About this file

This is a Release of Claims form used by the Los Angeles County Metropolitan Transportation Authority (LACMTA) as a contractual document. The form serves as a legal release agreement between LACMTA and contractors upon completion of contracted work or services. The release requires contractors to waive and discharge all liabilities, obligations, claims, and demands arising from the contract in exchange for final payment. The form includes provisions for contractors to reserve specific claims with LACMTA's concurrence, which must be listed on the document. The agreement stipulates that the monies provided by LACMTA constitute full and final payment for amounts due, excluding any specifically reserved claims. The form includes standard contractual fields for contract number, project name, contractor name, date, and attestor information.

For corporate contractors, the form requires a certificate of authority to be completed, wherein a corporate officer certifies their position, identifies the individual who signed the release on behalf of the corporation, and confirms that the release was duly authorized by the corporation's governing body and falls within the scope of its corporate powers. The certificate section includes space for a corporate seal and requires signatures from both the certifying officer and the signatory authority. This document is a template with fillable fields designed to be completed for each individual contract transaction with LACMTA.

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EXHIBIT F - RELEASE OF CLAIMS

Name of Contractor:

Date:

Pursuant to the terms of Contract # [insert Contract number here] (hereinafter the “Contract”) and in consideration of the monies, which are to be paid under the Contract to [insert Contractor’s full legal (hereinafter “Contractor”) or its assignees, if any, the Contractor hereby does remise, release, waive and discharge the Los Angeles County Metropolitan Transportation Authority (hereinafter “LACMTA”), its officers, directors, agents, employees, and Authorized Representatives (as defined in the Contract) of and from all liabilities, obligations, claims and demands whatsoever arising out of or under this Contract, except for those claims specifically reserved with the concurrence of LACMTA and listed here:

Contractor acknowledges that the consideration of monies provided by LACMTA in exchange for this release of claims shall be full and final payment for the amount due exclusive of the specifically reserved claims listed above.

(Note in the case of a corporation, the certificate below must be completed.)

Certificate

I ____________________________, certify that I am the ______________________________ of the corporation named as Contractor herein; that ______________________, who signed said release on behalf of the Contractor was the ________________ of said Corporation; that said release was duly signed for and in behalf of corporation by authority of its governing body and is within the scope of its corporate powers.

Corporate Seal

Signature

Project Name: Project Name
Date:
Fillable Field 5:
Fillable Field 6: Attestor Name
Fillable Field 7: Attestor Title
Fillable Field 8: Signatory Name
Fillable Field 9: Signatory Title
Contractor Name: Contractor Name
Contract Number: Contract Number

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