Release of Claim Form.pdf
PDF 7 KB Posted
- Solicitation number
- 33330225RF0010008
- Issued by
-
Smithsonian Institution
About this file
This is a Release of Claims form (OCon Form ROC-1) used by the Smithsonian Institution for payments under Fixed Price Construction Contracts. The form, revised in January 2001, requires contractors to release the Smithsonian Institution from any claims arising under or related to their contract, except for specifically itemized claims and amounts that must be listed on the form.
The document requires two witnesses and must be signed and sealed by the contractor, including their official title. A notable requirement is that if the contractor has assigned their claims rights under the Assignment of Claims Act of 1940, a separate release must be obtained from the assignee. The form is associated with a larger solicitation (33330225RF0010008) for the National Museum of American History PSRP IV Collection Move project, though this is just the standard claims release template that would be used for payment processing.
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Text version
OCon FORM ROC-1 Revised January 2001
SMITHSONIAN INSTITUTION
WASHINGTON, D.C. 20560
RELEASE OF CLAIMS
(For payment under a Fixed Price Construction Contract)
The undersigned Contractor under Contract No.________________ dated _________________, 20___ between the Smithsonian Institution and said Contractor for the _____________________________________, in accordance with FAR Clause 52.232-5, paragraph h, sub-paragraph (3), which is applicable to said contract, hereby releases the Smithsonian Institution from any and all claims arising under or by virtue of said contract or any modification or change thereof except as follows:
(Itemize claims and any amounts due. If none, so state.)
Witness the signature and seal of the undersigned this ______day of _______________, 20___.
WITNESSES:
(Two witnesses are required)
(Name)
____________________________________ __________________(Seal) (Address)
____________________________________ By_____________________ (Name) (Name)
(Address) (Official Title)
(NOTE: A separate Release is required from assignee if Contractor’s claim to amounts payable under this contract has been assigned under the Assignment of Claims Act of 1940 (31 U.S.C. 3727 and 41 U.S.C. 15.)
33330220CF0010363 - 09/18/2020 - Page 265 of 265
File details come from the government source that posted it. Updated .