Attachment 5 Release of Claims.pdf
PDF 218 KB Posted
- Attached to
- Belcourt RTU and Cabinet – CT Area
- Solicitation number
- 75H70124Q00025
About this file
This document is a Release of Claims form for a federal contract. It provides a template for a contractor to release the government from all liabilities, demands, obligations, and claims arising under or by virtue of a specific contract. The form includes fields to identify the contract number, task order number, contractor name and address, project number and location, and any claims that are being excepted from the release.
The related federal contract opportunity is for a construction project for the Indian Health Service (IHS) to replace the HVAC unit and cabinets in the CT room at the Quentin N. Burdick Memorial Hospital in Belcourt, North Dakota. This is a 100% small business set-aside solicitation under NAICS code 236220 with a size standard of $45 million. The period of performance is 200 calendar days, the construction magnitude is between $100,000 and $250,000, and the contract type is a Firm Fixed Price construction contract. Quotes are due by the date specified in the SF 1442 and will be evaluated based on price and other factors, with price being the discriminating factor for award.
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| Attachment 1 Wage Determination ND20240029.pdf | ||
| Attachment 8 Self Performed Calculation Sheet.docx | DOCX document | |
| B01 24Q00025.pdf | ||
| Attachment 2 Design Package.pdf | ||
| Attachment 3 Temperature and Humidity Requirements.pdf |
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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 .