B08 Release of Claims.pdf

PDF 46 KB Posted

Attached to
Replace Water System Components, Mojave National P Federal contract opportunity
Solicitation number
140P8121R0007
Issued by
Department of the Interior National Park Service Pacific West Region

About this file

This document is a standard release of claims form used by the Department of the Interior to finalize payment on Contract Number 140P8121R0007 to replace water system components at Mojave National Preserve. The contractor agrees to release the United States, its officers, agents, and employees from all debts, obligations, accounts, claims, and demands related to performance under the contract, except for any amounts still due as final payment. In consideration for final payment of dollars, the contractor executes this release, certified by a corporate officer if the contractor is a corporation, to settle any outstanding liabilities upon completion of the work replacing water system components at Mojave National Preserve for the National Park Service Pacific West Region.

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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 .