ATTACHMENT_5_DI-137_Release_of_Claims.pdf
PDF 250 KB Posted
- Attached to
- Escalator Replacement at Hoover Dam's Visitors Cen Federal contract opportunity
- Solicitation number
- 140R3021B0004
About this file
This document is a release of claims form for a federal contract to replace escalators at the Hoover Dam Visitor Center. The contract is solicited by the Department of the Interior Bureau of Reclamation under solicitation number 140R3021B0004. Upon completion of all work under contract number [Contract Number] and prior to final payment, the contractor must sign this form to release the United States, its officers, agents, and employees from all claims, debts, liabilities, obligations, accounts, and demands arising from or related to the contract, with the exception of any claims explicitly listed by the contractor on the form. The contractor must identify what entity they represent - whether a corporation, partnership, joint venture, or individual - and provide their name, address, and title. If they are a corporation, an officer must certify that the person signing the release was authorized to do so by the corporation's governing body.
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Other files for this federal contract opportunity
| File | Type | Posted |
|---|---|---|
| Sol_140R3021B0004_Amd_0002.pdf | ||
| 140R21B0004_SF30_and_Attachments_0002.pdf | ||
| Sol_140R3021B0004_Amd_0001.pdf | ||
| 140R3021B0004_Amendment_01_Attachments_0001.pdf | ||
| ATTACHMENT_7_WBR_1432_903-1a_Construction_Payment.pdf | ||
| ATTACHMENT_1_Statement_of_Work.pdf | ||
| ATTACHMENT_2_As-Builts_Informational.pdf | ||
| 140R21B0004_Invitation_for_Bid.pdf | ||
| Sol_140R3021B0004.pdf | ||
| ATTACHMENT_6_Bond_Forms.pdf | ||
| ATTACHMENT_4_Wage_Determination_2015-5593_Nevada_County_of_Clark.pdf | ||
| ATTACHMENT_10_Site_Visit_Questions_Handout.doc | DOC document | |
| ATTACHMENT_9_Hazardous_Material_Authorization_Form.pdf | ||
| ATTACHMENT_8_FORM_E_Waste_Diversion_Table.pdf | ||
| ATTACHMENT_3_Wage_Determination_NV20210038_02JUL2021.pdf |
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Text version
Solicitation: 140R3021B0004
Escalator Replacement Hoover Dam Visitor Center
Attachment 5 DI-137 Release of Claims
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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