Attachment_08_-_DI-137_Release_of_Claims.pdf
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- Attached to
- MOD/MODE/US Bypass Canal Repairs
- Solicitation number
- 140R3026R0001
About this file
This is a Release of Claims form (DI-137) used by the United States Department of the Interior as a contract closeout document. The form serves as a template that contractors must complete and submit prior to receiving final payment under a federal contract. The release 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, with the exception of any claims the contractor wishes to preserve and specify on the form. The contractor executes the release in consideration of the final payment amount due under the contract.
The form requires completion of standard contract identification information including contract number, date, and final payment amount in dollars. It provides checkboxes to identify the contractor's business structure (Corporation, Partnership, Joint Venture, or Individual) and requires the contractor's address and authorized signature. For corporate contractors, an additional certification section must be completed by an officer of the corporation confirming the signatory's authority and that the release was executed on behalf of the corporation by proper authority of its governing body. The form includes a space for a corporate seal. This template was electronically produced by Elite Federal Forms, Inc.
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Text version
Attachment 06 Release of Claims
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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.
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File details come from the government source that posted it. Updated .