, dated ____________.
The undersigned has been paid and has been paid in full for all labor, services, equipment or material furnished to National Steel and Shipbuilding Company (NASSCO) on the NASSCO job ____________________ located at 2798 E. Harbor Drive, San Diego, CA 92113 and does hereby waive and release any right to a mechanic’s lien, stop notice, or any right against a labor and material bond on the job, except for disputed claims for extra work in the amount of $______________.
Supplier Company Name
Supplier Authorized Representative/Title
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 A CONDITIONAL RELEASE FORM.