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

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Attached to
IL-CRAB ORCHARD NWR DEVILS' KITCHEN DAM Federal contract opportunity
Solicitation number
140F0920R0005
Issued by
Department of the Interior Fish and Wildlife Service Region 9 Headquarters

About this file

This document is a release of claims form to be signed by a contractor upon completion of work under a federal contract. It releases the United States, its officers, agents, and employees from all debts, obligations, accounts, claims, and demands arising from the contract, except those specifically listed. 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 for auxiliary spillway modifications at the Devil's Kitchen Dam within Crab Orchard National Wildlife Refuge in Illinois. The solicitation was issued by the U.S. Fish and Wildlife Service Region 9 Headquarters under number 140F0920R0005.

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Other files for this federal contract opportunity

Other files attached to IL-CRAB ORCHARD NWR DEVILS' KITCHEN DAM, newest first.
File Type Posted
Sol_140F0920R0005_Amd_0001.pdf PDF
Attachment H - Final Geotechnical Exploration Memorandum.pdf PDF
Attachment E - SF-25A Payment Bond.pdf PDF
Attachment A - Specifications.pdf PDF
Sol_140F0920R0005.pdf PDF
Attachment G - Past Performance Questionaire.pdf PDF
Attachment D - SF25 Performance Bond.pdf PDF
Attachment C - Wage Determination IL20200016.pdf PDF
Attachment B - Drawings.pdf PDF

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Text version

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.

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