Att 05 NIST Release of Claims.pdf

PDF 75 KB Posted

Attached to
NIST Boulder Sitewide Exterior Lighting Inspection and Repair
Solicitation number
1333ND26QNB190295
Issued by

About this file

This is a Release of Claims form issued by the United States Department of Commerce (NIST). The document serves as a template for contractors to formally release all claims against the federal government upon completion of contract work and prior to receiving final payment.

The form requires the contractor to remise, release, and discharge the United States, its officers, agents, and employees from all debts, dues, liabilities, obligations, accounts, claims, and demands arising under or by virtue of the contract, in consideration of final payment of the contract amount. The contractor must provide contractor identification information including business type (Corporation, Partnership, Joint Venture, or Individual), address, and authorized signatory details. For corporate contractors, an officer of the corporation must certify that the signatory was authorized by the corporation's governing body to execute the release. The form includes spaces for the contract number, date, payment amount, execution date, and contractor contact information. This is a standard federal contracting template with no specific products, services, or response dates identified.

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Other files

File Type Posted
1333ND26QNB190295001.pdf PDF
Att 06 JHA .xlsx XLSX spreadsheet
Att 02 Copy of Safety Plan Checklist.xlsx XLSX spreadsheet
1333ND26QNB190295.pdf PDF
ATT 01 NIST Boulder General Contractor Requirements - Rev C.docx DOCX document
Att 03 Risk Levels for Service Contract Personnel-Form.doc DOC document
Att 04 Site Exterior Lighting Map.pdf PDF

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Text version

Contract Number

Date

UNITED STATES DEPARTMENT

OF COMMERCE

RELEASE OF CLAIMS

WHERE AS, by terms of the above contract for , entered into by the United States of America, hereinafter also referred to as the

United States, and the contractor

, it is provided that after completion of all work, and prior to final payment, the contractor will furnish the United States with a release of all claims;

NOW, THEREFORE, in consideration of the above premises and the payment by the U nited States to the contractor of the amount now due under the contract, to wit, the sum of dollars

) , the contractor hereby remises, releases, and forever discharges the United States, its officers, agents,($ and employees, of and from all manner of debts, dues, liabilities, obligations, accounts, claims, and demands whatsoever, in law and in equity, under or by virtue of the said contract except:

IN WITNESS WHEREOF, the contractor has executed this release this day of , 20 .

(Contractor) (Signature) By

(Name)

Corporation

Partnership

Joint Venture

Individual

(Street Number or R.F.D.)

(City) (State) (Zip Code)

(Title)

COMPLETE ONLY IF CONTRACTOR IS A CORPORATION

I, CERTIFY That I am the of the corporation named as contractor herein; that , who signed this release on behalf of the corporation, was then of said corporation; and that said release was duly signed for and on behalf of said corporation by authority of its governing body.

(Signature)

[SEAL]

Contractor:
Corporation: Off
Partnership: Off
Joint Venture: Off
Individual: Off
Street Number or RFD:
City:
State:
Zip Code:
Title:
Contract Number:
Date:
Sum:
Dollars:
Day:
month:
year:
Name:
Text1:
Text2:
Text3:
Text4:
Name2:
Text5:
Text6:
Text7:
Text8:

File details come from the government source that posted it. Updated .