Section_J_-_Att_No__007_DI_137_Release_of_Claims_.pdf
PDF 97 KB Posted
- Attached to
- REPLACE VFD AND SYSTEM COMPONENTS 840 Federal contract opportunity
- Solicitation number
- 140P8625Q0081
About this file
This document is a United States Department of the Interior Release of Claims form (DI-137) dated July 1996. The form is designed to be completed by a contractor upon final payment, releasing the United States government from all potential legal claims related to a specific contract. The form requires the contractor to provide details such as the contract number, date, final invoice amount, and full contract value.
The document includes fields for the contractor to fill out their business type (corporation, partnership, joint venture, or individual), contact information, and signature. For corporate contractors, there is an additional certification section where a corporate officer must verify the signatory's authority to execute the release on behalf of the corporation. The form serves as a legal document to formally close out a contract and prevent future claims against the government.
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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 .