B08_Atch_4_-_Release_of_Claims_0001.pdf

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Attached to
SITTING WELL REMOVAL (4 SITES) - CMWSC
Solicitation number
140G0224R0006
Issued by

About this file

This document is a release of claims form related to a federal construction contract. It requires the contractor to release the United States government from any further claims or liabilities regarding the contract once final payment has been made. The form must be signed by the contractor to certify that all work is complete and no outstanding debts or obligations remain between the parties.

The related federal contract opportunity is to remove four groundwater monitoring wells from multiple locations for the US Geological Survey Oklahoma Water Science Center. The solicitation number is 140G0224R0006 and seeks removal of sitting wells at CMWSC sites. No further details are provided on response dates, pricing terms, set asides, incumbents or other contract requirements.

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Text version

DI-137

(Rev. 8/96)

UNITED STATES

DEPARTMENT OF THE INTERIOR

RELEASE OF CLAIMS

Contract Number

Date

WHEREAS, by the terms of the above contract for

, entered into by the United States of America, hereinafter referred to as the United

States, and the contractor

, it is provided that after completion of all work, and prior to final payment, the contractor will furnish the United States with a release of all claims;

NOW, THEREFORE, in consideration of the above premises and the payment by the United States to the contractor of the amount now due under the contract, to wit, the sum of dollars ($ ), the contractor hereby remises, releases and forever discharges the United States, its officers, agents and employees, of and from all manner of debts, dues, and liabilities, obligations, accounts, claims, and demands whatsoever, in law and in equity, under or by virtue of the said contract, except:

IN WITNESS WHEREOF, the contractor has executed this release this day of , 20 .

__________________________________________________ By ________________________________________________________

(Contractor) (Signature)

Corporation Joint Venture

Partnership Individual ______________________________________________________

(Name)

(Street Number or R.F.D) (Title)

(City) (State) (Zip Code)

COMPLETE ONLY IF CONTRACTOR IS A CORPORATION

I, _________________________________________________, CERTIFY That I am the __________________________________________ of the corporation named as contractor herein; that ____________________________________________________________________, who signed this release on behalf of the corporation, was then _____________________________________________ of said corporation; and that said release was duly signed for and on behalf of said corporation by authority of its governing body.

[SEAL] ___________________________________________________________

(Signature)

File details come from the government source that posted it. Updated .