EXHIBIT F - RELEASE OF CLAIMS.pdf
PDF 400 KB Posted
- Attached to
- APS COOLING AND PROPULSION FANS (OEM)
- Solicitation number
- DR141705
- Issued by
- California
About this file
This is an Exhibit F Release of Claims form for the Los Angeles County Metropolitan Transportation Authority (LACMTA) related to Contract DR141705000 for the APS Cooling and Propulsion Fans project. The document serves as a contractual release agreement that contractors must execute upon receipt of final payment under their contract with LACMTA. The form requires the contractor to release and discharge LACMTA, its officers, directors, agents, employees, and authorized representatives from all liabilities, obligations, claims, and demands arising from the contract, except for claims that are specifically reserved and documented with LACMTA's concurrence on the form itself.
The release is conditioned upon LACMTA providing full and final payment for amounts due under the contract, excluding any specifically reserved claims. For corporate contractors, the form requires completion of a certificate section in which an authorized corporate officer must certify that the signatory was authorized to execute the release on behalf of the corporation and that such action was within the corporation's scope of authority. The document includes fillable fields for the attestor name and title, signatory name and title, contractor name, contract number, and project name, with provision for a corporate seal where applicable.
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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: APS Cooling and Propulsion Fans |
| 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: DR141705000 |
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