Attachment_10_Contract_Release-_Form_7510.doc

ATTACHMENT 10 – CONTRACTOR RELEASE FORM 7510

CONTRACTOR’S RELEASE AND ASSIGNMENTS

Contract Number:

Contractor:

Pursuant to the terms of the above-captioned contract, the Contractor, upon final payment, releases and discharges the United States Government, its officers, agents, and employees, of and from all known liabilities, claims, and demands associated with or arising under the contract, except the following specified claims in stated amounts, or in estimated amounts where the amounts are not susceptible of exact statement by the Contractor, as follows: (if none, state N/A)

Further, the Contractor:

agrees to assign, transfer, and release to the United States Mint all right, title, and interest to any and all refunds, rebates, credits, or other amounts (including any interest thereon) arising out of the performance of the contract, together with all the rights of action, accrued, or which may thereafter accrue there under, and agrees to take whatever action may be necessary to effect prompt collection of all refunds, rebates, credits or other amounts (including any interest thereon) due or which may become due, and to promptly forward to the United States Mint, checks for any proceeds so collected, and, agrees to cooperate fully with the Government as to any claim or suit in connection with any refunds, rebates, credits or other amounts due (including any interest thereon), and agrees to execute any protest, pleading, application, power of attorney or other papers in connection therewith; and to permit the Government to represent it at any hearing, trial or other proceeding arising out of such claim or suit.

IN WITNESS WHEREOF, this Release and Assignments has been executed this _____day of ____________, 20_____

Name of Contractor ______________________________ WITNESS____________________________ by: _______________________________________ ____________________________

(Signature)

Title: ______________________________________