DI-137_Release_of_Claims_Mar_2017.pdf

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Attached to
Purchase of Turbine Runner for Unit A9
Solicitation number
140R3025R0023
Issued by

About this file

This document is a Department of the Interior (DI-137) Release of Claims form dated March 2017. The form is designed to be executed by a contractor after completing all work under a contract and prior to receiving final payment. It provides a legal mechanism for the contractor to release the United States government from all potential future claims related to the contract, with the exception of any specifically noted exclusions. The form requires the contractor to specify their business type (corporation, partnership, joint venture, or individual) and provides additional certification sections for corporate signatories to validate the release's authorized execution.

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Text version

Contract Number

Date

UNITED STATES

DEPARTMENT OF THE INTERIOR

RELEASE OF CLAIMS

DI-137

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 , .

(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.

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