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

Agreement to Extend and Modify Timber Sale or
Integrated Resource Timber Contract
FS-2400-0010 (REV. 05/2012)
(Ref. FSM 2450)

Contract Number:

OMB 0596-0225 (EXP. 05/2014)

Project Name:

It is mutually agreed that the contract period of the above designated contract, signed by
of
Name

Business Name

Purchaser

and by

hereinafter called
Business Name (Continued)

(1)

,

Contractor

Name

for the United States of America, as of the

day of

,

Title

(2)

__________________
as
heretofore modified, be extended to
_______________

and modified as follows:

Continued on page 3

Pursuant to this mutual agreement, the Purchaser hereby agrees to perform contract in strict accordance with all and
singular the terms and provisions of the aforesaid contract as herein modified. IN WITNESS WHEREOF, the parties hereto
have executed this modification of contract as of the
(3)

day of

,

.

By:
Signature of Approving Official

Name of Approving Official

Contracting Officer
Title of Approving Official
(4)

(Name of Purchaser )

(Street Address of Purchaser )

(City of Purchaser )
File Code: 2450

(State) (Zip Code)

(Signature of Purchaser )
Page 1 of 3

FS-2400-0010 (REV. 04/2012)
OMB 0596-0225 (EXP. 05/2014)

IF CONTRACT IS TO OTHER THAN A CORPORATION
Two witnesses:(5)
(Name of First Witness)

(Name of Second Witness)

(Street Address of First Witness)

(Street Address of Second Witness)

(City of First Witness)

(State) (Zip Code)

(City of Second Witness)

(State) (Zip Code)

Signature of Second Witness

Signature of First Witness

IF CONTRACT IS TO CORPORATION
I,

, certify that I am the

Name

(6)

Title

Secretary of the corporation named as Purchaser herein, that
Name

who signed this contract on behalf of the Purchaser , was then
Title

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

Duly authorized

Title

Date

CORPORATE
SEAL

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.
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:

Surety:

Attest
By:

Address:

,
Individual Surety

Corporate Surety

Title

Date

Title:

Duly authorized

CORPORATE
SEAL

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.
File Code: 2450

Page 2 of 3

FS-2400-0010 (REV. 04/2012)
OMB 0596-0225 (EXP. 05/2014)

MODIFICATION CONTINUED FROM PAGE 1

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) Select Purchaser if Modifying Timber Sale Contract. Select Contractor if modifying Integrated Resource Timber Contract.
(2) Check "as heretofore modified" if, and only if, the phrase is applicable.
(3) The date approving Forest Officer signs this form.
(4) If contracting party is a copartnership or LLC, the Purchaser's Name should be: XYZ Company, by John Doe, a member
of the firm. If contracting party is a corporation, Purchaser's Name should be XYZ Company, Inc., by John Doe, President
(or other officer or agent) and the seal of the corporation must be impressed or indicated. If contracting party is an individual,
enter their legal name. If contracting party is a sole proprietorship, enter the legal name of the individual followed by dba and
the business name.
(5) The signature and addresses of two witnesses are required if sale is to other than a corporation.
(6) The certificate must be completed if the purchaser is a corporation.
FS-2400-0010: Public burden for this collection is estimated to be between 0.5 and 4 hours per response, including time for reviewing
instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection
of information. Under the Paperwork Reduction Act of 1995, an agency shall not conduct or sponsor, and no persons are required to
respond to, a collection of information unless it displays a valid OMB control number. The valid OMB control number for this collection
of information is 0596-0225.
File Code: 2450

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