Contractors Release Form DOT F 4220.4.doc
DOC document 40 KB Posted
- Solicitation number
- 6973GH-23-Q-00280
About this file
This document is a contractor's release form used by the Department of Transportation to discharge contractors of liabilities and claims arising from a specified contract upon final payment. The form releases the United States government, its officers, agents, and employees from all liabilities and obligations under the referenced contract, except for three specific exceptions: known specified claims by the contractor, claims against third parties arising from contract performance that were unknown on the execution date but reported to the Contracting Officer within the period defined in the contract, and claims for reimbursement of costs including reasonable expenses incurred under patent provisions of the contract. The contractor agrees to comply with all contract provisions relating to patent matters and claims not released, including notification to the Contracting Officer and prosecution or defense of any litigation.
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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 .