Attachment 6 - AE Release of Claims.docx

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Y1JZ--640-22-111 Fisher House 1 Life Safety Corrections
Solicitation number
36C26122R0051
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This document contains an Attachment 5 Release of Claims template for a Department of Veterans Affairs contract. The template is to be used for Contract No. ____________________, dated __________________, and releases the United States of America from any claims arising under the contract, with the exception of any claims described and listed with stated amounts in the provided space. The release must be executed by the Architect-Engineer and include the printed or typed name and title under the signature.

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ATTACHMENT 5 - RELEASE OF CLAIMS

For and in consideration of the payments heretofore made, and payment of final installment now due by reason of performance of Contract No. __________________, dated __________________, the undersigned Architect-Engineer hereby releases and discharges the United States of America from any and all claims arising under or by virtue of said contract, except as follows: (In this space describe and list in stated amounts excepted claims, if any; otherwise this release will be considered as free of all claims. If no claims reserved, insert None.)

IN WITNESS WHEREOF, This release has been duly executed this ________________ day of ___________________.

Architect-Engineer

BY: _____________________________________

(Print or type name under signature)

Title (Print or type) (End of Clause)

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