Attachment_B_Release_of_Claims.doc

DOC document 47 KB Posted

Attached to
70290577 ASB004 LIGHTNING PROTECTION Federal contract opportunity
Solicitation number
140G0124Q0208
Issued by
Department of the Interior US Geological Survey Office of Acquisitions and Grants

About this file

This document is a Release of Claims form that is required to be completed by the contractor prior to final payment under a federal construction services contract. The release states that in consideration of the final payment amount, the contractor remises, releases, and discharges the United States government, its officers, agents, and employees from all debts, dues, liabilities, and claims under the contract, with the exception of any claims explicitly retained. The form must be signed by an authorized representative of the contractor, and if the contractor is a corporation, the release must be certified by an officer of the corporation. This release would be required as part of the closeout process for the federal construction services contract referenced in the related contract opportunity.

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Other files for this federal contract opportunity

Other files attached to 70290577 ASB004 LIGHTNING PROTECTION, newest first.
File Type Posted
RFP_140G0124Q0208_Attachment_A.pdf PDF
Attachment_F_Payment_Bond_SF_25A.pdf PDF
Attachment_C_Certification_for_Payment_(construction).pdf PDF
Attachment_D_DOL_Wage_Determination.pdf PDF
Statement_of_Work.pdf PDF
Attachment_A_Nondisclosure_Agreement.doc DOC document
Attachment_G_Site_Visit_Security_Document.pdf PDF
Attachment_H_Past_Performance_Questionnaire.pdf PDF
Sol_140G0124Q0208.pdf PDF
Attachment_E_Payrolls_(WH-347).pdf PDF

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Text version

Attachment B – Release of Claims

UNITED STATES

DEPARTMENT OF THE INTERIOR

RELEASE OF CLAIMS

Contract Number

Date

WHEREAS, by the terms of the above contract for Construction Services, entered into by the United States of America, hereinafter 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, and 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 .

By ________________________________________________________

(Contractor)

(Signature)

Corporation Joint Venture

Partnership Individual

(Name)

(Street Number or R.F.D)

(Title)

(City)

(State) (Zip Code)

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.

[SEAL]

(Signature)

DI-137

(Rev. 8/96)

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