Fs-2400-10 Agreement To Extend And Modify Timber Sale Contract

USDA - Forest Service FS-2400-10 (7/10)

OMB No. 0596-XXXX

Exp. Date (XX/XXX)

Contract No.

     

AGREEMENT TO EXTEND AND MODIFY TIMBER SALE CONTRACT (36 CFR 223.112)

1. It is mutually agreed, that the contract period of the above designated timber sale contract, signed by,

     

(Name)

of

     

, hereinafter called the purchaser and by

     

,

(Company Name)

(Name)

     

for the United States of America, as of the

     

day of

     

(Title)

as heretofore modified, be extended to

     

and it is further agreed to modify the contract as follows:

     

2. Pursuant to this mutual agreement, the purchaser agrees to cut and remove timber in strict accordance with all and singular the terms and provisions of the aforesaid contract as herein modified.      

3. IN WITNESS WHEREOF, the parties hereto have executed this agreement to extend and modify contract as of the

     

day of

      (month)

,

      (year)

. 1/

UNITED STATES OF AMERICA

Two Witnesses: 2/

     

By:

     

Title

     

(Name of Witness)

     

(Address)

     

(Name of Witness)

     

(Address)

I, 4/

     

certify that I am the

     

Secretary of the corporation named

as the purchaser herein; that

     

who signed this agreement to extend and modify contract on behalf of the

purchaser was then

     

of said corporation; that said agreement to extend and modify contract was duly

signed for and in behalf of said corporation by authority of the governing body, and is within the scope of its corporate powers.

Corporate Seal 5/

Consent Of Surety

We,

     

(surety) (sureties) do hereby join in this

agreement to extend the contract period and agree that our bond shall bind us, our heirs, executors, administrators, successors and assigns, and each and every one of us and them jointly and severally, in the same manner as if said extended period had been included in the original period of contract to insure compliance with which our bond was given.

Dated at

     

, this

     

day of

     

,

In the presence of:

Witness:

Individual Surety:

     

     

(Seal)

Attest:

Corporate Surety:

     

     

By:

Business Address:

     

     

Title:

     

     

Affix Corporate Seal

NOTE: If there has been no previous modification, delete "as heretofore modified" in paragraph 1. If there are no modifications included in this extension, delete all words in italics referring to a present modification (including title) and all of paragraph 2.

^1/ The date Forest Officer signs this form.

^2/ The signatures and addresses of two witnesses are required if Purchaser is other than a corporation.

^3/ If contracting party is a co-partnership, the signatures should be: XYZ Company, by John Doe, a member of the firm. If contracting party is a corporation, form of signature should be: XYZ Company, by John Doe, President (or other officer or agent) and the seal of the corporation must be impressed or indicated.

^4/ The certificate must be completed if the purchaser is a corporation.

^5/ If the corporation has no corporate seal that fact shall be stated, in which case a scroll or adhesive seal shall follow the corporate name.

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-xxxx. The time required to complete this information collection is estimated to average 1.5 hour 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, age, disability, and where applicable, sex, marital status, familial status, parental status, religion, sexual orientation, genetic information, political beliefs, reprisal, or because all or part of an individual’s income is derived from any public assistance. (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 toll free (866) 632-9992 (voice). TDD users can contact USDA through local relay or the Federal relay at (800) 877-8339 (TDD) or (866) 377-8642 (relay voice). USDA is an equal opportunity provider and employer.

Page 2 of 2