Attachment__J9_Release_of_Claims.pdf
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- Solicitation number
- 140R2021R0004
About this file
This document contains a release of claims form and information about a related federal contract opportunity for safety of dams modifications. The release of claims form is to be completed by the contractor, [Contractor Name], upon completion of all work under Contract Number [Contract Number] with the United States Department of the Interior for [Dollar Amount]. It releases the federal government, its officers, agents, and employees from all debts, obligations, accounts, claims, and demands related to the contract, with the exception of any items explicitly listed.
The related federal contract opportunity, solicitation number 140R2021R0004, is for Phase I of the BF SISK Safety of Dams Modifications project being conducted by the Bureau of Reclamation. Phase I includes construction of shear keys, stability berms, and spillway modification to address issues with the dam's foundation materials and help prevent destabilization, reduce safety concerns, and ensure water deliveries in the event of seismic activity.
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Text version
Contract Number
Date
UNITED STATES
DEPARTMENT OF THE INTERIOR
RELEASE OF CLAIMS
DI-137
(March 2017)
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 , 20 .
(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.
Attachment J9_Release of Claims BF SISK Safety of Dams (SOD) Modifications, Phase I
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File details come from the government source that posted it. Updated .