Attachment_6_DI-137_Release_of_Claims.pdf

PDF 292 KB Posted

Attached to
BROCK RESERVOIR GATE REPLACEMENT/REPAIRS Federal contract opportunity
Solicitation number
140R3026R0004
Issued by
Department of the Interior Bureau of Reclamation

About this file

The document is a Release of Claims form (DI-137) from the United States Department of the Interior, dated March 2017. This standard federal contract form is designed to be completed by a contractor upon final payment and completion of contract work. The form provides a legal mechanism for the contractor to release all claims against the United States government, its officers, agents, and employees related to the specific contract, with the exception of any mutually agreed upon outstanding issues. The form includes fields for the contractor to document their business type (corporation, partnership, joint venture, or individual), contact information, and signature, with an additional certification section specifically for corporate contractors.

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Text version

Attachment 5 Release of Claims

This page intentionally left blank

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.

Contractor:
Corporation: Off
Partnership: Off
Joint Venture: Off
Individual: Off
Street Number or RFD:
City:
State:
Zip Code:
Title:
Contract Number:
Date:
Sum:
Dollars:
Day:
month:
year:
Name:
Text1:
Text2:
Text3:
Text4:
Name2:
Text5:
Text6:
Text7:

File details come from the government source that posted it. Updated .