J08 Release of Claims.docx
DOCX document 14 KB Posted
- Attached to
- Multi-Door Replacement & Repair
- Solicitation number
- 75H70125R00065
About this file
This document is a Final Release of Claims form for a federal contract. The release pertains to a Multi-Door Replacement & Repair project for the Quentin N Burdick Memorial Health Care Facility located in Belcourt, North Dakota, issued by the Department of Health and Human Services Indian Health Service. The contract is a firm-fixed-price construction project with a 180-day performance period, valued between $100,000 and $250,000, involving the repair or replacement of multiple doors at the facility's address of 1300 Francis Sinclair St. The release document provides a standard legal template for the contractor to discharge all liabilities and claims related to the contract, with provisions for specific claims and corporate certification.
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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 .