Attch_3_-_Release_of_Claims.pdf
PDF 217 KB Posted
- Attached to
- HVAC Replacement for SH PP and SC PP
- Solicitation number
- 140R2026R0011
About this file
This is a Release of Claims form (DI-137) issued by the United States Department of the Interior for use in federal contracts. The form is a template designed to be completed upon final payment and contract completion, whereby the contractor formally releases all claims against the United States government in exchange for final payment under the contract.
The form requires the contractor to remit, release, and discharge the United States, its officers, agents, and employees from all debts, liabilities, obligations, accounts, claims, and demands arising under or by virtue of the contract, with the exception of claims that may be specifically noted in a designated exceptions section. The contractor must provide signature authentication along with contractor identification information including business structure (corporation, partnership, joint venture, or individual), name, address, and title of signatory. For corporate contractors, an additional certification section must be completed by a corporate officer verifying the signatory's authority and that the release was properly executed on behalf of the corporation by authority of its governing body. The form includes a seal requirement for corporate signatories and is associated with Solicitation 140R2026R0011.
View the file
Other files
Show all 13
On GovTribe
Work with this file
- Download the original file
- Contacts named in this file
- Similar government files
- Ask GovTribe AI about this file
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 3 Solicitation 140R2026R0011
| Contractor: |
| Corporation: Off |
| Partnership: Off |
| Joint Venture: Off |
| Individual: Off |
| Street Number or RFD: |
| City: |
| State: |
| Zip Code: |
| Title: |
| Contract Number: |
| Date: |
| Sum: |
| Dollars: |
| Day: |
| month: |
| year: |
| Name: |
| Text1: |
| Text2: |
| Text3: |
| Text4: |
| Name2: |
| Text5: |
| Text6: |
| Text7: |
File details come from the government source that posted it. Updated .