S02 - Attachment_9_ Release of Claim (ROC) Form DB_672-21-000_(2 Pages).doc

DOC document 44 KB Posted

Attached to
Z2DA--Hurricane Recovery Project Phase 2
Solicitation number
36C24822R0038
Issued by

About this file

This document includes a contractor's release of claims form and information about a related federal contract opportunity for hurricane recovery project phase 2 services.

The release of claims form is a standard template to be filled out by the contractor upon completion of contract number 672-21-000. It releases the government from further liability or claims relating to the contract in exchange for final payment, except for specified claims, claims based on contractor liabilities to third parties of which the government is notified within six years, and claims for patent reimbursement costs.

The federal contract opportunity is a pre-solicitation notice from the Department of Veterans Affairs Network Contracting Office for design-build services. The purpose is to repair damages from Hurricanes Irma and Maria in 2017 at the VA Caribbean Healthcare System facilities in Puerto Rico. The requirement is set aside solely for Service-Disabled Veteran-Owned Small Businesses. The estimated value is between $5-10 million. The solicitation will be issued on December 29, 2021 via beta.SAM.gov and responses are due January 28, 2022 at 4:30pm Atlantic Time.

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Other files

File Type Posted
S02 - Solicitation 36C24822R0038_Final Version 1-19-2022.pdf PDF
S02 - Attachment_2 Mechanical Final Referenced Drawings_DB_672-21-000_(2 Pages).pdf PDF
S02 - Attachment_12_Proposed Staging Area - Site Plan - Hurricane Recovery Ph2 (1 Page).pdf PDF
S02 - Attachment 13 VHA Supplemental Contract Req Combatting COVID-19 REV_12-14-21 (2 Pages).docx DOCX document
S02 - Attachment_6_Experience Information Sheet_(MANDATORY) DB_672-21-000_(4 Pages).docx DOCX document
S02 - Attachment_11_ VACHS Operational Requirements for Hurricane Recovery Efforts Ph2 (2 Pages).pdf PDF
S02 - Attachment_8_ Base Offer Cost Breakdown_(MANDATORY)_DB_672-21-000_(2 Pages).pdf PDF
S02 - Attachment_14_Station_672_Local Protocols for COVID-19 (1 Page).docx DOCX document
S02 - SPECIFICATION - 01 00 00_DB_672-21-000_(24 Pages).docx DOCX document
S02 - SPECIFICATION - 01 42 19_DB_672-21-000_(9 Pages).docx DOCX document
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S02 - Attachment_1 Architectural Final Referenced Drawings_DB_672-21-000_(16 Pages).pdf PDF
S02 - SPECIFICATION - 01 32 16 17_DB_672-21-000_(34 Pages).docx DOCX document
S02 - SPECIFICATION - 01 35 26_DB_672-21-000_(27 Pages).docx DOCX document
S02 - Attachment_7_EMR_(MANDATORY)_DB_672-21-000_(1 Page).docx DOCX document
S02 - SPECIFICATION - 01 32 16 16_DB_672-21-000_(23 Pages).docx DOCX document
S02 - SPECIFICATION - 01 33 23_DB_672-21-000_(8 Pages).docx DOCX document
S02 - Attachment_3 Electrical Final Referenced Drawings_DB_672-21-000_(7 Pages).pdf PDF
S02 - Attachment_5_Past Performance_(MANDATORY)_DB_672-21-000_(4 Pages).pdf PDF
S03 - 36C24822R0038_2_MODIFIED PRE-SOLICITATION NOTICE 1-19-2022.docx DOCX document
S02 - SPECIFICATION - 00 11 21_DB_672-21-000_(11 Pages).docx DOCX document
S02 - Attachment_4 - LOS CERTIFICATION (FILL-IN_MANDATORY) Vs-12-17-20_DB_672-21-000_(1 Page).doc DOC document
36C24822R0038_1.docx DOCX document
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ATTACHMENT: 9

CONTRACTOR’S RELEASE OF CLAIMS

CONTRACT NO. _______________________

Pursuant to the terms of Contract No. ______________________________ and in consideration of the sum of Dollars ($ __________________), which has been or is to be paid under the said contract to____________________________ (hereinafter called the Contractor) or its assignees, if any, 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 arising out of or under this contract, subject only to the following exceptions:

1. Specified claims in stated amounts, or in estimated amounts where the amounts are not susceptible of exact statement by the contractor, as follows:

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 not more than six (6) years after the date of the release or the date of any notice to the Contractor that the Government is prepared to make final payment, whichever is earlier; 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 the provisions of the contract relating to patents.

The Contractor agrees, in connection with patent matters and with claims which are not released as set forth above, to comply with all of the provisions of the said contract, including without limitation those provisions relating to notification to the Contracting Officer and relating to the defense of prosecution and of litigation.

This release of claims is effective this ___________ day of__________________ 20____.

[Contractor Name]

BY:

TITLE:

CERTIFICATE

I, _________ [name], certify that I am the ________________________________ [official title] of the corporation named as Contractor in the foregoing release; that ______________________ [name], who signed said release on behalf of the Contractor was the ______________________ [official title] 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.

Signed: ____________________________

(CORPORATE SEAL)

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