EXHIBIT F - RELEASE OF CLAIMS.pdf

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Attached to
CRANE & CRANE OPERATOR RENTAL SERVICE
Solicitation number
OP140719
Issued by
California

About this file

This is a Release of Claims form required by the Los Angeles County Metropolitan Transportation Authority (LACMTA) for contractor execution upon completion of contracted services. The document serves as a formal instrument through which the contractor agrees to release, waive, and discharge LACMTA, its officers, directors, agents, employees, and authorized representatives from all liabilities, obligations, claims, and demands arising out of or related to the contract. The release becomes effective upon receipt of final payment from LACMTA and covers the full scope of work performed under the specified contract number. Contractors may reserve specific claims with LACMTA's written concurrence, which must be listed on the form prior to execution to maintain those claims outside the release's scope.

The form requires completion of contract identification information, including the contractor's legal name, contract number, project name, and execution date. For corporate entities, certification by an authorized corporate officer is mandatory, including attestation that the signatory possessed proper authority to execute the release on behalf of the corporation and that execution was within the scope of corporate powers. The release constitutes full and final payment for amounts due under the contract, exclusive of any specifically reserved claims. This document must be completed and executed by the contractor as a condition of final contract closure and payment authorization by LACMTA.

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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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