EXHIBIT F - RELEASE OF CLAIMS.pdf
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- Solicitation number
- OP143876
- Issued by
- California
About this file
Exhibit F is a Release of Claims document used by the Los Angeles County Metropolitan Transportation Authority (LACMTA) for contract administration purposes. This form serves as a contractual mechanism through which contractors acknowledge receipt of final payment and release LACMTA, its officers, directors, agents, and employees from all liabilities, obligations, claims, and demands arising from the contract work. The document requires completion of the contract number, contractor's full legal name, execution date, and identification of any specifically reserved claims that are excluded from the general release with LACMTA's concurrence.
The release form functions as consideration for the monies paid by LACMTA to the contractor and confirms that such payment constitutes full and final compensation for all work performed, excluding any claims explicitly reserved. For corporate contractors, the document includes a certification section requiring an authorized officer of the corporation to verify the signatory's authority, that the release was executed in accordance with the corporation's governing body authorization, and that execution is within the scope of corporate powers. The form contains fillable fields for project name, attestor information, signatory credentials, and contractor details to facilitate proper execution and documentation of the contractual 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 |
File details come from the government source that posted it. Updated .