EXHIBIT F - RELEASE OF CLAIMS.pdf
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- Attached to
- Three (3) 1. 5 Ton Utility Trucks
- Solicitation number
- DR132292(3)
- Issued by
- California
About this file
This is a Release of Claims form template for the Los Angeles County Metropolitan Transportation Authority (LACMTA). The document serves as a formal legal instrument through which a contractor acknowledges receipt of payment under a specified contract and releases LACMTA, including its officers, directors, agents, employees, and Authorized Representatives, from all liabilities, obligations, claims, and demands arising from the contract. The release may include specifically reserved claims that are listed at the contractor's discretion with LACMTA's concurrence. The form requires completion of the contractor's name, contract number, project name, date of execution, and identification of the signatory authority executing the release on behalf of the contractor.
The document establishes that the monies paid by LACMTA constitute full and final payment for amounts due under the contract, excluding any specifically reserved claims. For corporate contractors, the form requires certification by an authorized corporate officer confirming that the person signing the release had proper authority to execute it on behalf of the corporation and that the action falls within the corporation's governing authority and corporate powers. The form includes fields for the attestor's name and title, the signatory's name and title, and space for a corporate seal.
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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 .