J07 Release of Claims.docx
DOCX document 14 KB Posted
- Attached to
- Cancelled Rosebud Lift Station Construction
- Solicitation number
- 75H70126R00018
About this file
This is a Final Release of Claims template form used to document the contractor's release of all liabilities, obligations, claims, and demands against the United States Government upon receipt of contract payment. The form is designed to be completed at contract closure and requires execution by authorized representatives of the contractor, including signature, printed name, title, and address. For corporate contractors, a corporate officer must certify the signatory's authority and that the release was executed within the scope of corporate powers, along with the corporate seal.
The template includes provisions for specifying any other particular claims in stated or estimated amounts that are excluded from the general release. All other terms and conditions of the underlying contract remain in full force and effect following execution of the release. The form requires completion of contract number, contractor name, execution date, witness information (for non-corporate entities), and corporate certification details as applicable. This document is a standard federal contracting closeout instrument used to settle final payment and dispute resolution between contractors and government agencies.
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Text version
FINAL RELEASE OF CLAIMS
Pursuant to the terms of Contract No: __________________________________and in consideration of the monies, which have been or are to be paid under the said contract to _________________ (hereinafter called the Contractor) or its assignees, if any, the Contractor, upon payment of the said sum by the UNITED STATES OF AMERICA (hereafter called the government) does remise, release and discharge the Government, its officers, agents and employees of and from all liabilities, obligations, claims and demands whatsoever arising out of or under this contract, subject only to specified claims in stated amounts, or in estimated amounts where the amounts are not susceptible of exact statement by the contractor, as follows:
1. Other Specific Claims ________________________
All other terms and conditions of the above-mentioned contract remain in full force and effect.
IN WITNESS WHEREOF, this release has been duly executed this __________ day of _____________________________, 202___.
Witness: Contractor:
Signature Signature
Printed Name and Title Printed Name and Title
Address
(Note in the case of a corporation. Witnesses are not required, but the certificate below must be completed.)
Certificate
I ____________________________, certify that I am the ______________________________ of the corporation names as Contractor in the foregoing release: 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 aid corporation by authority of its governing body and is within the scope of its corporate powers.
Signature Corporate Seal
File details come from the government source that posted it. Updated .