EXHIBIT F - RELEASE OF CLAIMS.pdf
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- Attached to
- Hi-Rail Stake Bed Truck
- Solicitation number
- DR143889
- Issued by
- California
About this file
This is a Release of Claims form used by the Los Angeles County Metropolitan Transportation Authority (LACMTA) as part of its contract execution process. The document serves as a formal release agreement between LACMTA and contractors upon contract completion or payment. The form requires contractors to remise, release, waive, and discharge all liabilities, obligations, claims, and demands arising from the contract in exchange for final payment. Contractors may reserve specific claims with LACMTA's concurrence, which are to be listed on the form before execution. The document includes certification requirements for corporate contractors, requiring a corporate officer to attest that the signatory was authorized by the corporation's governing body to execute the release and that such action falls within the corporation's corporate powers.
The form establishes that the monies paid by LACMTA constitute full and final payment for amounts due under the contract, excluding any specifically reserved claims listed by the contractor. The document includes fillable fields for contract number, project name, contractor name, attestor name and title, and signatory name and title. A corporate seal is required for corporate entities executing the release. This release of claims is a standard contractual mechanism designed to provide LACMTA with protection from post-payment disputes while allowing contractors to preserve specific reserved claims if negotiated and agreed upon in advance.
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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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