Attachment 8 Release of Claims.pdf
PDF 218 KB Posted
- Attached to
- Pine Ridge Multi Phase Door Replacement
- Solicitation number
- 75H70126R00003
About this file
This document is a Release of Claims form from the Department of Health & Human Services' Indian Health Service (IHS), Division of Engineering Services. The form is designed for a contractor to release the U.S. Government from liabilities and claims related to a specific contract or task order. The document provides space for the contractor to list any excepted claims, requiring them to either write "NONE" or provide detailed information about specific claims, including dollar amounts and a description matching the FAR Clause 52.233-1 definition of a claim. The form requires the contractor's signature, title, and date of execution, with an option to attach additional pages if more space is needed for claim descriptions.
View the file
Other files
| File | Type | Posted |
|---|---|---|
| B05 Amendment 4.pdf | ||
| B05 Amendment 3.pdf | ||
| B05 Amendment 2.pdf | ||
| Attachment 2 SOW Revised by A0002.pdf | ||
| B05 Amendment 1.pdf | ||
| Attachment 5 Past Performance Questionnaire.docx | DOCX document | |
| Attachment 1 Wage Determination SD20250003.pdf | ||
| Attachment 3 Self Performed Calculation Sheet.docx | DOCX document | |
| Attachment 4 Company Specialized Experience Form.docx | DOCX document | |
| B01 26R00003.pdf | ||
| Attachment 2 SOW.pdf | ||
| Attachment 6 IHS IEE Representation Form.pdf | ||
| Attachment 7 WH347 Payroll (1).pdf |
Show all 13
On GovTribe
Work with this file
- Download the original file
- Contacts named in this file
- Similar government files
- Ask GovTribe AI about this file
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 .