EXHIBIT F - RELEASE OF CLAIMS.pdf
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- Solicitation number
- PS145019
- Issued by
- California
About this file
This is a Release of Claims form issued by the Los Angeles County Metropolitan Transportation Authority (LACMTA) for use in contract agreements. The document serves as a formal legal instrument through which a contractor acknowledges receipt of payment and releases LACMTA, its officers, directors, agents, employees, and authorized representatives from all liabilities, obligations, claims, and demands arising from the contract performance. The form includes provisions allowing contractors to reserve specific claims with LACMTA's concurrence, which must be listed explicitly on the document. The release constitutes full and final payment for amounts due under the contract, exclusive of any specifically reserved claims.
The form requires certification by a corporate officer when executed by a corporation, with the certifying officer attesting to the signatory's authority and the corporation's governing body authorization. The document contains fillable fields for contract number, project name, contractor name, attestor name and title, and signatory name and title, along with space for a corporate seal. This standardized template ensures compliance with LACMTA's contract closure procedures and protects the agency from future claims while providing contractors with certainty regarding their final compensation upon execution of the release.
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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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