Attachment 8 Release of Claims.pdf
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- Solicitation number
- 75H70124R00012
About this file
This document is a release of claims form used by the Department of Health and Human Services Indian Health Service. The form releases the Government of the United States, its officers, agents and employees from all liabilities, demands, obligations and claims arising from the specified contract. Any excepted claims must be listed, including the dollar amount, specific nature of the claim, and description in the same manner as a "claim" is defined in FAR Clause 52.233-1.
The related federal contract opportunity is solicitation number 75H70124R00012 for the Gallup Indian Medical Center Emergency Department Renovation and Expansion project. The solicitation is issued by the Department of Health and Human Services Indian Health Service to renovate and expand the emergency department.
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Text version
DEPARTMENT OF HEALTH & HUMAN SERVICES
Indian Health Service
Division of Engineering Services
RELEASE OF CLAIMS
Contract No. ___________________________
Task Order No. _________________________
Name and Address of Contractor:
Number, Name and Location of Project:
Project No. _________________________
Pursuant to the terms of the above numbered contract, but subject to any claims as may be specifically excepted below, the Government of the United States, its officers, agents and employees, are hereby released and discharged from all liabilities, demand, obligations, and claims arising under or by virtue of said contract.
EXCEPTED CLAIMS*
SIGNATURE TITLE
DATE
* Write NONE or (a) state the dollar amount of each excepted claim, (b) describe specifically the nature of each excepted claim, and (c) describe the claim in the same manner in which a “claim” is defined in FAR Clause 52.233-1, Disputes. (Attach additional pages if necessary.)
OES-03 (12/15)
File details come from the government source that posted it. Updated .