Attachment_10_-_DI-137_Release_of_Claims.pdf

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Attached to
GAOA - McNamara Johnsrud Roads Chip Seal and Site
Solicitation number
140L3623R0006
Issued by

About this file

This document is a release of claims form for a federal construction contract. The form releases the United States, including its officers, agents, and employees, from all debts, obligations, accounts, claims, and demands related to the referenced contract for construction services. The contractor signing the form agrees to furnish this release prior to final payment being made for work completed under Contract Number for construction of roads and day use areas on BLM land in Missoula County, Montana. The services included chip sealing 6.2 miles of asphalt roadway, resurfacing day use areas, performing linear grading along 4.9 miles of roadway, and delineating a parking area. The federal agency involved is the Bureau of Land Management within the Department of the Interior.

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Text version

Contract Number

Date

UNITED STATES

DEPARTMENT OF THE INTERIOR

RELEASE OF CLAIMS

DI-137

(July 1996)

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 , 19 .

(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.

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