B08_Release_of_Claims.pdf
PDF 46 KB Posted
- Attached to
- Water Source Test Well Drilling, Independence, Cal Federal contract opportunity
- Solicitation number
- 140P8122R0002
About this file
This document is a standard release of claims form used by the United States Department of the Interior to finalize payment on a completed contract. The form releases the government from any outstanding debts, obligations or claims in exchange for final payment to the contractor of $X for contract number X to perform water test well drilling services at Manzanar National Historic Site. The National Park Service Pacific West Region is the contracting agency. Upon signature by an authorized corporate representative, this form allows the contractor to receive final payment upon satisfactory completion of all work under the specified contract.
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Other files for this federal contract opportunity
| File | Type | Posted |
|---|---|---|
| B09_Questions_and_Answers_01_0001.pdf | ||
| Sol_140P8122R0002_Amd_0001.pdf | ||
| B08_Invoice_Payment_Request.docx | DOCX document | |
| A04_Construction_Specifications.pdf | ||
| B08_Transmittal.pdf | ||
| B08_Contract_Price_Schedule.pdf | ||
| B03_General_Decision_CA20220020.pdf | ||
| Sol_140P8122R0002.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 .