Attachment E - DI-137 - DOI Release of Claims.pdf

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Attached to
NCTC Trail Paving and Roadway Micro-surfacing - WV
Solicitation number
140F0920B0003
Issued by

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This document is a template release of claims form to be completed by a contractor after completion of work on a federal contract. It releases the United States, its officers, agents, and employees from all debts, obligations, claims, and demands arising from the contract, except as noted. The contractor must sign and date the form, providing their name, business type (corporation, partnership, etc.), address, and title. For corporate contractors, a corporate officer must also certify the contractor's authority to sign. The related federal contract opportunity is a solicitation by the Department of the Interior Fish and Wildlife Service Region 2 for NCTC Trail Paving and Roadway Micro-surfacing work in West Virginia. No further details are provided on requirements, pricing, response dates, or awards.

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Attachment F - Site Visit Agenda_0001.pdf PDF
Attachment H - Questions and Answers_0001.pdf PDF
Sol_140F0920B0003_Amd_0001.pdf PDF
Attachment G - Site Visit Attendance Sheet_0001.pdf PDF
Attachment B - Wage Determination.pdf PDF
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Attachment C - SF25 Performance Bond.pdf PDF
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Attachment D - SF25 Payment Bond.pdf PDF

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Contract Number

Date

UNITED STATES

DEPARTMENT OF THE INTERIOR

RELEASE OF CLAIMS

DI-137

(July 1996)

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 , 19 .

(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
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City:
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Title:
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Sum:
Dollars:
Day:
month:
year:
Name:
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File details come from the government source that posted it. Updated .