B08_Attachment_6_Form_DI-137_Release_of_Claims.pdf
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- Attached to
- OTWSC Construction and Maintenance IDIQ
- Solicitation number
- 140G0126Q0018
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 serves as a template that contractors must complete and execute prior to receiving final payment under a Department of the Interior contract. The contractor, by signing the release, remises, releases, and forever discharges the United States, its officers, agents, and employees from all debts, dues, liabilities, obligations, accounts, claims, and demands arising under or by virtue of the contract, in consideration of final payment from the government.
The form requires completion of standard contractor information including contract number, date of execution, contractor name, business entity type (Corporation, Partnership, Joint Venture, or Individual), street address, city, state, and zip code, along with the signatory's name and title. For corporate contractors, an additional certification section must be completed by a corporate officer verifying that the person signing the release was authorized to do so by the corporation's governing body and that the release was executed with proper corporate authority. The form includes space to document any exceptions to the release claim and the specific dollar amount of final payment being made. This is a template form with blank fields for contract-specific information.
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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 .