S02 - Release of Claim (ROC) Form_(2 Pages).pdf
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- Solicitation number
- 36C24822R0155
About this file
This document outlines a federal contract opportunity for design-build services to install a new HVAC unit at a VA medical center in Puerto Rico as a redundant backup system. The Department of Veterans Affairs VISN 8 intends to issue a solicitation for mechanical, electrical, structural and design-build services to install a new air handling unit next to an existing unit to serve the SPS area. The new unit will be sized to provide 100% of required cooling and heating capacity to run in parallel or independently from the existing unit. Interested parties must be SDVOSB certified on SAM.gov and VIP to respond by August 1, 2022. The contract value is estimated between $100,000 to $250,000 and work must be completed within 365 days of award while minimizing disruptions to hospital operations.
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Text version
CONTRACTOR’S RELEASE OF CLAIMS
CONTRACT NO. _______________________
Pursuant to the terms of Contract No. ______________________________ and in consideration of the sum of Dollars ($ __________________), 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:
ATTACHMENT: 5
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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