B08_Release_of_Claims.pdf
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- Solicitation number
- 140P8121R0015
About this file
This document is a release of claims form used by the Department of the Interior to discharge contractors of liabilities upon completion and final payment of a contract. The form releases the contractor from debts, obligations, claims and demands arising under the contract, except those specified. It requires the contractor's signature and certification if the contractor is a corporation.
The related federal contract opportunity is to replace air chillers and generators at Lake Mead National Park in Nevada. The solicitation was issued by the National Park Service Pacific West Region on behalf of the Department of the Interior. The opportunity is to provide equipment and services for HVAC system upgrades at the specified national park location.
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Text version
DI-137
(REV 8/96)
Contract Number:
UNITED STATES
DEPARTMENT OF THE INTERIOR Date:
RELEASE OF CLAIMS
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:
executed thisIN WITNESS WHEREOF, the contractor has day of, 20 .release this
By ______________________________________________________ (Contractor) (Signature)
Corporation Partnership
(Name)Joint Venture Individual
(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 as duly signed for and on behalf of said corporation by authority of its governing body.
(SEAL)
(Signature)
| AKKFGONFGCJDGKNKJPDPNOGBOPFPBCFF: |
| form1: |
| x: |
| f1: Off |
| f2: Off |
| f3: Off |
| f4: Off |
File details come from the government source that posted it. Updated .