EXHIBIT F - RELEASE OF CLAIMS.pdf
PDF 396 KB Posted
- Attached to
- As-Needed Battery Supply and Install
- Solicitation number
- PS139177
- Issued by
- California
About this file
Exhibit F is a Release of Claims form used by the Los Angeles County Metropolitan Transportation Authority (LACMTA) in connection with contract performance and final payment. This document serves as a formal release wherein the contractor acknowledges receipt of full and final payment for amounts due under the contract and releases LACMTA, its officers, directors, agents, and employees from all liabilities, obligations, claims, and demands arising from the contract. The form permits contractors to reserve specific claims with LACMTA's concurrence, which must be listed explicitly on the document. The release applies to the As-Needed Battery Supply and Install contract opportunity in California, which requires a contractor to supply and replace battery systems at various LACMTA facilities throughout the service area, including batteries, cabling, rack and mounting systems, and all associated materials.
The form includes certification requirements for corporate contractors, mandating that an authorized corporate officer certify the signatory's authority to execute the release on behalf of the corporation and that the action falls within the corporation's scope of powers. The document contains fillable fields for the contract number, project name, contractor name, attestor information, and signatory details. This release of claims represents a standard contractual mechanism to establish final settlement and discharge of all contract-related obligations and disputes, except for those claims specifically preserved by mutual agreement between the contractor and LACMTA.
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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 .