Attachment_6_-_DI-137_Release_of_Claims_(1).pdf
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- Solicitation number
- 140R3021R0019
About this file
This document is a release of claims form required by the United States Department of the Interior upon completion of work under contract number DI-137. The contractor, upon receiving final payment of dollars for work performed, must sign the form to remise, release, and discharge the United States, its officers, agents, and employees from all debts, obligations, accounts, claims, and demands arising from or relating to the contract, with the exception of any terms explicitly listed. The contractor must be a corporation, partnership, joint venture, or individual with a street address, city, state, and zip code located in the United States. The contract number, date, and sum of final payment must be provided upon signature by an authorized officer of the contractor.
The related federal contract opportunity is a solicitation from the Department of the Interior Bureau of Reclamation to rehabilitate six 100 MVA single phase transformers at the Hoover Dam powerplant. The transformers have a 15.5kV low side and 230kV high side. No further details are provided on response dates, pricing terms, set asides, or incumbent contractors.
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Text version
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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File details come from the government source that posted it. Updated .