B08_GOGA_SEKI_Ash_Mountain_Att_6_DI_137_Release_of_Claims_.pdf

DI-137

(July 1996)

UNITED STATES

DEPARTMENT OF THE INTERIOR

RELEASE OF CLAIMS

Contract Number

Date

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 final 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 for the full contract value of

IN WITNESS WHEREOF, the contractor has executed this release this day of , 2016.

___________________________________________ By ___________________________________________ (Contractor) (Signature)

_____ Corporation _____ Joint Venture

_____ Partnership _____ Individual _________________________________________ (Name)

(Street Number or R.F.D) (Title)

(City) (State) (Zip Code)

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.

[SEAL]

(Signature]

MSD

Text Box Amount of final invoice entered here.

MSD

Text Box Amount of contract entered here.