EXHIBIT F - RELEASE OF CLAIMS.pdf
PDF 396 KB Posted
- Attached to
- 115-lb Head-Hardened Rail 80-ft Sections
- Solicitation number
- DR143862
- Issued by
- California
About this file
This is a Release of Claims form template for the Los Angeles County Metropolitan Transportation Authority (LACMTA) that contractors must execute upon completion of contract work. The document serves as a formal release whereby the contractor relinquishes all claims, liabilities, and demands arising from the contract in exchange for final payment from LACMTA. The form permits contractors to reserve specific claims with LACMTA's concurrence, which must be listed on the document. The release applies to LACMTA, its officers, directors, agents, employees, and authorized representatives as defined in the underlying contract.
The form includes certification provisions for corporate contractors, requiring an authorized corporate officer to attest that the release was properly executed on behalf of the corporation within the scope of its corporate authority. The document contains fillable fields for contract number, project name, contractor name, attestor information, and signatory details. Contractors acknowledge that the monetary consideration provided by LACMTA in exchange for this release constitutes full and final payment for amounts due under the contract, exclusive of any specifically reserved claims that may be listed.
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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 .