EXHIBIT F - RELEASE OF CLAIMS.pdf
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- Attached to
- Field Technician Service Trucks
- Solicitation number
- DR140111(2)
- Issued by
- California
About this file
This is a Release of Claims form template used by the Los Angeles County Metropolitan Transportation Authority (LACMTA) for contract completion. The document serves as a formal discharge of all liabilities, obligations, claims, and demands arising from a specific contract between LACMTA and a contractor upon final payment. The contractor acknowledges receipt of monies from LACMTA as full and final payment for amounts due under the contract, with the exception of any claims specifically reserved and mutually agreed upon by both parties, which must be explicitly listed on the form.
The form includes certification requirements for corporate contractors, mandating that a corporate officer verify the authenticity of the release signature, confirm the signatory's authority within the corporation, and attest that the release was executed in accordance with the corporation's governing body authorization and corporate powers. The document contains designated fields for the contractor's name, contract number, project name, signatory information, attestor credentials, and specific reserved claims, enabling customization for individual contract transactions while maintaining standardized legal language and procedures.
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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 .