EXHIBIT F - RELEASE OF CLAIMS.pdf
PDF 396 KB Posted
- Attached to
- Skid Steer Loaders
- Solicitation number
- DR140202
- Issued by
- California
About this file
This is a Release of Claims form document for the Los Angeles County Metropolitan Transportation Authority (LACMTA) designed to be executed upon final payment of contract obligations. The form serves as a contractual instrument wherein the contractor releases LACMTA, its officers, directors, agents, employees, and authorized representatives from all liabilities, obligations, claims, and demands arising from the contract performance. The document is structured as a standardized template with designated fields for insertion of the contractor's legal name, the specific contract number, project name, the execution date, and any claims that the contractor wishes to expressly reserve and exclude from the general release with LACMTA's concurrence.
The Release of Claims form establishes that the monetary consideration provided by LACMTA constitutes full and final payment for all amounts due under the contract, with the exception of any specifically reserved claims listed on the document. For corporate contractors, the form requires a certificate of authority to be completed and executed by a corporate officer, confirming that the signatory possessed the authority and corporate power to execute the release on behalf of the corporation. The document includes spaces for the attestor's name and title, as well as the signatory's name and title, along with provision for a corporate seal.
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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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