EXHIBIT F - RELEASE OF CLAIMS.pdf
PDF 396 KB Posted
- Attached to
- ADAS Calibration and Wheel Alignment System
- Solicitation number
- OP143228
- Issued by
- California
About this file
Exhibit F is a Release of Claims form used by the Los Angeles County Metropolitan Transportation Authority (LACMTA) for state and local contract opportunities. This document serves as a contractual instrument through which contractors acknowledge receipt of final payment and release LACMTA, its officers, directors, agents, employees, and Authorized Representatives from all liabilities, obligations, claims, and demands arising from the contract. The form includes designated spaces for the contractor's name, contract number, project name, date of execution, and identification of any claims specifically reserved with LACMTA's concurrence. The release becomes effective upon the contractor's receipt of the monies paid by LACMTA under the contract terms.
The document requires certification by an authorized corporate officer when executed by a corporation, necessitating completion of a certificate section that verifies the signatory's authority and corporate standing. The release constitutes full and final payment for amounts due under the contract, excluding only those claims that have been explicitly reserved and mutually agreed upon by both parties. This standardized form ensures that contractors acknowledge complete settlement of contractual obligations and that LACMTA receives a comprehensive discharge of claims upon final payment, protecting the agency from future disputes or claims related to the contract's performance or execution.
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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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