B08_Release_of_Claims.pdf
PDF 46 KB Posted
- Attached to
- Replace Housing Components, Lake Mead National Rec Federal contract opportunity
- Solicitation number
- 140P8122R0001
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.
View the file
Other files for this federal contract opportunity
| File | Type | Posted |
|---|---|---|
| B08_Invoice_Payment_Request.docx | DOCX document | |
| B08_Price_Schedule.pdf | ||
| A04_Scope_of_Work_553A__504__410_Rehab.pdf | ||
| Sol_140P8122R0001.pdf | ||
| B08_Transmittal.pdf | ||
| B03_General_Decision_NV21210042.pdf | ||
| A06_Asbestos_and_Lead_Report_Qtrs_410.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 .