Release_of_Claims.pdf

PDF 36 KB Posted

Attached to
Fire Hydrant Replacements for the Death Valley Nat Federal contract opportunity
Solicitation number
140P8121R0017
Issued by
Department of the Interior National Park Service Pacific West Region

About this file

This document is a release of claims form for a completed federal contract. The form releases the United States, including its officers, agents, and employees, from all debts, obligations, accounts, claims, and demands related to contract number DI-137. The contractor must sign and date the form to acknowledge releasing all claims against the federal government in consideration for final payment of dollars under the contract.

The related federal contract opportunity is a solicitation to replace fire hydrants at Death Valley National Park for the National Park Service Pacific West Region. Contractors will provide all labor, materials, equipment, tools, transportation, and supervision to complete fire hydrant replacements throughout the park.

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B03_WD_CA_Inyo_County_Heavy_Bldg.txt TXT text file
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Construction_Invoice_NPS_302-2_(Invoice_Payment_Request).docx DOCX document
A04_SOW_DEVA_309189_2021_0303.pdf PDF
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Text version

Contract Number

Date

UNITED STATES

DEPARTMENT OF THE INTERIOR

RELEASE OF CLAIMS

DI-137

(March 2017)

WHERE AS, by terms of the above contract for

, entered into by the United States of America, hereinafter also referred to as the

United States, and the contractor

, 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 dollars

) , 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:

IN WITNESS WHEREOF, the contractor has executed this release this day of , 20 .

(Contractor) (Signature)

By

(Name)

Corporation

Partnership

Joint Venture

Individual

(Street Number or R.F.D.)

(City) (State) (Zip Code)

(Title)

COMPLETE ONLY IF CONTRACTOR IS A CORPORATION

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

(Signature)

[SEAL]

This form was electronically produced by Elite Federal Forms, Inc.

Contractor:
Corporation: Off
Partnership: Off
Joint Venture: Off
Individual: Off
Street Number or RFD:
City:
State:
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Title:
Contract Number:
Date:
Sum:
Dollars:
Day:
month:
year:
Name:
Text1:
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Name2:
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File details come from the government source that posted it. Updated .