Att3_DI-137_Release_of_Claims.pdf
PDF 67 KB Posted
- Solicitation number
- 140R3026Q0066
About this file
This is a Release of Claims form (DI-137, March 2017) issued by the United States Department of the Interior for use with federal contracts. The form serves as a template that contractors must complete and submit prior to receiving final payment under a contract. Upon execution, the contractor releases and discharges the United States, its officers, agents, and employees from all claims, debts, liabilities, obligations, and demands arising under or related to the contract, in consideration of final payment by the government. The form requires the contractor to specify the contract number, payment amount, date of execution, and contractor information including business structure (corporation, partnership, joint venture, or individual).
The document includes certification language for corporate contractors, requiring an authorized corporate officer to attest that the signatory was duly authorized by the corporation's governing body to execute the release on its behalf. The form contains blank fields for contractor name, address, signature, title, and date. It is intended as Attachment 3 to Solicitation No. 140R3026Q0066 and was electronically produced by Elite Federal Forms, Inc. This is a standard federal contracting template with no specific products, services, or response deadlines indicated.
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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. 140R3026Q0066, Attachment 3 - Release of Claims
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File details come from the government source that posted it. Updated .