B08_Solicitation_Attach_8_DI-137_Release_of_Claims.pdf
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- Attached to
- REHAB QTRS #32 BADL FY21
- Solicitation number
- 140P6321B0009
About this file
This document is a template release of claims form to be signed by contractors upon completion of work under a federal contract. The form releases the United States, including its officers, agents, and employees, from all debts, obligations, accounts, claims, and demands arising from or related to the referenced contract, with the exception of any specifically listed. A contractor representative must sign the form, and if the contractor is a corporation, a corporate officer must certify the representative's authority to sign on behalf of the company.
The related federal contract opportunity is a solicitation to complete the rehabilitation of Quarter #32 at Badlands National Park. The solicitation was issued by the National Park Service Midwest Region under the Department of the Interior. Offerors are to provide all materials, labor and equipment to fully rehabilitate the specified government-owned quarters located within Badlands National Park.
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Text version
Contract Number
Date
UNITED STATES
DEPARTMENT OF THE INTERIOR
RELEASE OF CLAIMS
DI-137
(July 1996)
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:
IN WITNESS WHEREOF, the contractor has executed this release this day of , 19 .
(Contractor) (Signature)
By
(Name)
Corporation
Partnership
Joint Venture
Individual
(Street Number or R.F.D.)
(City) (State) (Zip Code)
(Title)
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 was duly signed for and on behalf of said corporation by authority of its governing body.
(Signature)
[SEAL]
This form was electronically produced by Elite Federal Forms, Inc.
File details come from the government source that posted it. Updated .