J-10 IBWC Form 108.pdf

IBWC-108

(Rev. 07/02)

INTERNATIONAL BOUNDARY AND WATER COMMISSION

United States and Mexico

RELEASE ON CONTRACT

WHEREAS, by the terms of a contract dated , (Contract No. ), entered into by the United States of America, represented by a corporation organized and existing under the laws of the State of , a partnership consisting of , an individual doing business as , of the city of , in the State of , for , it is provided that: “Upon completion and acceptance of all work, the amount due the contractor under this contract shall be paid upon the presentation of a properly executed voucher and after the Contractor shall have furnished the Government with a release of all claims against the Government arising by virtue of this contract, other than claims in stated amounts as may be specifically excepted by the Contractor from the operation of the release. If the Contractor’s claim to amounts payable under the contract has been assigned under the Assignment of claims Act of 1940, as amended (31 U.S.C. 203, 41

U.S.C. 15), a release may also be required of the assignee.”

CONTINUATION OF RELEASE ON CONTRACT NO.

NOW, THEREFORE, in consideration of the premises and the payment by the United

States to the Contractor of the amount due under the contract; to-wit, the sum of

Dollars ( ), the Contractor hereby remises, releases, and forever discharges the United States of

America and from all manner of debts, dues, sum or sum of money, accounts, claims and demand whatsoever, in law and in equity, under and by virtue of the said contract, except

Name

Title

ACKNOWLEDGMENT

I, , certify that I am the

Secretary of the corporation named as Contractor herein; that who signed this release on behalf of the corporation, was then of said corporation; and that said release was duly signed for and on behalf of said corporation by authority of its governing body.

IN WITNESS WHEREOF, the hand and seal of the Contractor have been hereunto set this day of , A.D. 20 .

Name

(Corporate Seal)