EXHIBIT F - RELEASE OF CLAIMS.pdf
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- Attached to
- Thirty-Five (35) Electric Carts
- Solicitation number
- DR141431
- Issued by
- California
About this file
This is a Release of Claims exhibit form for contracts with the Los Angeles County Metropolitan Transportation Authority (LACMTA). The document serves as a legal instrument through which contractors formally release LACMTA, its officers, directors, agents, employees, and authorized representatives from all liabilities, obligations, claims, and demands arising from contract performance. The form includes designated spaces for the contractor's name, contract number, project name, date of execution, and specific identification of any claims the contractor wishes to reserve with LACMTA's concurrence. The document requires completion of a corporate certificate section when executed by a corporation, which must be signed by an authorized corporate representative and authenticated with the corporate seal.
The release operates as consideration for final payment to the contractor, with the monies paid by LACMTA constituting full and final payment for amounts due under the contract, excluding only those claims specifically reserved and listed on the document. The form requires attestation from a corporate officer confirming the authority of the signatory to execute the release on behalf of the corporation and that the signing is within the scope of corporate powers. This exhibit appears to be a standard termination or closeout document used to formally conclude contractor relationships and resolve all outstanding claims except those expressly preserved through mutual agreement.
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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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