APPENDIX D - Contractor Release of Claims.pdf
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- Solicitation number
- PANERD25P0000_001596
About this file
Contractor's Release of Claims
This is a template for a Contractor's Release of Claims form used in federal contracting to formally document the contractor's waiver of claims against the United States Government upon contract completion or termination. The form is executed once the contractor has received payment under the contract and serves as a final settlement document between the contractor and the Government.
The release discharges the contractor's liabilities, obligations, claims, and demands against the Government, its officers, agents, and employees, with three specified exceptions. The contractor may retain claims for: (1) specified claims in stated or estimated amounts that cannot be determined with exactitude at the time of execution; (2) claims based on unknown third-party liabilities arising from contract performance, provided written notice is given to the Contracting Officer within the period specified in the contract; and (3) claims for reimbursement of costs incurred under contract provisions, including reasonable expenses related to notification, litigation defense, and prosecution, except for patent liability indemnification expenses. The document requires signature by an authorized contractor representative, a witness, and includes a certificate of authority executed by a corporate officer certifying that the signatory possessed proper authority to execute the release on behalf of the corporation.
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Text version
CONTRACTOR'S RELEASE OF CLAIMS
Contract No. ___________
Pursuant to the terms of subject contract and in consideration of the sum of $______________ which has been paid under subject contract to ________________ hereafter called the contractor) or it's assignees, if any, the contractor does remise, release, and discharge the United States of America (hereafter called the Government), its officers, agents, and employees, of and from all liabilities, obligations, claims, and demands whatsoever under, or arising from the said contract except:
1. Specified claims in stated amounts or in estimated amounts where the amounts are not susceptible of exact statement by the contractor.
2. Claims, together with reasonable expenses incidental thereto, based upon the liabilities of the contractor to third parties arising out of the performance of said contract, which are not known to the contractor on the date of execution of this release and of which the contractor gives notice in writing to the Contracting Officer within the period specified in said contract.
3. Claims for reimbursement of costs (other than expenses of the contractor by reason of his indemnification of the Government against patent liability), including reasonable expenses incidental thereto, incurred by the contractor under the provisions of said contract, including without limitation, those provisions relating to notification to the Contracting Officer and relating to the defense or prosecution of litigation.
IN WITNESS THEREOF, this release has been executed this ____ day of __________, 202X.
Witness _______________________________ ____________________________________ (Contractor) By ___________________________________
Title __________________________________
CERTIFICATE
I, _____________________________, certify that I am the _________________________of the corporation named 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 said corporation by authority of its governing body and is within the scope of its corporate powers.
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