Attachment_5_-_DI-137_Release_of_Claims_Mar_2017.pdf
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- Solicitation number
- 140R3026R0016
About this file
This is a Release of Claims form (DI-137) used by the United States Department of the Interior for federal contracts. The form serves as a final settlement document executed by contractors upon completion of contract work and prior to receiving final payment. Upon signing, 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 specifically noted as exceptions by the parties.
The form requires completion of standard contract identification information including the contract number, date, contract description, and final payment amount due. Contractors must identify their business structure (Corporation, Partnership, Joint Venture, or Individual) and provide their address and contact information. For corporate contractors, an additional certification section must be completed by a corporate officer to verify that the signatory was authorized to execute the release on behalf of the corporation and that such execution was duly authorized by the corporation's governing body. This template form was electronically produced by Elite Federal Forms, Inc. and is formatted to accommodate execution by authorized representatives with appropriate signature blocks and seal placement for official documentation.
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Text version
Contract Number
Date
UNITED STATES
DEPARTMENT OF THE INTERIOR
RELEASE OF CLAIMS
DI-137
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 , .
(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 .