Release_of_Claims.pdf
PDF 133 KB Posted
- Attached to
- Stampede Penstock and Butterfly Valve Rehab
- Solicitation number
- 140R2026R0006
About this file
This is a Release of Claims form (DI-137, March 2017) issued by the United States Department of the Interior for use in federal contracts. The form serves as a template that contractors must complete and execute prior to receiving final payment upon completion of all contractual work. The form requires the contractor to remit, release, and forever discharge the United States government, including its officers, agents, and employees, from all debts, dues, liabilities, obligations, accounts, claims, and demands arising under or by virtue of the contract, except for claims specifically noted as excepted in a blank space provided on the form.
The form requires standard contractor identification information including the contractor's legal entity type (Corporation, Partnership, Joint Venture, or Individual), name, address, and authorized representative's signature and title. For corporate contractors, an additional certification must be completed by a corporate officer verifying the signatory's authority and that the release was duly authorized by the corporation's governing body. The form includes fields for the contract number, date of execution, and the specific payment amount being exchanged in consideration for the release. This is a template document designed for incorporation into Department of Interior solicitation 140R2026R0006.
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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.
Attachment 2 Solicitation 140R2026R0006
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File details come from the government source that posted it. Updated .