EXHIBIT F - RELEASE OF CLAIMS.pdf
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- Solicitation number
- PS143950
- Issued by
- California
About this file
This is an Exhibit F Release of Claims form utilized by the Los Angeles County Metropolitan Transportation Authority (LACMTA) for contracts. The document serves as a legal release in which contractors acknowledge receipt of full and final payment under their respective contracts and waive all claims and liabilities against LACMTA, its officers, directors, agents, employees, and authorized representatives, except for any claims specifically reserved with LACMTA's concurrence and listed on the form. The contractor must provide their full legal name, the contract number, project name, and execution date on the document.
For corporate contractors, the form requires certification by an authorized officer of the corporation attesting that the signatory has proper authority to execute the release on behalf of the corporation and that execution is within the corporation's scope of powers. The certification section requires the certifying officer to provide their title, the signatory's name and title, and the corporation's seal. This standardized release mechanism ensures LACMTA achieves finality in settlement of contract obligations while preserving any negotiated exceptions to the general 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 .