C05_04_Attachment_4_-_Release_of_Claims_6_23_2026.pdf

PDF 331 KB Posted

Attached to
Folsom Warehouse Bridge Crane Replacement
Solicitation number
140R2026R0017
Issued by

About this file

This is a Release of Claims form (DI-137) issued by the United States Department of the Interior for use with federal contracts. The form is a template designed for contractors to provide a formal release of all claims against the United States government upon completion of contract work and prior to final payment.

The form requires the contractor to remise, release, and forever discharge the United States, its officers, agents, and employees from all debts, dues, liabilities, obligations, accounts, claims, and demands arising under or by virtue of the contract, in exchange for final payment of the amount due. The contractor must identify their business entity type (Corporation, Partnership, Joint Venture, or Individual), provide signature authorization, and include contact information. For corporate contractors, a corporate officer must certify that the person signing the release was authorized to do so by the corporation's governing body and that the release was executed on behalf of the corporation. The form includes a seal requirement for corporate certification and contains a provision for noting exceptions to the release of claims. This template form is referenced in Solicitation 140R2025R0006 as Attachment 10.

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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 10 Solicitation: 140R2025R0006

Contract Number:
Date:
Text1:
Text2:
Text3:
Text4:
Sum:
Dollars:
Day:
month:
year:
Contractor:
Corporation: Off
Joint Venture: Off
Partnership: Off
Individual: Off
Name:
Street Number or RFD:
Title:
City:
State:
Zip Code:
Name2:
Text5:
Text6:
Text7:

File details come from the government source that posted it. Updated .