RELEASE BY GENERAL CONTRACTOR

KNOW ALL MEN BY THESE PRESENTS that _____________________________

_________________________, a contractor pursuant to State Contract No.___________,

by and through the undersigned, its lawful agent, does hereby attest and certify that all

monies held in trust (retainage) have been returned to each and every subcontractor, and

that the contractor has made payments in full to every person furnishing material or

performing labor in the performance of said contract and does hereby remise, release and

forever discharge the State from any and all manners of action, cause of action, suits,

proceedings, debts, dues, contracts, judgments, damages, claims and demands whatsoever

in law or equity arising from said contract.

SIGNED, SEALED and DATES this _______________________ day of

____________________. 20________.

______________________________

GENERAL CONTRACTOR

______________________________

Signature

______________________________

Title

SWORN TO AND SUBSCRIBE TO before me this ____________________ day of

_________________________________, 20 ________.

______________________________

NOTARY PUBLIC

My commission Expires: ______________________

FORM CN-102 – 3/08