FS-2400-72 MRCTA Liability Waiver

USDA Forest Service FS-2400-72 (Rev. 10/2008)

OMB 0596-0212 (12/2011)

Request for Relief and Release of Liability Statement

Market-Related Contract Term Addition

36 CFR 223.52(c)(3)

Timber Sale Name:	     
Contract Number:	     
In accordance with 36 CFR 223.52(c)(3) I,		     	(Purchaser):

(1) Release the United States (acting by and through the U.S. Forest Service) from all liability, including further consideration or compensation, resulting from any relief provided by 36 CFR 223.52(c)(3).

(2) I further release the United States (acting by and through the U.S. Forest Service) from all liability, including further consideration or compensation, resulting from the Forest Service’s decision not to provide the relief under 36 CFR 223.52(c)(3) requested by me.

(3) I acknowledge that the contract for which I have requested relief under 36 CFR 223.52(c)(3) remains in effect until the contract is modified, and that if the requirements for modification are not met, the contract must be performed under the original terms of the contract, including making periodic payments that become due before modification.

		     
[Purchaser]		Date

By:	     
Title:	     

BURDEN AND NONDISCRIMINATION STATEMENTS

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