Contractors Release Form DOT F 4220.4.doc
DOC document 40 KB Posted
- Attached to
- SOLICITATION: REFURBISHMENT OF QNC BUEC FACILITY LOCATED AT COW CREEK RANCH IN FORT PIERCE, FL
- Solicitation number
- 6973GH-24-Q-00223
About this file
This document is a Contractor's Release Form DOT F 4220.4 that specifies the terms and conditions for contractor release of claims upon final payment under a federal contract. The form states that upon final payment, the contractor will release the government from any further liabilities or claims related to the contract, with the exception of any specified claims, patent-related costs, or other liabilities to third parties. It requires the contractor to comply with all contract provisions, including notification requirements. The form must be signed by an authorized representative of the contractor.
The related federal contract opportunity is for the refurbishment of the QNC BUEC facility located at Cow Creek Ranch in Fort Pierce, FL. This is a competitive, firm-fixed price solicitation issued by the Department of Transportation Federal Aviation Administration Franchise Acquisition Services. The contract will be awarded to the lowest priced, responsive and responsible offeror. Quotes are due by 4:00 PM Central Time on August 12, 2024. A site visit is scheduled for July 31, 2024. Offerors must submit a completed RFQ document and Organizational Experience Questionnaire to be considered.
View the file
Other files
| File | Type | Posted |
|---|---|---|
| Offeror Organizational Experience Form.pdf | ||
| 6973GH-24-Q-00223.pdf | ||
| Wage Determination_St Lucie Co_FL20240228.pdf | ||
| Uniform Bipartisan Infrastructure Law Report.xlsx | XLSX spreadsheet | |
| SOW - QNC BUEC_Site Refurbishment.pdf | ||
| SOW Attachments.pdf |
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Text version
DEPARTMENT OF TRANSPORTATION
CONTRACTOR'S RELEASE
CONTRACTOR (Name and Address)
CONTRACT NO.
ENTER SUM OF TOTAL OF AMOUNTS PAID AND PAYABLE
$________ (PAID)
$________ (PAYABLE)
Pursuant to the terms of the above numbered contract and in consideration of the sum stated above, which has been paid or is to be paid to the Contractor, or its assignees, the Contractor, upon payment of the said sum by the UNITED STATES OF AMERICA (hereinafter called the Government), does remise, release, and discharge the Government, its officers, agents, and employees, of and from all liabilities, obligations, claims, and demands whatsoever under or arising from the said contract, except:
1. Specified claims in stated amounts or in estimated amounts where the amounts are not susceptible of exact statement by the Contractor, as follows: (or state "None")
2. Claims, together with reasonable expenses incidental thereto, based upon the liabilities of the Contractor to third parties arising out of the performance of this contract, which are not known to the Contractor on the date of the execution of this release and of which the Contractor gives notice in writing to the Contracting Officer within the period specified in the said contract; and
3. Claims for reimbursement of costs (other than expenses of the Contractor by reason of his indemnification of the Government against patent liability) including reasonable expenses incidental thereto, incurred by the Contractor under any provisions of the said contract relating to patents.
The Contractor agrees, in connection with patent matters and with claims which are not released as set forth above, that it will comply with all provisions of the said contract, provisions of the said contract, including without limitation those provisions relating to notification to the Contracting Officer and relating to the defense or prosecution of litigation.
IN WITNESSES WHEREOF, this release has been executed this _______ day of ___________________, 19 ___.
| WITNESSES |
| _______________________ |
(Contractor)
| BY |
| _______________________ |
| ____________________________________ |
| TITLE |
| _______________________ |
NOTE: In the case of a corporation, witnesses are not required but the below statement must be completed.
I, (name) _________________________________, am the _______________________ secretary of the corporation named as Contractor in the foregoing release; that (name)_____________________ who signed said release on behalf of the Contractor was then (title)______________________ of said corporation; release was duly signed for and in behalf of said corporation by authority of its governing body and is within the scope of its corporate powers.
Signature
Form DOT F 4220.4 (Rev. 5/05) (word)
PREVIOUS EDITION OBSOLETE
AUTHORIZED FOR LOCAL REPRODUCTION
File details come from the government source that posted it. Updated .