Attachment G - Contractors Final Release Form.pdf
PDF 83 KB Posted
- Solicitation number
- W912DY26R1103
About this file
This is a Contractor's Release form, a standard federal contracting document used to formalize a contractor's relinquishment of claims against the U.S. Government upon receipt of full payment.
The form serves as a legal instrument through which a contractor acknowledges receipt of payment for work performed under a specific contract or task order and, in consideration of that payment, releases the Government, its officers, agents, and employees from all liabilities, obligations, claims, and demands arising from the contract. The document requires completion of blank fields identifying the contract number, project description, contract total amount, invoice amount being paid, and contractor company name and address. The contractor's authorized representative must execute the release by providing a signature, printed name, and title, with a witness signature also required. This is a template form with no specified response dates, award dates, pricing terms, or federal agency information populated, as those details would be completed on a case-by-case basis for individual contract actions.
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Text version
CONTRACTOR’S RELEASE
Contract Number:
Project Description:
Pursuant to the terms of Contract No. and in consideration of the sum of $ (contract total), of which $ (invoice amount) is being submitted for payment under the said Contract/Task Order to (company name and address), hereinafter called “Contractor” or its assignees, if any, the Contractor upon full payment of said sum by the UNITED STATES OF AMERICA (hereinafter called “the Government”) does remise, release, and discharge the Government, its officers, agents, and employees, of and from all liabilities, obligations, claims, and demands whatsoever under or arising from the said Contract/Task Order.
IN WITNESS WHEREOF, this release has been executed on the
(Contractor)
By: (signature) Name:
Title:
WITNESS: (signature)
| Contract Number: |
| Project Description: |
| Pursuant to the terms of Contract No: |
| and in consideration of the sum of: |
| contract total of which: |
| ContractTask Order to: |
| Contractor: |
| Name: |
| Title: |
| Date3_af_date: |
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