EXHIBIT F - RELEASE OF CLAIMS.pdf
PDF 396 KB Posted
- Attached to
- Purchase of 4 Stake Bed Trucks
- Solicitation number
- DR141429
- Issued by
- California
About this file
This is an Exhibit F Release of Claims document issued by the Los Angeles County Metropolitan Transportation Authority (LACMTA) for use in conjunction with contractor agreements. The form serves as a contractual release mechanism whereby contractors acknowledge receipt of payment in full from LACMTA in exchange for releasing all claims, liabilities, obligations, and demands arising from their respective contracts. The document includes a provision allowing contractors to reserve specific claims with LACMTA's concurrence, which must be listed explicitly on the form. The release applies to LACMTA, its officers, directors, agents, employees, and authorized representatives as defined in the underlying contract.
The document includes certification requirements for corporate contractors, mandating that an authorized officer of the corporation attest that the signatory possessed proper authority to execute the release on behalf of the corporation and that such action falls within the scope of corporate powers. Contractors must complete fillable fields identifying the attestor name and title, signatory name and title, contractor name, contract number, and project name. The form is designed as a final settlement mechanism, with LACMTA's payment constituting full and final consideration exclusive of any specifically reserved claims documented on the form.
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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 .