EXHIBIT F - RELEASE OF CLAIMS.pdf
PDF 396 KB Posted
- Solicitation number
- OP140983
- 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 its contracting processes. This document serves as a formal release wherein contractors acknowledge receipt of final payment under a specified contract and agree to discharge LACMTA, its officers, directors, agents, and employees from all liabilities, obligations, claims, and demands arising from the contract. The form includes designated spaces for inserting the contract number, contractor's legal name, date of execution, and any claims that the contractor wishes to specifically reserve with LACMTA's concurrence.
The release form establishes that the monies paid by LACMTA constitute full and final payment for amounts due under the contract, with the exception of any specifically reserved claims that are documented on the form. For corporate contractors, the document requires completion of a certificate section wherein a corporate officer certifies the signatory's authority to execute the release on behalf of the corporation and that the action falls within the scope of corporate powers. The form includes signature lines for the contractor's authorized representative, attestor, and relevant project identification information.
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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 .