B08_Attachment_3_Form_DI-137_Release_of_Claims.pdf
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- Attached to
- DREDGINGOF SETTLING POND& CHLORINE BASIN
- Solicitation number
- 140G0125Q0185
About this file
The document is a Department of the Interior Release of Claims form (DI-137, March 2017), which is a standard federal contract closeout document used to formally release all contractual claims after project completion. The form provides a mechanism for a contractor to acknowledge receipt of final payment and release the United States government from any further financial or legal obligations related to the specific contract, with provisions for corporate certification and individual/corporate contractor signature verification.
The form is a standard template with blank fields to be completed during contract closeout, including spaces for contract number, date, contractor details, payment amount, and authorized signatures. It requires the contractor to remise, release, and forever discharge the United States, its officers, agents, and employees from all manner of debts, dues, liabilities, obligations, accounts, claims, and demands arising from the contract, except for any specifically noted exceptions. The form includes separate sections for different types of contractor entities (corporation, partnership, joint venture, or individual) and includes a corporate certification section to be completed if the contractor is a corporation.
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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.
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File details come from the government source that posted it. Updated .