EXHIBIT F - RELEASE OF CLAIMS.pdf
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- Attached to
- Hi-Rail Bucket Trucks - QTY 4
- Solicitation number
- DR131468
- Issued by
- California
About this file
This is a Release of Claims form issued by the Los Angeles County Metropolitan Transportation Authority (LACMTA) for use in contracts with the agency. The document serves as a formal release agreement whereby contractors acknowledge receipt of final payment from LACMTA in exchange for relinquishing all claims, liabilities, obligations, and demands arising from their contract work. The form permits contractors to reserve specific claims with LACMTA's concurrence, which are listed on the document. The release applies to all contract-related matters except those explicitly reserved claims. For corporate contractors, the form requires completion of a certificate section in which a corporate officer attests to the signatory's authority to execute the release on behalf of the corporation and confirms that the action falls within the scope of corporate powers.
The form is a standardized template containing fillable fields for contractor name, contract number, project name, attestor information, and signatory details. The document includes provisions for a corporate seal when applicable. No pricing information, set-asides, funding sources, or specific contract terms are addressed in this exhibit, as it functions solely as a release mechanism to be executed upon contract completion and final payment.
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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 .