B08_Release_of_Claims.pdf

PDF 46 KB Posted

Attached to
Boundary Fence, Tule Springs Fossil Beds NM, Nevad
Solicitation number
140P8121R0014
Issued by

About this file

This document is a release of claims form used by the Department of the Interior to obtain a contractor's release of any outstanding claims related to Contract Number upon final payment. The form releases the United States, its officers, agents, and employees from all debts, liabilities, obligations, accounts, claims, and demands arising from or related to the contract, with the exception of any claims explicitly listed by the contractor. By signing the form, the contractor certifies that they have received final payment of $ dollars for the contract and have no remaining claims against the United States. The accompanying federal contract opportunity is for boundary fence construction services at Tule Springs Fossil Beds National Monument in Nevada. The solicitation was issued by the National Park Service Pacific West Region under Solicitation Number 140P8121R0014.

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Other files

File Type Posted
B08_Site_Visit_map.pdf PDF
A04_Tule_Springs_South_Unit_Fencing_Specs.pdf PDF
B08_Price_Schedule.pdf PDF
B08_Invoice_Payment_Request.docx DOCX document
B03_General_Decision.pdf PDF
Sol_140P8121R0014.pdf PDF

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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 .