DI_137_-_Release_Of_Claims.doc

DI-137

(July 1996)

UNITED STATES

DEPARTMENT OF THE INTERIOR

RELEASE OF CLAIMS

Contract Number

Task Order No.

Dated

WHEREAS, by terms of the above contract for project title and park, county, state, entered into by the United States of America, hereinafter also referred to as the United States, and the contractor, Corporation Name, it is provided that, after completion of all work and prior to final payment, the contractor will furnish the United States with a release of all claims;

NOW, THEREFORE, in consideration of the above premises and the payment by the United States to the contractor of the amount now due under the contract, to wit, the sum of number dollars and XX/100 cents ($0.00), the contractor hereby remises, releases, and forever discharges the United States, its officers, agents, and employees, of and from all manner of debts, dues, liabilities, obligations, accounts, claims, and demands whatsoever, in law and in equity, under or by virtue of the said contract except:

-none-

IN WITNESS WHEREOF. the contractor has executed this release this

Corporation Name (as on contract)

By

(Contractor)

(Signature)

Corporation

Joint Venture

Partnership

Individual

(Name)

Street Address

(Street Number or R.F.D.)

(Title)

City, State Zip

(City, State Zip Code)

COMPLETE ONLY IF CONTRACTOR IS A CORPORATION

I, , CERTIFY that I am the of the corporation named as the 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.

[SEAL]

(Signature)

GPO 1996 774-004