Release of Claim Form.pdf
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- Solicitation number
- 33330226RF0010002
- Issued by
-
Smithsonian Institution
About this file
OCon Form ROC-1: Release of Claims
This document is a Release of Claims form used by the Smithsonian Institution for fixed price construction contracts. The form serves as a legal release wherein contractors acknowledge receipt of final payment and relinquish all claims against the Smithsonian Institution arising from the contract, its modifications, or changes, in accordance with FAR Clause 52.232-5, paragraph h, sub-paragraph (3). The contractor may itemize any exceptions or outstanding claims with associated amounts; if no exceptions exist, the contractor must so state.
The form requires execution with the contractor's signature and seal, witnessed by two individuals who must provide their names and addresses. The contractor's authorized representative must sign and provide their official title. A critical note specifies that if the contractor has assigned its claim to amounts payable under the contract pursuant to the Assignment of Claims Act of 1940 (31 U.S.C. 3727 and 41 U.S.C. 15), a separate Release must be obtained from the assignee. The form is formatted to capture the contract number, contract date, and project description, with blank spaces designated for the execution date and witness information.
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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 .