EXHIBIT F - RELEASE OF CLAIMS.pdf
PDF 396 KB Posted
- Attached to
- Glass Panels Protection Solutions
- Solicitation number
- OP142929
- Issued by
- California
About this file
Exhibit F is a Release of Claims form used by the Los Angeles County Metropolitan Transportation Authority (LACMTA) as part of its contract documentation. This form serves as a legal instrument through which contractors acknowledge receipt of payment and release LACMTA, its officers, directors, agents, and employees from all liabilities, obligations, claims, and demands arising from the contract. The form includes space for the contractor to identify any claims that are specifically reserved and excluded from the general release, which must be documented with LACMTA's concurrence. The document requires completion of standard contract reference information including the contract number, project name, contractor name, and execution date.
The form contains certification provisions requiring corporate contractors to have the release executed by an authorized corporate officer, with attestation by another officer confirming the signatory's authority and that execution is within the corporation's powers. The release is contingent upon LACMTA providing full and final payment for amounts due under the contract, excluding any specifically reserved claims. The form includes designated fields for the attestor name and title, signatory name and title, and space for corporate seal affixation 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: 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 .