NRCS-CPA-1202 Conservation Program Contract

US DEPARTMENT OF AGRICULTURE
NATURAL RESOURCES CONSERVATION SERVICE

NRCS-CPA-1202 10/2006
PAGE OF

CONSERVATION PROGRAM CONTRACT
Participant

State and County

Watershed

Program and Contract Number

Fund Code

This agreement is effective on the date signed by the
Natural Resources Conservation Service approving official
and extends through .

1.

The undersigned participants enter into this contract with the Natural Resources Conservation Service (NRCS) to
implement and or maintain specific conservation practices, as set forth in the Conservation Plan Schedule of
Operations (NRCS-CPA-1155), on the property as identified on the plan map. In consideration for the
implementation and or maintenance of the practices, the NRCS will make payments to the participant(s) in the
amount(s) described in the Schedule of Operations as outlined in the appendix.

2.

This agreement is comprised of this Conservation Program Contract form NRCS-CPA-1202, NRCS-CPA-1202
Appendix; NRCS-CPA-1155 Plan Schedule of Operations and plan map which are fully incorporated by reference
into this document and are binding upon the participant(s). The NRCS-CPA-1155 may be modified (NRCS-CPA1156) upon agreement of NRCS and the participant and becomes a part of the contract when signed by the
NRCS approval official.

3.

The participant(s) agree: A) to implement and maintain conservation practices for the life of this agreement on the
plan map in compliance with the plan or schedule of operations and in accordance with the standards,
specifications, and other special program criteria obtained from the local field office of the NRCS;
B) to forfeit further payments under this agreement and refund the United States, in amounts determined by (3 A)
NRCS, payments received hereunder upon NRCS determination that participant(s) have violated the material
terms of this agreement or accept such payment adjustments as NRCS may deem appropriate if NRCS decides
that the participant’s violation does not warrant termination of the agreement; and C) to forfeit all rights to further
payments under the agreement and refund to the United States, in amounts determined by NRCS, payments
received hereunder if the subject land is transferred to a non-participant during the term of this agreement, unless
the third party agrees to assume this agreement, and (3 B) the NRCS consents to the modification.

4.

CONTRACT PARTICIPANTS
SSN or TAX ID if applicable

Signature

Payment Shares

Date

… yes

Signature required for modifications

5.

Signature required for payments

… yes

… no

CONTRACT OBLIGATIONS

20__
$999,999
$999,999

6.

… no

20__
$999,999
$999,999

20__
$999,999
$999,999

20__
$999,999
$999,999

20__
$999,999
$999,999

20__
$999,999
$999,999

20__
$999,999
$999,999

20__
$999,999
$999,999

NRCS APPROVING OFFICIALS

Contract Approval

Contract Obligation

Date

Date

20__
$999,999
$999,999

20__
$999,999
$999,999

Total
$999,999
$999,999
$450,000

US DEPARTMENT OF AGRICULTURE
NATURAL RESOURCES CONSERVATION SERVICE

NRCS-CPA-1202 10/2006
PAGE OF

CONSERVATION PROGRAM CONTRACT
Participant

Program and Contract Number

OMB DISCLOSURE STATEMENT

According to the Paper Work 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 0578-0013. The time required to complete this information collection is estimated to average 0.69 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.

PRIVACY ACT STATEMENT

The above statements are made in accordance with the Privacy Act of 1974 (U.S.C. 522a). Furnishing this information is
voluntary; however, failure to furnish correct, complete information will result in the withholding or withdrawal of such technical or
financial assistance. The information may be furnished to other USDA agencies, the Internal Revenue Service, the Department of
Justice, or other state or federal law enforcement agencies, or in response to orders of a court, magistrate, or administrative
tribunal.

NONDISCRIMINATION STATEMENT

The United States 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, or 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, Room326-W, Whitten Building, 1400 Independence
Avenue, S.W., Washington, D.C. 20250-9410 or call (202) 720-5964.

US DEPARTMENT OF AGRICULTURE
NATURAL RESOURCES CONSERVATION SERVICE

NRCS-CPA-1202 10/2006
PAGE OF

CONSERVATION PROGRAM CONTRACT
Participant

4.

Program and Contract Number

CONTRACT PARTICIPANTS (Continued)

Name, Address, Telephone

Signature

SSN or TAX ID if applicable

Date
Signature required for modifications

… yes

… no

Name, Address, Telephone

Signature

Signature required for payments

… yes

… no

SSN or TAX ID if applicable

Date
Signature required for modifications

… yes

… no

Name, Address, Telephone

Signature

Signature required for payments

… yes

… no

SSN or TAX ID if applicable

Date
Signature required for modifications

… yes

… no

Name, Address, Telephone

Signature

Signature required for payments

… yes

… no

SSN or TAX ID if applicable

Date
Signature required for modifications

… yes

… no

Signature required for payments

… yes

… no