Attachment_08_-_DI-137_Release_of_Claims.pdf
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- Attached to
- MOD/MODE/US BYPASS CANAL REPAIRS
- Solicitation number
- 140RR027R0009
- Issued by
- Not on record
About this file
This is a Department of Interior Release of Claims form (DI-137, March 2017) used as a contract closeout document.
The form is a template requiring the contractor to release all claims against the United States upon receipt of final payment for work completed under a specified contract. The contractor remises, releases, and forever discharges the United States, its officers, agents, and employees from all debts, dues, liabilities, obligations, accounts, claims, and demands arising under or by virtue of the contract, except for claims specifically identified in a blank exception section. The form requires the contractor to insert the contract number, contract description, final payment amount in dollars, and execution date. Signature authority varies by contractor type: individual contractors sign personally; partnerships and joint ventures require authorized partner or member signatures; and corporations require certification by an officer (with seal) attesting that the signatory was authorized by the corporation's governing body to execute the release. The document includes fields for contractor name, address, and title of signatory.
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Text version
Attachment 06 Release of Claims
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Contract Number
Date
UNITED STATES
DEPARTMENT OF THE INTERIOR
RELEASE OF CLAIMS
DI-137
(March 2017)
WHERE AS, by terms of the above contract for
, entered into by the United States of America, hereinafter also 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, 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 .
(Contractor) (Signature)
By
(Name)
Corporation
Partnership
Joint Venture
Individual
(Street Number or R.F.D.)
(City) (State) (Zip Code)
(Title)
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.
(Signature)
[SEAL]
This form was electronically produced by Elite Federal Forms, Inc.
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File details come from the government source that posted it. Updated .