EXHIBIT F - RELEASE OF CLAIMS.pdf
PDF 396 KB Posted
- Attached to
- Corrosion Control System Upgrades
- Solicitation number
- OP138382(2)
- Issued by
- California
About this file
This document is a Release of Claims form utilized by the Los Angeles County Metropolitan Transportation Authority (LACMTA) as part of its standard contract administration procedures. The form serves as a contractual instrument through which contractors acknowledge receipt of final payment and release LACMTA, along with its officers, directors, agents, employees, and authorized representatives from all liabilities, obligations, claims, and demands arising from the contract execution. The release is contingent upon the contractor's receipt of monies specified under the contract terms, with provisions allowing contractors to reserve specific claims with LACMTA's concurrence, which must be listed on the form prior to execution.
The document includes mandatory certification requirements for corporate entities, requiring an authorized corporate officer to attest to the signatory's authority and the release's compliance with corporate governance. The form contains fillable fields for essential contract information, including the contract number, project name, contractor name, and the names and titles of both the attesting officer and the executing signatory. This exhibit functions as a final reconciliation document confirming that LACMTA's monetary payment constitutes full and final compensation for all work performed under the contract, exclusive of any expressly reserved claims, thereby protecting both parties by establishing clear closure on contractual obligations and dispute resolution.
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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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