Section_J_-_Att_No__007_DI_137_Release_of_Claims_.pdf
PDF 97 KB Posted
- Attached to
- REPLACE WATER LINE IN AQUATIC PARK Federal contract opportunity
- Solicitation number
- 140P8625Q0002
About this file
This is a Department of Interior (DOI) Release of Claims form (DI-137) that contractors must complete prior to receiving final payment on a contract. The form requires contractors to formally release the United States government from any future claims, debts, liabilities, or demands related to the contract in exchange for receiving their final payment.
The form includes fields for the contract number, date, final payment amount, and full contract value. It requires contractor information including business type (corporation, joint venture, partnership, or individual), name, address, and authorized signature. For corporate contractors, there is an additional certification section requiring corporate officer verification of signatory authority. This form is associated with solicitation 140P8625Q0002 for replacing a water line in Aquatic Park, issued by the National Park Service Pacific West Region.
View the file
Other files for this federal contract opportunity
| File | Type | Posted |
|---|---|---|
| Sol_140P8625Q0002_Amd_0001.pdf | ||
| Section_J_-_Att_No__009_Site_Visit_Sign-in_Sheet_0001.pdf | ||
| Section_J_-_Att_No__008_Invoice_Payment_Request.pdf | ||
| Section_J_-_Att_No__002_Reference_Sheet.pdf | ||
| Sol_140P8625Q0002.pdf | ||
| Section_J_-_Att_No__006_Payment_Bond_SF25A-23a.pdf | ||
| Section_J_-_Att_No__004_Technical_Information.pdf | ||
| Section_J_-_Att_No__001_Division_One_Specifications.pdf | ||
| Section_J_-_Att_No__003_WD_CA20240018_Mod_22.pdf | ||
| Section_J_-_Att_No__005_Transmittal_form_CM16.pdf |
On GovTribe
Work with this file on GovTribe
- Download the original file
- Contacts named in this file
- Similar government files
- Ask GovTribe AI about this file
Text version
DI-137
(July 1996)
UNITED STATES
DEPARTMENT OF THE INTERIOR
RELEASE OF CLAIMS
Contract Number
Date
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 final 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 for the full contract value of
IN WITNESS WHEREOF, the contractor has executed this release this day of , 2016.
___________________________________________ By ___________________________________________ (Contractor) (Signature)
_____ Corporation _____ Joint Venture
_____ Partnership _____ Individual _________________________________________ (Name)
(Street Number or R.F.D) (Title)
(City) (State) (Zip Code)
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.
[SEAL]
(Signature]
MSD
Text Box Amount of final invoice entered here.
MSD
Text Box Amount of contract entered here.
File details come from the government source that posted it. Updated .