EXHIBIT F - RELEASE OF CLAIMS.pdf
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- Solicitation number
- OP142160(2)
- Issued by
- California
About this file
This is an Exhibit F Release of Claims form issued by the Los Angeles County Metropolitan Transportation Authority (LACMTA) as part of a state and local contract opportunity. The document serves as a contractual release agreement between LACMTA and a contractor, wherein the contractor agrees to remise, release, waive, and discharge LACMTA, along with its officers, directors, agents, employees, and authorized representatives, from all liabilities, obligations, claims, and demands arising from the contract. The form includes provisions for the contractor to reserve specific claims with LACMTA's concurrence, with those exceptions listed on the document. The release acknowledges that monies paid by LACMTA constitute full and final payment for amounts due, exclusive of any specifically reserved claims.
The document requires completion by an authorized corporate representative, including a corporate seal and certification that the signatory holds the appropriate authority within the corporation's governing structure to execute the release on behalf of the contractor. The form contains fillable fields for the contract number, project name, contractor name, attestor information, and signatory details. No specific pricing terms, set-asides, or funding sources are detailed within this exhibit, as it functions primarily as a legal instrument for claim release and waiver purposes rather than addressing financial or performance specifications of the underlying contract.
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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 .