Contractors Release Form DOT F 4220.4.doc
DOC document 40 KB Posted
- Attached to
- Replacement of Door in Albuquerque, New Mexico
- Solicitation number
- 6973GH-25-R-00050
About this file
This is a Department of Transportation Contractor's Release Form (DOT F 4220.4) that serves as a legal release document to be completed when a contractor has been paid or is to be paid for work under a DOT contract. The form requires contractors to discharge the Government from liabilities and obligations related to the contract, except for specified claims, third-party liability claims, and patent-related claims. The form must be signed by the contractor and witnessed, with special provisions for corporate signatures requiring certification by the corporate secretary regarding the signatory's authority.
This release form is related to a Federal Aviation Administration solicitation (6973GH-25-R-00050) for replacing Control Room Double Doors in Albuquerque, New Mexico. The solicitation is a 100% Small Business Set-Aside under NAICS 238990 with a $19M size standard. Key dates include a site visit on December 19 at 10:00 AM, questions due by January 9 at 2:00 PM CT, and proposals due by January 13 at 2:00 PM CT via email only. The contracting office is the DOT Federal Aviation Administration Franchise Acquisition Services.
View the file
Other files
| File | Type | Posted |
|---|---|---|
| RFI Responses- Door replacement.pdf | ||
| Sol_6973GH-25-R-00050_Amd_0002.pdf | ||
| Sol_6973GH-25-R-00050_Amd_0001.pdf | ||
| 6973GH-25-R-00050 (1).pdf | ||
| bildata.xlsx | XLSX spreadsheet | |
| 3.18-1.docx | DOCX document | |
| (SOW) ZAB ARTCC_Doors12-09-24.pdf | ||
| (DWG) ZAB ARTCC_Doors.pdf | ||
| 15-5443.pdf | ||
| Offeror Organizational Experience Form.pdf | ||
| (SOW) Appendix G and AppendixH.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 .