Dd Form 2402 – Fill Out and Use This PDF

CIVIL AIRCRAFT HOLD HARMLESS AGREEMENT

Form Approved

OMB No. 0701-0050

Expires Apr 30, 2007

49 USC SECTION 44502(D), TO USE MILITARY AIRFIELD FACILITIES, AGREES:

a. The User releases forever the United States, its agencies, and

c. For the purposes of this agreement, the term "United States

United States personnel, from every liability arising out of the use of

personnel" shall include:

the military airfield, supplies, or services, by the User. The User will

defend, pay or settle every claim or suit against the United States, its

(1) Military personnel and civilian employees of the United States,

agencies, and United States personnel, by agents or employees of the

User or persons claiming through them, or by third parties, and will

including non-appropriated fund employees, acting within the scope

hold the United States, its agencies, and United States personnel,

of their employment, and

harmless against every such claim or suit, including attorney fees,

costs, and expenses, arising out of the use of the military airfield or

(2) Heirs, successors, executors, administrators, and assigns of such

military supplies or services, by the User.

employees.

EXCEPTION: Death, injury, loss or damage to persons or property

resulting solely from the willful misconduct of United States

d. The User will comply with all pertinent parts of applicable

personnel; and, in addition, any liability from another contract

military regulations listed in NOTE 1 and local supplements,

concerning the use of the military airfield, supplies, or services shall

directives, and orders, which are hereby incorporated into this

not be affected by the Hold Harmless Agreement.

b. The User will pay or settle every claim for death or injury to

agreement.

United States personnel, or for loss or damage to property of or under

e. This agreement replaces previous Hold Harmless Agreements, if

the control of the United States or United States personnel, arising

any, by the same User, as of the date of this agreement.

out of the use of the military airfield or military supplies or services,

Termination by the User requires 60 days written notice to the

by the User, unless the death, injury, loss, or damage results solely

from the negligence or willful misconduct of United States personnel.

military authority where the agreement was submitted.

NOTE 1

ARMY

NAVY

AIR FORCE

AR 95-2 Can be viewed at:

SECNAVINST 3770.1C

AFI 10-1001

http://books.army.mil/cgi-bin/bookmgr/Shelves

Can be viewed at: http://neds.nebt.daps.mil/

Can be viewed at: http://afpubs.hq.af.mil

Directives/dirindex.html

2. USER

(1)

TYPED COMPANY NAME(S)

(2)

COMPANY ADDRESS(ES)

B. INDIVIDUAL OR FIRST CORPORATE OFFICER

(1)

TYPED NAME (Last, First, Middle Initial)

(2)

ADDRESS (If corporation, may state "Same as Above")

(3)

SIGNATURE (Blue Ink)

(4)

TITLE (If corporate officer)

3. VERIFICATION (Complete if the user is a company, corporation, etc.)

I hereby verify that the signatory above holds the position indicated and is duly authorized to sign on behalf of the User.

A. SECOND CORPORATE OFFICER

(1)

TYPED NAME (Last, First, Middle Initial)

(2)

SIGNATURE (Blue Ink)

(3)

TITLE

4. DATE SIGNED (YYYYMMDD)

DD FORM 2402, AUG 2004

PREVIOUS EDITION IS OBSOLETE.

ARMY

NAVY

AIR FORCE

NOTE 2

COMMANDER

DIRECTOR

NAVAL FACILITIES

USAASA, ATTN: ATAS-AS

ENGINEERING COMMAND

HQ USAF/XOO-CA

BLDG 1466

CODE: REAT

1480 AIR FORCE PENTAGON RM 4D1010

9325 GUNSTON RD, SUITE N319

WASHINGTON NAVY YARD

WASHINGTON, DC 20330-1480

1322 PATTERSON AVE. S.E., SUITE 1000

FT BELVOIR, VA 22060-5582

(703) 697-5967

WASHINGTON, DC 20374-5065

(703) 806-4864

(202)685-9202