B08_Release_of_Claims.pdf

PDF 46 KB Posted

Attached to
Replace Housing Components, Lake Mead National Rec Federal contract opportunity
Solicitation number
140P8122R0001
Issued by
Department of the Interior National Park Service Pacific West Region

About this file

This document is a release of claims form related to a federal construction contract to replace housing components at Lake Mead National Recreation Area. The form releases the United States government from all claims, debts, obligations, and demands under the contract once final payment is made, except for specific items listed. The contractor signs the form to acknowledge they have received final payment of $X for work completed under Contract Number X with the Department of the Interior National Park Service Pacific West Region. A corporate officer must also sign if the contractor is a corporation to attest that the signing party was authorized to release claims on behalf of the company.

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Other files for this federal contract opportunity

Other files attached to Replace Housing Components, Lake Mead National Rec, newest first.
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B08_Invoice_Payment_Request.docx DOCX document
B08_Price_Schedule.pdf PDF
A04_Scope_of_Work_553A__504__410_Rehab.pdf PDF
Sol_140P8122R0001.pdf PDF
B08_Transmittal.pdf PDF
B03_General_Decision_NV21210042.pdf PDF
A06_Asbestos_and_Lead_Report_Qtrs_410.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 .