EXHIBIT F - RELEASE OF CLAIMS.pdf
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- Attached to
- Uninterruptible Power Supply (UPS) Purchase
- Solicitation number
- PS127177(3)
- Issued by
- California
About this file
This is an Exhibit F Release of Claims form for the Los Angeles County Metropolitan Transportation Authority (LACMTA) establishing the contractual release and waiver requirements for contractors upon completion of work. The document serves as a standard form that contractors must complete and submit, requiring identification of the contract number, contractor name, project name, and execution date. The contractor must acknowledge that all liabilities, obligations, claims, and demands arising from the contract are released to LACMTA and its officers, directors, agents, and employees, with the exception of any claims specifically reserved in writing with LACMTA's concurrence. The form includes designated space for listing any reserved claims that remain valid after the release is executed.
The document requires certification by a corporate officer when the contractor is a corporation, necessitating attestation that the signatory was authorized by the corporation's governing body to execute the release and that such action falls within the corporation's powers. The contractor acknowledges that payment of monies by LACMTA constitutes full and final compensation for all work performed under the contract, exclusive of any reserved claims. The form includes fillable fields for project names, contractor names, contract numbers, attestor information, and signatory credentials to facilitate standardized processing across LACMTA contracts.
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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 |
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