Form FS-2400-67a Annual Operating Plan - Timber Sale and Integrated Resou

USDA Forest Service FS-2400-67a (Rev 2/2007)

OMB 0596-0086 (Exp. TBA)

Annual Operating Plan

Integrated Resource Contracts

(FSH 2409.15)

CALENDAR YEAR:      

National Forest:

     

Ranger District:

     

Region:

(1) Northern (2) Rocky Mountain (3) Southwestern

(4) Intermountain (5) Pacific Southwest (6) Pacific Northwest

(8) Southern (9) Eastern (10) Alaska

Contract Name:

     

Contractor:

     

Contract Number:

     

Award Date:

     

Termination Date:

     

Designation of Contractor’s Representative

[G/GT.3.1] When Contractor’s operations are in progress, Contractor shall have a representative, named in writing, readily available to receive notices in regard to performance under this contract and take related action. For the time period of       (mm/dd/yy) through       (mm/dd/yy), the Contractor’s representative will be:       During this same time period the Contractor’s field representative will be:      

Contractor:

     

Contracting Officer:

     

Telephone #:

     

Date:

     

Telephone #:

     

Date:

     

Signature:

Contracting Officer’s Signature:

Submitted by (print name and title):

     

Continuation Sheets Attached: Yes; No (If additional space needed, attach separate sheet(s) after page 5, include heading(s) for item(s), and all relevant details. Attach continuation sheet after page 5)

Payment Units Cutting Units		Harvest Schedule (includes felling, yarding, decking, and hauling)
		Planned Start Date		Planned End Date		Work Description	Remarks
     		     		     		     	     
     		     		     		     	     
     		     		     		     	     
     		     		     		     	     
     		     		     		     	     
     		     		     		     	     
     		     		     		     	     
     		     		     		     	     
Logging Equipment on Contract Area (Includes specialized equipment)
Dates			Company		Equipment			Unit/Location
Start	End
     	     		     		     			     
     	     		     		     			     
     	     		     		     			     
     	     		     		     			     
     	     		     		     			     

Road Construction/Reconstruction/Maintenance Planned
Dates			Road Number	Temporary Road	Equipment			Activity
Start		End
     		     	     	Yes/ No	     			     
     		     	     	Yes/ No	     			     
     		     	     	Yes/ No	     			     
     		     	     	Yes/ No	     			     
     		     	     	Yes/ No	     			     
     		     	     	Yes/ No	     			     
Road Closures Needed/Planned
Dates			Road Number	Legal Description		Contractor provided traffic control
Close	Reopen
     	     		     	     		Barricades Flaggers	Pilot Vehicles Signs		None Other:      
     	     		     	     		Barricades Flaggers	Pilot Vehicles Signs		None Other:      
     	     		     	     		Barricades Flaggers	Pilot Vehicles Signs		None Other:      
     	     		     	     		Barricades Flaggers	Pilot Vehicles Signs		None Other:      

Other Planned Activities
Hauling
Unit	Date Begin		Date End	Remarks
     	     		     	     
     	     		     	     
     	     		     	     
     	     		     	     
     	     		     	     
     	     		     	     
Slash Treatments
Unit	Date Begin		Date End	Method
     	     		     	     
     	     		     	     
     	     		     	     
Erosion Control
Unit	Contractor Responsible?	Time of Year to Complete			Erosion Control Method
     	Yes/ No	     			Fertilization Lime	Seed Mixture Straw	Other:      
     	Yes/ No	     			Fertilization Lime	Seed Mixture Straw	Other:      
     	Yes/ No	     			Fertilization Lime	Seed Mixture Straw	Other:      

Prevention and Control Plans

The following must be included with this operating plan:

• Fire prevention and control plan, including a detailed list of personnel and equipment at the contractor’s disposal

• Prevention and Spill Control Plan for petroleum products stored in the contract operating area

BURDEN AND NONDISCRIMINATION STATEMENTS

According to the Paperwork Reduction Act of 1995, an agency may not conduct or sponsor, and a person is not required to respond to a collection of information unless it displays a valid OMB control number. The valid OMB control number for this information collection is 0596-0086. The time required to complete this information collection is estimated to average 1.6 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information.

The U.S. Department of Agriculture (USDA) prohibits discrimination in all its programs and activities on the basis of race, color, national origin, gender, religion, age, disability, political beliefs, sexual orientation, and marital or family status. (Not all prohibited bases apply to all programs.) Persons with disabilities who require alternative means for communication of program information (Braille, large print, audiotape, etc.) should contact USDA’s TARGET Center at 202-720-2600 (voice and TDD).

To file a complaint of discrimination, write USDA, Director, Office of Civil Rights, 1400 Independence Avenue, SW, Washington, DC 20250-9410 or call (800) 795-3272 (voice) or (202) 720-6382 (TDD). USDA is an equal opportunity provider and employer.

5 of 5