Release_of_Claims.pdf
PDF 36 KB Posted
- Solicitation number
- 140A2325Q0238
About this file
This is a Department of Interior Release of Claims form (DI-137, March 2017 version) used for final contract settlement between the United States and contractors.
The form serves as a legal document that contractors must complete after all work is finished and prior to receiving final payment. In exchange for the final payment amount due under the contract, the contractor agrees to release and discharge the United States, its officers, agents, and employees from all debts, liabilities, claims, and demands arising from the contract, with space provided for any specific exceptions. The form includes signature blocks for different contractor types (corporation, partnership, joint venture, or individual) and requires standard identifying information such as name, address, and title. For corporate contractors, an additional certification section must be completed by a corporate officer confirming the authority of the signatory and including the corporate seal.
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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 .