Fs-2400-11 Waiver Of Time Limit

USDA - Forest Service FS-2400-11 (7/10) OMB No. 0596-XXXX Exp. Date (XX/XXX) WAIVER OF TIME LIMIT (FSM 2453)

A. Forest:

     

C. Address for Returning this Form:

     

B. Ranger District:

     

     

     

INSTRUCTIONS: Contracting Officer: Complete this form through Section III, sign, date, and mail original and one copy to the Purchaser.

SECTION I: SALE IDENTIFICATION

1. Purchaser Name and Address:

2. Sale Name:

     

     

     

3. Contract Number:

4. Award Date:

     

     

     

     

5. Termination Date:

     

     

SECTION II: VOLUME OF TIMBER

1. Reported Cut and Removed:

     

     

     

(Volume)

(Unit of Measure)

(Date)

2. Estimated Volume Remaining:

     

     

(Volume)

(Unit of Measure)

SECTION III: WAIVER

You are hereby informed that you will be given a reasonable time, not beyond

     

, 20

     

,

in which to fulfill your obligations under the above designated contract, except that no timber removal is permitted: Provided, it is mutually agreed that any right to damages which the United States may have under the terms of the original contract, either for failure to complete said original contract within the time limit or otherwise, is not waived or affected in any manner whatsoever by this instrument.

Signature:

Title:

Contracting Officer

Date:

     

Name:

     

NOTE TO TIMBER PURCHASER: Please acknowledge receipt of this waiver and your acceptance of its conditions by completing Section IV, below, and returning the original to the address shown in Block C at the top of this form. Retain a copy for your files.

SECTION IV: ACCEPTANCE

The above conditions are hereby accepted.

Signature:

Title:

Date:

     

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 10 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.

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.

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