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"Certification of Title, Right of Entry and Waiver of Lien for Materials Stored or to Be Stored for Incorporation Into a State of Connecticut Department of Transportation Project" - Connecticut

Certification of Title, Right of Entry and Waiver of Lien for Materials Stored or to Be Stored for Incorporation Into a State of Connecticut Department of Transportation Project is a legal document that was released by the Connecticut Department of Transportation - a government authority operating within Connecticut.

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Released on February 22, 2012;
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STATE OF CONNECTICUT

CERTIFICATION OF TITLE, RIGHT OF ENTRY AND WAIVER OF LIEN

FOR MATERIALS STORED OR TO BE STORED

FOR INCORPORATION INTO A STATE OF CONNECTICUT DEPARTMENT OF

TRANSPORTATION PROJECT

WHEREAS ____________________________________________________________________ (the "Contractor") is

engaged in the performance of a contract with the State of Connecticut Department of Transportation (the "Department") for the construction of

a certain project designated as Project No. _____________________(the “Project”), and

WHEREAS the Contractor has purchased certain materials ( the “Material”) for the performance of the Project

contract; namely (List the identifying information required by the Construction Manual for the material in the space below or

reference an attached page for a lengthy list):

By signing this certification, the undersigned Contractor, Subcontractor, Vendor, Distributor, Lessoer,

Lessee and Owner of the real property where the Material is stored agree:

1. The State of Connecticut and its agents are now and until such time as all the Material shall have been

removed from the Property, are granted the right to enter the Property where the material is stored and to

inspect and inventory the Material, and to remove the material if the Contractor cannot deliver and install it

at the Project site upon the demand of the State of Connecticut or its agents.

2. All undersigned parties hereby waive any right that they might have to place a lien on, or otherwise

encumber or withhold from the State of Connecticut and its agents, the Material for any reason, now and

forever.

CONTRACTOR

WITNESS

________________________________________________________

By __________________________________________________________________________

By _________________________________________

Title _____________________________________________________

Title ____________________________

Dated:____________________________________________________

Date ____________________________

(rev. 2/22/12)