EXHIBIT F - RELEASE OF CLAIMS.pdf
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- Solicitation number
- OP144780
- Issued by
- California
About this file
This is a Release of Claims form template used by the Los Angeles County Metropolitan Transportation Authority (LACMTA) for contractor agreements. The document serves as a formal release instrument whereby contractors acknowledge receipt of final payment under a specified contract in exchange for releasing LACMTA, its officers, directors, agents, employees, and authorized representatives from all liabilities, obligations, claims, and demands arising from the contract. The form includes designated space for contractors to reserve specific claims with LACMTA's concurrence, which would be excluded from the general release. The template requires insertion of the contractor's legal name, contract number, project name, and date of execution.
The form includes a certification section for corporate contractors that must be completed by an authorized corporate officer, confirming that the signatory possessed the authority to execute the release on behalf of the corporation and that such action falls within the corporation's governing authority and powers. The contractor acknowledges that monies paid by LACMTA constitute full and final payment for amounts due, excluding any specifically reserved claims. The document contains fillable fields for the attestor name and title, signatory name and title, contractor name, and contract number, with space for a corporate seal where applicable.
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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 .