J.1.2 Contr_Release_Cert.xls
XLS spreadsheet 20 KB Posted
- Solicitation number
- 19AQMM25R0079_OBO_ROOFING_AE_IDIQ_Worldwide_Envelope_Roofing_and_Waterproofing_AE_Solicitation
About this file
This is a Contractor's Release Certificate template form used by the U.S. Department of State for contractors to formally release the government from liabilities and obligations upon contract completion and final payment. The form allows contractors to specify any excluded claims in stated amounts, third-party liability claims that may arise after execution, and patent-related cost reimbursement claims. The template includes spaces for contractor identification, witness signatures (except for corporations), and a corporate certification section to be completed by the corporate secretary when the contractor is a corporation.
This form is associated with solicitation 19AQMM25R0079, a Department of State Office of Acquisition Management opportunity for Worldwide Envelope, Roofing, and Waterproofing A&E IDIQ services. The solicitation has a proposal due date of March 17, 2025 at 3:00 PM ET, with questions due by March 4, 2025 at 4:00 PM ET.
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Text version
Sheet1
| U.S. DEPARTMENT OF STATE | CONTRACT NO. | ||
| CONTRACTOR'S RELEASE | |||
| CONTRACTOR (name and address) | SUM OF | ||
| DOLLARS | |||
| In consideration of the sum stated above, which has been paid or is to be paid to the Contractor, or his | |||
| 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. In Specified claims in stated amounts or in estimated amounts where the amounts are not susceptible | |||
| of exact statement by the Contractor as follows (if none, state none): | |||
| 2. Claims, together with reasonable expenses incidental thereto, based upon the liabilities of the Con- | |||
| tractor to third parties arising out of the performance of this contract, which are not known to the Con- | |||
| tractor 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 the expenses of the Contractor by reason of his indem- | |||
| nification 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 he will comply with all 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 WITNESS 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 certification below must be completed. | |||
| CERTIFICATE | |||
| I, _________________________ , certify that 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; | |||
| that said 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. | |||
| (CORPORATE SEAL) | _________________________________________ |
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