B08_Attachment_8_Form_DI-137_Release_of_Claims.pdf

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Attached to
DREDGING OF SEDIMENT POND & CONTACT POOL
Solicitation number
140G0126Q0241
Issued by

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 for contractors to execute a formal release of all claims against the United States government upon completion of contract work and prior to receiving final payment. The contractor agrees to remise, release, and forever discharge 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 exchange for final payment of the amount due.

The form requires the contractor to provide identifying information including contract number, contract date, contractor name, and address. Signature authority is required from an authorized representative, with identification of the contractor type (Corporation, Partnership, Joint Venture, or Individual). For corporate contractors, an officer of the corporation must certify that the signatory was authorized by the governing body to execute the release. The form includes a provision allowing exceptions to the release to be noted, though the template does not specify what those exceptions may be. The form version shown is from March 2017 and was electronically produced by Elite Federal Forms, Inc.

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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.

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 .