EXHIBIT F - RELEASE OF CLAIMS.pdf
PDF 396 KB Posted
- Solicitation number
- DR145787
- Issued by
- California
About this file
This is a Release of Claims form template for contracts with the Los Angeles County Metropolitan Transportation Authority (LACMTA). The document serves as a legal instrument through which a contractor formally releases 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 inserting the contractor's name, contract number, project name, and date of execution. Contractors may reserve specific claims with LACMTA's concurrence, which must be listed on the form. The document requires certification by a corporate officer when executed by a corporation, including attestation of the signatory's authority and corporate authorization.
The release of claims form establishes that the monetary consideration provided by LACMTA constitutes full and final payment for amounts due under the contract, excluding any specifically reserved claims. The template includes fillable fields for attestor name and title, signatory name and title, contractor name, and contract number. A corporate seal space is provided for corporate signatories. This document functions as a standard contractual close-out requirement, ensuring that upon payment and execution, the contractor waives future claims related to the contract performance, thereby providing LACMTA with finality regarding contractual obligations and disputes.
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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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