EXHIBIT F - RELEASE OF CLAIMS.pdf
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- Solicitation number
- PS136749
- Issued by
- California
About this file
This is a Release of Claims exhibit form used by the Los Angeles County Metropolitan Transportation Authority (LACMTA) as part of its contract agreement process. The document serves as a legal instrument through which contractors acknowledge receipt of final payment and release LACMTA, including its officers, directors, agents, and employees, from all liabilities, obligations, claims, and demands arising from the contract. The form includes designated space for contractors to list any specifically reserved claims that are excepted from the release, provided such exceptions have been concurred upon by LACMTA. The document requires certification by an authorized corporate officer if the contractor is a corporation, verifying that the person who signed the release had proper authority to do so and that the execution was within the scope of corporate powers.
The release operates as a final settlement mechanism whereby the monies paid by LACMTA constitute full and final payment for amounts due under the contract, excluding only those reserved claims explicitly listed on the form. The document includes fillable fields for project name, contract number, contractor name, attestor information, and signatory details to accommodate various contracting scenarios across LACMTA's operations.
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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 .