EXHIBIT F - RELEASE OF CLAIMS.pdf
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- Attached to
- Grease Interceptor Services
- Solicitation number
- OP137196(3)
- Issued by
- California
About this file
This is a Release of Claims form template used by the Los Angeles County Metropolitan Transportation Authority (LACMTA) as a contractual exhibit. The document serves as a formal release wherein contractors acknowledge receipt of full and final payment under their respective contracts with LACMTA and agree to relinquish all claims, liabilities, obligations, and demands arising from the contract performance, except for specifically reserved claims that may be identified and agreed upon by both parties.
The form requires completion of several key fields including the contractor's legal name, contract number, project name, date of execution, and identification of the signatory authority. For corporate contractors, the document mandates certification by an appropriate corporate officer attesting that the individual executing the release possesses proper authority and that execution is within the corporation's scope of powers. The contractor must acknowledge that the monies paid by LACMTA constitute complete and final compensation for all work performed under the contract, exclusive of any reserved claims listed on the form.
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Text version
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 |
File details come from the government source that posted it. Updated .