EXHIBIT F - RELEASE OF CLAIMS.pdf
PDF 396 KB Posted
- Solicitation number
- DR144580
- Issued by
- California
About this file
This is a Release of Claims form utilized by the Los Angeles County Metropolitan Transportation Authority (LACMTA) for contract completion and final payment processing. 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 the contract terms. The form includes designated spaces for the contract number, contractor's full legal name, date of execution, and any specifically reserved claims that the contractor wishes to exclude from the general release with LACMTA's concurrence.
The release form establishes that the monies paid by LACMTA constitute full and final payment for amounts due under the contract, with the exception of any claims explicitly listed as reserved. For corporate contractors, the document requires certification by a corporate officer confirming the signatory's authority to execute the release on behalf of the corporation and that execution falls within the scope of the corporation's governing authority. The form includes spaces for attestor information, signatory details, and a corporate seal impression where applicable, ensuring proper documentation and authorization of the release agreement upon contract completion.
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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 .