UNITED STATES DEPARTMENT OF HOMELAND SECURITY

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UNITED STATES DEPARTMENT OF AGRICULTURE
ANIMAL AND PLANT HEALTH INSPECTION SERVICE
PLANT PROTECTION AND QUARANTINE
COMPLIANCE AGREEMENT
1. NAME AND MAILING ADDRESS OF PERSON OR FIRM
     
2. LOCATION
     
3. REGULATED ARTICLE(S)
     
4. APPLICABLE FEDERAL QUARANTINE(S) OR REGULATIONS
     
5. I / WE AGREE TO THE FOLLOWING:

The United States Department of Agriculture, Animal and Plant Health Inspection Service, Plant Protection and Quarantine, will permit your Establishment to execute the regulatory requirements outlined in 7 Code of Federal Regulations (CFR) Part 301.40-6.

This agreement becomes effective upon signing and shall remain in effect until canceled by either party after
30 days notice to the other at the address of either appearing above.  However, the Department may accelerate the notice to ‘immediate for cause’ including but not limited to the Establishment’s abandonment of the prescribed procedures.

The Establishment assumes liability, if any, arising from the manner in which the Establishment sells, handles, or distributes any regulated host material.

NOTICE:  Any signatory, or employee of any signatory, who violates the terms of this compliance agreement may be subject to civil penalties pursuant to 7 CFR Part 301.46, and the Plant Protection Act of 2000.

6. SIGNATURE

7. TITLE
     
8. DATE SIGNED
     
The affixing of the signatures below will validate this agreement which shall remain in 
effect until canceled, but may be revised as necessary or revoked for noncompliance.
9. AGREEMENT NO.
     

10. DATE OF AGREEMENT
     
11. PPQ/CBP OFFICIAL (NAME AND TITLE)
     
12. ADDRESS
     
13. SIGNATURE






14. U.S. GOVERNMENT/STATE AGENCY OFFICIAL (NAME AND TITLE)
     
15. ADDRESS
     
16. SIGNATURE






PPQ FORM 519 (OCT 2010)                                                 Previous editions are obsolete