EXHIBIT F - RELEASE OF CLAIMS.pdf
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- Attached to
- PURCHASE OF THREE (3) NEW SEATED FORKLIFTS
- Solicitation number
- OP143265
- Issued by
- California
About this file
This is a Release of Claims form used by the Los Angeles County Metropolitan Transportation Authority (LACMTA) as a contractual document requiring contractor acknowledgment and signature upon completion of contracted work. The form serves as a legal instrument through which contractors formally release LACMTA, its officers, directors, agents, employees, and authorized representatives from all liabilities, obligations, claims, and demands arising from the contract, except for specifically reserved claims that may be noted with LACMTA's concurrence. The document requires completion of contractor name, contract number, and project name fields, along with date of execution.
The form stipulates that monetary payment provided by LACMTA in consideration of the release constitutes full and final payment for amounts due, excluding any specifically reserved claims. For corporate contractors, the document requires certification by an authorized corporate officer confirming that the individual who executed the release was authorized to do so and that execution falls within the corporation's governing authority and powers. The form includes space for corporate seal placement and requires signatures from both the attestor and signatory with corresponding titles specified.
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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 .