Attachment 5 Release of Claims.pdf
PDF 218 KB Posted
- Attached to
- Cheyenne River Quarters French Door Replacement
- Solicitation number
- 75H70124R00053
About this file
This document is a Release of Claims form related to a federal construction contract with the Indian Health Service (IHS) for the Cheyenne River Quarters French Door Replacement project.
The key details are: The contract number is ___________________ and the task order number is ___________________. The project number is ___________________ and it is located in Eagle Butte, SD. The contractor is releasing the government from all claims and liabilities under the contract, except for any specifically excepted claims described on the form. The project involves the replacement of French doors throughout the quarters of the Cheyenne River Health Center, including surrounding framework and painting as needed. The solicitation number is 75H70124R00053, the period of performance is 365 calendar days, and the construction magnitude is between $500,000 and $1,000,000. The contract will be awarded as a Firm Fixed Price construction contract under a Small Business set-aside.
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Other files
| File | Type | Posted |
|---|---|---|
| B05 24R00053 Amendment 2.pdf | ||
| B05 24R00053 Amendment 1.pdf | ||
| B01 24R00053.pdf | ||
| Attachment 2 IHS GPA Eagle Butte Quarters Map.pdf | ||
| Attachment 6 Self Performed Calculation Sheet.docx | DOCX document | |
| Attachment 1 Wage Determination SD20240012.pdf | ||
| Attachment 4 Pay Request (Constr) Form.xls | XLS spreadsheet | |
| Attachment 3 WH347 Certified Payroll.pdf | ||
| Attachment 7 PPQ.docx | DOCX document |
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Text version
DEPARTMENT OF HEALTH & HUMAN SERVICES
Indian Health Service
Division of Engineering Services
RELEASE OF CLAIMS
Contract No. ___________________________
Task Order No. _________________________
Name and Address of Contractor:
Number, Name and Location of Project:
Project No. _________________________
Pursuant to the terms of the above numbered contract, but subject to any claims as may be specifically excepted below, the Government of the United States, its officers, agents and employees, are hereby released and discharged from all liabilities, demand, obligations, and claims arising under or by virtue of said contract.
EXCEPTED CLAIMS*
SIGNATURE TITLE
DATE
* Write NONE or (a) state the dollar amount of each excepted claim, (b) describe specifically the nature of each excepted claim, and (c) describe the claim in the same manner in which a “claim” is defined in FAR Clause 52.233-1, Disputes. (Attach additional pages if necessary.)
OES-03 (12/15)
File details come from the government source that posted it. Updated .