Release_of_Claims.pdf
PDF 36 KB Posted
- Solicitation number
- 140A2325Q0191
About this file
The document is a Release of Claims form (DI-137, March 2017) from the United States Department of the Interior. This standard federal form is designed to be completed by a contractor after contract completion, releasing the United States government from all legal claims and obligations related to a specific contract in exchange for final payment. The form requires the contractor to provide details such as contract number, payment amount, and organizational type (corporation, partnership, joint venture, or individual), and includes sections for signature, corporate certification, and official contact information.
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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.
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File details come from the government source that posted it. Updated .