EXHIBIT F - RELEASE OF CLAIMS.pdf
PDF 396 KB Posted
- Solicitation number
- DR140153
- Issued by
- California
About this file
This is an Exhibit F Release of Claims form used by the Los Angeles County Metropolitan Transportation Authority (LACMTA) as part of its standard contract documentation. The document serves as a release agreement between LACMTA and contractors, whereby the contractor agrees to remise, release, waive, and discharge LACMTA, its officers, directors, agents, employees, and Authorized Representatives from all liabilities, obligations, claims, and demands arising out of or under the contract. The form includes designated space for the contract number, contractor's full legal name, date of execution, and the option to list specific claims that the contractor wishes to reserve and exclude from the general release, subject to LACMTA's concurrence.
The document includes a certification section applicable to corporate contractors, requiring an authorized corporate officer to attest that the individual signing the release on behalf of the contractor possessed the authority to do so and that execution of the release falls within the corporation's scope of powers. The contractor acknowledges that the monies paid by LACMTA under the contract constitute full and final payment for amounts due, exclusive of any specifically reserved claims. The form contains multiple fillable fields for contractor name, contract number, project name, attestor information, and signatory details, allowing for customization to individual contracts.
View the file
Other files
Show all 30
On GovTribe
Work with this file
- Download the original file
- Contacts named in this file
- Similar government files
- Ask GovTribe AI about this file
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 .