EXHIBIT F - RELEASE OF CLAIMS.pdf
PDF 396 KB Posted
- Attached to
- Metro C/K Line Mainline Fastener Replacement
- Solicitation number
- OP138405
- Issued by
- California
About this file
This is a Release of Claims exhibit form used by the Los Angeles County Metropolitan Transportation Authority (LACMTA) as part of contract administration. The form serves as a legal instrument through which a contractor formally releases and discharges LACMTA, its officers, directors, agents, employees, and authorized representatives from all liabilities, obligations, claims, and demands arising from or under the contract. The release is executed in consideration of monies paid to the contractor under the contract terms, with the understanding that such payment constitutes full and final compensation for amounts due, exclusive of any specifically reserved claims that may be noted on the form with LACMTA's concurrence.
The document includes provisions for contractor identification, contract number insertion, and date execution. For corporate contractors, a certification section must be completed by an authorized corporate officer attesting that the signatory who executed the release was duly authorized by the corporation's governing body and acted within the scope of the corporation's powers. The form includes designated fields for the contractor name, contract number, project name, attestor name and title, and signatory name and title, with space provided for a corporate seal. This exhibit represents a standard contract closeout or payment release mechanism designed to protect LACMTA from future claims while allowing contractors to reserve specific claims through mutual agreement prior to execution.
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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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