Attachment_E_Release_of_Claims.pdf
PDF 108 KB Posted
- Attached to
- USGS FLAGPOLE LIGHTING INSTALLATION Federal contract opportunity
- Solicitation number
- 140G0126R0006
About this file
This is a Release of Claims form (DI-137) used by the United States Department of the Interior for construction services contracts. The form serves as a template for contractors to provide a comprehensive release of all claims against the federal government upon completion of work and prior to final payment. The contractor remises, releases, and forever discharges the United States, its officers, agents, and employees from all debts, dues, liabilities, obligations, accounts, claims, and demands arising under or by virtue of the contract, except as may be specifically noted in an exceptions section (which is left blank in the template).
The form requires completion of standard contractor identification information including contract number, date of execution, contractor name, business address, and signature. For corporate contractors, an additional certification section must be completed by a corporate officer attesting that the person signing the release was authorized by the corporation's governing body to execute the document on behalf of the entity. The form provides checkbox options to identify the contractor's business structure as a corporation, partnership, joint venture, or individual. This is a standard template document with no specific products, services, response dates, or pricing information.
View the file
Other files for this federal contract opportunity
| File | Type | Posted |
|---|---|---|
| Q_A_Flagpole_Lighting_Installation_Solicitation_140G0126R0006_0001.pdf | ||
| Sol_140G0126R0006_Amd_0001.pdf | ||
| Attachment_A_Instructions_to_Offerors_Amend_0001_0001.pdf | ||
| Attachment_A_Instructions_to_Offerors.pdf | ||
| Attachment_C_Nondisclosure_Agreement.pdf | ||
| Attachment_D_Price_Schedule_Certification_for_Payment.pdf | ||
| Statement_of_Work_(SOW)_Flagpole_Lighting.pdf | ||
| Sol_140G0126R0006.pdf | ||
| Attachment_B_Contract_Clauses.pdf | ||
| Flag_Pole_Lights_DID.pdf | ||
| Attachment_G_Site_Visit_Security_Document.pdf | ||
| Attachment_H_Payrolls_(WH-347).pdf | ||
| Attachment_F_DOL_Wage_Rate_Determination_VA20260178.pdf |
Show all 13
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Text version
Attachment B – Release of Claims
DI-137
(Rev. 8/96)
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)
| Contract Number: |
| Date: |
| Contractor: |
| Street Number or RFD: |
| City: |
| State: |
| Zip Code: |
| Contractor Name: |
| Price: |
| Month: |
| Day: |
| Year: |
| Name: |
| Title: |
| Check Box3: Off |
| Check Box4: Off |
| Check Box5: Off |
| Check Box6: Off |
File details come from the government source that posted it. Updated .