Fs-2400-16 Timber Purchaser's Request For Work

Contract Operations and Administration

FS2400-16RequestForWork

Contract Operations and Administration

OMB: 0596-0225

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FS 2400-16 (Rev. 7/10)

OMB No 0596-XXX (Exp. XX/XXXX)

U.S. DEPARTMENT OF AGRICULTURE - Forest Service


TIMBER PURCHASER'S REQUEST FOR WORK

(Act of April 24, 1950, 62 Stat. 83)

CONTRACT NO.

     

DATE OF CONTRACT (mm/dd/yyyy)

     

TO:

     

NATIONAL FOREST

     

ADDRESS

     

Under the terms of the timber sale contract referred to above, the Purchaser hereby elects to have the Forest Service perform the work described below. If this request is approved by the Forest Service, the Purchaser agrees to make

advance deposits of $       per       (unit of volume or payment unit) in

accordance with Section       of the above-designated contract, to cover the estimated cost,

based on actual cost experience in such work. These deposits may be combined for similar cooperative work and no further accounting or refund will be made unless provided otherwise below.


The rate shown above, which includes necessary overhead charges, may be adjusted from time to time by 10 days advance written notice to the Purchaser by the Forest Service.


It is understood that either the Forest Service or the Purchaser may cancel this arrangement by 10 days advance written notice to the other party at the end of any calendar year or following adjustment of the rates. If the work is not complete at cancellation, it will be completed by the purchaser. A Forest Service appraisal will compare the value of the work done with the deposits made for that purpose and if due, a refund will be made.


DESCRIPTION OF WORK TO BE PERFORMED: **


     





DATE (mm/dd/yyyy)

     

SIGNATURE OF PURCHASER

TITLE

     

ACCEPTANCE FOR THE FOREST SERVICE

While this arrangement is in effect, the Forest Service agrees to perform the work described above for the purchaser.

DATE (mm/dd/yyyy)

     

SIGNATURE

TITLE

     

GPO 886.401 * Insert applicable section number

** Refer to contract clauses and specifications






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 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.


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File Modified2010-07-09
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