36C78618R0364-005.pdf

RELEASE OF CLAIMS

For and in consideration of the payments heretofore made, and payment of final installment now due by reason of performance of Contract No. __________________, dated __________________, the undersigned Architect-

Engineer hereby releases and discharges the United States of America from any and all claims arising under or by virtue of said contract, except as follows: (In this space describe and list in stated amounts excepted claims, if any;

otherwise this release will be considered as free of all claims. If no claims reserved, insert None.)

IN WITNESS WHEREOF, This release has been duly executed this ________________ day of ___________________.

Architect-Engineer

BY: _____________________________________

(Print or type name under signature)

Title (Print or type)

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