BCAP-3 Producer Contract/Appendix

Form Approved –OMB No. 0560-XXXX

This form is available electronically.
BCAP-3
U.S. DEPARTMENT OF AGRICULTURE
(proposal 5)
Commodity Credit Corporation

1. Farm Number

2. Tract Number(s)

3. Contract Number

4. Contract Acres

BIOMASS CROP ASSISTANCE PROGRAM CONTRACT
NOTE: 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 0560-XXXX. The
time required to complete this information collection is estimated to average 4 minutes 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. RETURN
THIS COMPLETED FORM TO YOUR COUNTY FSA OFFICE.
8. Administrative County Office Address (Include Zip Code)

5A. Contract Period:

FROM (MM-DD-YYYY)

TO(MM-DD-YYYY)

5B. Contract Length in Years

6A. Admin. ST. & CO Code

9. Telephone Number (Include Area Code):

6B. Phys. Loc. ST & CO Code

7. Project Area ID Number:

THIS CONTRACT is entered into between the Commodity Credit Corporation (referred to as ''CCC") and the undersigned owners, operators, or tenants (who may be referred to as
'"the Participant".) The Participant agrees to place the designated acreage into the Biomass Crop Assistance Program (''BCAP") Project Area Program from the date the Contract is
executed by the CCC. The Participant also agrees as part of this contract to implement on such designated acreage the Conservation Plan or Forest Stewardship Plan for energy
crop production developed for such acreage and approved by the CCC and the Participant. Additionally, the Participant and CCC agree to comply with the terms and conditions
contained in this Contract, including the Appendix to this Contract, entitled Appendix to BCAP-3 Biomass Crop Assistance Contract (referred to as ''Appendix"). By signing below, the
Participant acknowledges that a copy of the Appendix has been provided to such person. Such person also agrees to pay such liquidated damages in an amount specified in the
Appendix if the Participant removes or modifies acres after contract approval. The terms and conditions of this contract are contained in Forms BCAP-2 Worksheet, this
BCAP-3 Contract, and the BCAP-3 Appendix and any addendum thereto. BY SIGNING THIS CONTRACT PRODUCERS ACKNOWLEDGE RECEIPT OF THE FOLLOWING
FORMS: BCAP-2; BCAP-3; BCAP-3 Appendix and any addendum thereto; if applicable.
11. Identification of BCAP Land (See Page 2 for additional space)
10A. Annual Rental Rate Per Acre

$

10B. Annual Contract Payment

$

10C. First Year Annual Payment

$

10D. Advanced Partial First Year
Payment

$

A.
Tract No.

B.
CLU/Field No.

C.
Practice No.
and Name

D.
Acres

E.
Total Estimated
Establishment
Payment by
Field
$
$
$

F. Total Estimated Establishment Payment

$

12. PARTICIPANTS(If more than three individuals are signing, continue on attachment.)
A(1) Name and Address (Zip Code):

(2) Share

(3) Signature (By)

(4) Title/Relationship of the Individual if
Signing in a Representative Capacity

(5) Date

(4) Title/Relationship of the Individual if
Signing in a Representative Capacity

(5) Date

(4) Title/Relationship of the Individual if
Signing in a Representative Capacity

(5) Date

(MM-DD-YYYY)

%
B(1) Name and Address (Zip Code):

(2) Share

(3) Signature (By)

(MM-DD-YYYY)

%
C(1) Name and Address (Zip Code):

(2) Share

(3) Signature (By)

(MM-DD-YYYY)

%

13. CCC USE ONLY –Payments
according to the shares are
approved.
NOTE:

A. Signature of CCC Representative

B. Date
(MM-DD-YYYY)

The following statement is made in accordance with the Privacy Act of 1974 (5 USC 552a –as amended). The authority for requesting the
information identified on this form is 7 CFR Part 1404 and the Commodity Credit Corporation Charter Act (15 U.S.C. 714). The information will be
used to allow the producer to authorize CCC to make a program payment to an assignee. The information collected on this form may be disclosed
to other Federal, State, Local government agencies, Tribal agencies, and nongovernmental entities that have been authorized access to the
information by statute or regulation and/or as described in applicable Routine Uses identified in the System of Records Notice for USDA/FSA-2,
Farm Records File (Automated). Providing the requested information is voluntary. However, failure to furnish the requested information will result
in a determination that a payment to the assignee cannot be made.RETURN THIS COMPLETED FORM TO YOUR COUNTY FSA OFFICE.

The U.S. Department of Agriculture (USDA) prohibits discrimination in all of 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, political beliefs, genetic information, reprisal, or because all or part of an individual’
s income is derived from any public assistance program. (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 to USDA, Assistant Secretary for Civil Rights, Office of the Assistant Secretary for Civil Rights, 1400 Independence Avenue, S.W., Stop
9410, Washington, DC 20250-9410, or call toll-free at (866) 632-9992 (English) or (800) 877-8339 (TDD) or (866) 377-8642 (English Federal-relay) or (800) 845-6136 (Spanish Federal-relay). USDA is an equal
opportunity provider and employer.

Original –County Office Copy

Owner’
s Copy

Operator’
s Copy

BCAP-3 (proposal 5)

Page 2 of 2

CONTINUATION OF ITEM 11 –Identification of BCAP Land
B.
CLU/Field No.

C.
Practice No. and Name

E.
Total Estimated
Establishment Payment

D.
Acres
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$

Original –County Office Copy

Owner’
s Copy

Operator’
s Copy