Contractors Release Form DOT F 4220.4.doc
DOC document 40 KB Posted
- Attached to
- Anchorage, Alaska concrete sidewalk project Federal contract opportunity
- Solicitation number
- 6973GH-25-R-00211
About this file
The document is a Department of Transportation Contractor's Release Form (DOT F 4220.4), which is a standard legal release document used to settle contractual obligations and claims between a contractor and the government. The form allows a contractor to release the government from further liabilities after receiving payment, with specific provisions for retaining rights to certain claims, such as patent-related issues, unknown third-party liabilities, and potential future reimbursement claims. The form requires the contractor's signature, potentially including corporate attestation for corporate entities, and serves as a formal closure mechanism for completed government contracts.
The related federal contract opportunity is a 100% Small Business Set-Aside solicitation (No. 6973GH-25-R-00211) issued by the Federal Aviation Administration (FAA) for a concrete walkway project in Anchorage, Alaska. The project involves constructing approximately 300 linear feet of concrete walkway at the ASTI MEB building, with a site visit scheduled for August 5th, 2024. Key dates include a question submission deadline of August 11th, 2025, and proposal submissions due by August 18th, 2025, via email. The contract falls under NAICS code 237310 with a $45 million size standard, and all offerors must be registered in the System for Award Management (SAM). Minority, Women-Owned, and Disadvantaged Business Enterprises are encouraged to participate, with potential access to short-term working capital assistance through the DOT Short Term Lending Program.
View the file
Other files for this federal contract opportunity
| File | Type | Posted |
|---|---|---|
| 15-5681.pdf | ||
| Offeror Organizational Experience Form.pdf | ||
| Statement of Work Install ASTI Walkway.pdf | ||
| Sol_6973GH-25-R-00211.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 .