Attachment_05_DI-137_Release_of_Claims.pdf
PDF 90 KB Posted
- Attached to
- N1 Brake Ring
- Solicitation number
- 140R3026Q0137
About this file
This is a Release of Claims form (DI-137) used by the United States Department of the Interior as a required document for federal contract closure. The form serves as a legal instrument executed by contractors prior to receiving final payment under a Department of the Interior contract. Upon execution, the contractor releases and discharges the United States government, including its officers, agents, and employees, from all debts, liabilities, obligations, accounts, claims, and demands arising under or related to the contract, except for those claims explicitly enumerated as exceptions on the form.
The form requires completion of standard contract identification information including contract number and date. The contractor must indicate the final payment amount due and provide signature authorization from an authorized representative. The document accommodates various contractor entity types—corporation, partnership, joint venture, or individual—with complete address and title information required. For corporate contractors, an additional certification section must be completed by a corporate officer who verifies the signatory's authority and that the corporation's governing body authorized execution of the release. The form includes a space for corporate seal impression.
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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.
Attachment 5 - Release of Claims
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File details come from the government source that posted it. Updated .