Attachment_4_-_DI-137_Release_of_Claims.pdf
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- Solicitation number
- 140D0426R0011
About this file
This is a Release of Claims form (DI-137) issued by the United States Department of the Interior for use in federal contracts. The form serves as a template to be completed upon contract completion and prior to final payment, in which the contractor formally releases the United States government, its officers, agents, and employees from all claims, debts, liabilities, obligations, accounts, and demands arising under or related to the specific contract. The form requires the contractor to acknowledge receipt of final payment in a specified dollar amount in exchange for executing the release.
The document includes fields for contract number, date of execution, contractor identification information (including business structure classification as corporation, partnership, joint venture, or individual), street address, city, state, and zip code. For corporate contractors, an additional certification section must be completed by a corporate officer attesting to the authority under which the release was signed and the signatory's corporate position. The form requires signature by an authorized representative of the contractor and includes a seal requirement for corporations. The release contains an exception clause allowing for carved-out claims not released, though the document does not specify what those exceptions may be.
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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.
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File details come from the government source that posted it. Updated .