EXHIBIT F - RELEASE OF CLAIMS.pdf
PDF 396 KB Posted
- Attached to
- Federal Advocacy Services
- Solicitation number
- PS145628
- 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 acknowledges receipt of payment and releases LACMTA, its officers, directors, agents, employees, and Authorized Representatives from all liabilities, obligations, claims, and demands arising from the contract. The form includes provision for contractors to reserve specific claims with LACMTA's concurrence, which would be listed and excluded from the general release. The template requires completion of standard contract identification fields including contractor name, contract number, project name, date, and attestor information.
The form establishes that the monies paid by LACMTA constitute full and final payment for amounts due under the contract, excluding only those specifically reserved claims. For corporate contractors, the document requires a certificate of authority to be completed and signed by an authorized officer certifying that the signatory possessed the requisite authority to execute the release on behalf of the corporation. The release must be executed within the scope of the corporation's powers as authorized by its governing body.
View the file
Other files
Show all 30
On GovTribe
Work with this file
- Download the original file
- Contacts named in this file
- Similar government files
- Ask GovTribe AI about this file
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 .