Att3_DI-137_Release_of_Claims.pdf

PDF 110 KB Posted

Attached to
Lakeside Vessel Barrier Gate Repair at Hoover Dam
Solicitation number
140R3026Q0038
Issued by

About this file

DI-137 Release of Claims Form

This is a standardized Release of Claims form (DI-137, March 2017) used by the United States Department of the Interior for federal contracts. The form serves as a template that contractors must complete and execute prior to receiving final payment under their respective contracts. The document requires the contractor to remise, release, and discharge the United States government, including its officers, agents, and employees, from all debts, dues, liabilities, obligations, accounts, claims, and demands arising under or by virtue of the contract. The form specifies that this release is provided in consideration of final payment by the government to the contractor for the amount due under the contract.

The form requires completion of standard contractor identification information, including the contractor's legal entity type (Corporation, Partnership, Joint Venture, or Individual), name, address, and authorized signatory details. For corporate contractors, an additional certification section must be completed by a corporate officer verifying that the individual who signed the release was authorized to do so by the corporation's governing body and that the release was executed with proper corporate authority. The document includes signature and date fields, and for corporate entities, a seal requirement. This form is referenced as Attachment 3 to Solicitation No. 140R3026Q0038 and was electronically produced by Elite Federal Forms, Inc.

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Sol_140R3026Q0038_Amd_0001.pdf PDF
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Sol_140R3026Q0038.pdf PDF

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Text version

Contract Number

Date

UNITED STATES

DEPARTMENT OF THE INTERIOR

RELEASE OF CLAIMS

DI-137

(March 2017)

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 United 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]

This form was electronically produced by Elite Federal Forms, Inc.

Solicitation No. 140R3026Q0038, Attachment 3 - Release of Claims

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:

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