16 Attachment 3 Contractor Release Form.doc
DOC document 72 KB Posted
- Solicitation number
- 6973GH-23-R-00006
About this file
This document contains a contractor release form used by the Department of Transportation. The form is to be completed by a contractor upon final payment on a contract with the DOT. It releases the United States government from all liabilities, obligations, claims and demands arising from the contract, with exceptions for specified claims, claims based on contractor liabilities to third parties, and claims for reimbursement of patent costs. The contractor agrees to comply with all contract provisions relating to notification of the contracting officer and the prosecution or defense of litigation for patent matters or non-released claims. Witnesses are not required for contractor signatures but certification is needed if the contractor is a corporation.
View the file
Other files
| File | Type | Posted |
|---|---|---|
| 21 6973GH-23-R-00006-001.pdf | ||
| 17 Questions and Answers.pdf | ||
| 16 Attachment 4 Payment Bond.pdf | ||
| 16 Attachment 1 Statement of Work.pdf | ||
| 16 6973GH-23-R-00006.pdf | ||
| 16 Attachment 5 Performance Bond.pdf | ||
| 16 Attachment 6 Past Experience Form.docx | DOCX document |
On GovTribe
Work with this file
- Download the original file
- Contacts named in this file
- Similar government files
- Ask GovTribe AI about this file
Text version
DEPARTMENT OF TRANSPORTATION
CONTRACTOR'S RELEASE
CONTRACTOR (Name and Address)
CONTRACT NO.
ENTER SUM OF TOTAL OF AMOUNTS PAID AND PAYABLE
Pursuant to the terms of the above numbered contract and in consideration of the sum stated above, which has been paid or is to be paid to the Contractor, or its assignees, the Contractor, upon payment of the said sum by the UNITED STATES OF AMERICA (hereinafter called the Government), does remise, release, and discharge the Government, its officers, agents, and employees, of and from all liabilities, obligations, claims, and demands whatsoever under or arising from the said contract, except:
1. Specified claims in stated amounts or in estimated amounts where the amounts are not susceptible of exact statement by the Contractor, as follows: (or state "None")
2. Claims, together with reasonable expenses incidental thereto, based upon the liabilities of the Contractor to third parties arising out of the performance of this contract, which are not known to the Contractor on the date of the execution of this release and of which the Contractor gives notice in writing to the Contracting Officer within the period specified in the said contract; and
3. Claims for reimbursement of costs (other than expenses of the Contractor by reason of his indemnification of the Government against patent liability) including reasonable expenses incidental thereto, incurred by the Contractor under any provisions of the said contract relating to patents.
The Contractor agrees, in connection with patent matters and with claims which are not released as set forth above, that it will comply with all provisions of the said contract, provisions of the said contract, including without limitation those provisions relating to notification to the Contracting Officer and relating to the defense or prosecution of litigation.
IN WITNESSES WHEREOF, this release has been executed this _______ day of ___________________, 19 ___.
| WITNESSES |
| _______________________ |
(Contractor)
| BY |
| _______________________ |
| ____________________________________ |
| TITLE |
| _______________________ |
NOTE: In the case of a corporation, witnesses are not required but the below statement must be completed.
I, _________________________________, am the _______________________ secretary of the corporation named as Contractor in the foregoing release; that _____________________ who signed said release on behalf of the Contractor was then _______________________ of said corporation; release was duly signed for and in behalf of said corporation by authority of its governing body and is within the scope of its corporate powers.
Signature
Form DOT F 4220.4 (Rev. 5/05) (word)
PREVIOUS EDITION OBSOLETE
AUTHORIZED FOR LOCAL REPRODUCTION
File details come from the government source that posted it. Updated .