C05_01_140R2024Q0106_Att_2_-_Release_of_Claims.pdf
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- Solicitation number
- 140R2024Q0106
About this file
This document is a Release of Claims form for a federal contract. It indicates that upon completion of all work and prior to final payment, the contractor agrees to release the United States government from all debts, liabilities, and claims related to the contract, which has a total value of $ [sum]. The contract number is [Contract Number], and the contractor is identified as a [Corporation, Partnership, Joint Venture, or Individual] located at [Street Number or RFD], [City], [State] [Zip Code]. The Release of Claims form must be signed by an authorized representative of the contractor.
The related federal contract opportunity is for the Stampede Dam Gate and Tunnel House Door Replacement project, solicitation number 140R2024Q0106, managed by the Department of the Interior Bureau of Reclamation. The objective is to perform the necessary work to replace the existing gate house door and tunnel house door at Stampede Dam in California.
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Text version
Contract Number
Date
UNITED STATES
DEPARTMENT OF THE INTERIOR
RELEASE OF CLAIMS
DI-137
(March 2017)
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 , 20 .
(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.
Attachment J-3
Attachment 2 - Release of Claims
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File details come from the government source that posted it. Updated .