EXHIBIT F - RELEASE OF CLAIMS.pdf
PDF 220 KB Posted
- Solicitation number
- FS135771
- Issued by
- California
About this file
This is a Release of Claims form document utilized by the Los Angeles County Metropolitan Transportation Authority (LACMTA) as part of its standard contracting process. The form serves as a formal release agreement between LACMTA and contractors, wherein contractors acknowledge receipt of contract payment in exchange for releasing all claims, liabilities, obligations, and demands arising from the contract work. The document includes fields for contract identification, contractor name, date of execution, and a provision allowing contractors to reserve specific claims with LACMTA's written concurrence. The release is contingent upon payment being deemed full and final compensation for work performed, excluding any specifically reserved claims listed on the form.
The document includes certification requirements for corporate contractors, necessitating that an authorized corporate officer attest to the validity of the release signature and confirm that the signatory possessed proper corporate authority to execute the agreement. The form contains multiple fillable fields for project identification, attestor credentials, signatory information, and contractor details, indicating its use as a template document for multiple contracts. No specific pricing, funding sources, timeline requirements, or contract terms are detailed within this release form, as it functions solely as a final discharge document executed upon contract completion or termination.
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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 .