Attachment_E_Release_of_Claims.doc
DOC document 54 KB Posted
- Attached to
- Storm Water Retention Pond Rehabilitation - USGS
- Solicitation number
- 140G0126Q0007
About this file
This document is a Release of Claims form for a construction services contract with the United States Department of the Interior. The form provides a legal mechanism for a contractor to release all claims against the government upon final payment, with the exception of any specifically noted exclusions. The release covers all potential debts, liabilities, obligations, accounts, claims, and demands related to the contract, effectively closing out the financial and legal responsibilities of the contract. The form includes spaces for contractor details, signature, corporate certification, and includes provisions for different types of contractor entities (corporation, joint venture, partnership, or individual).
The related federal contract opportunity is a Storm Water Retention Pond Rehabilitation project for the USGS National Center, solicitation number 140G0126Q0007. The procurement is being conducted under FAR Part 13 Simplified Acquisition Procedures as a combined synopsis/solicitation for commercial products or commercial services. The solicitation is issued by the Department of the Interior's US Geological Survey Office of Acquisitions and Grants, with quotations being requested through this single announcement.
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Text version
Attachment D – 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 .