Form Ars 494 – Fill Out and Use This PDF

FROM (Agency and complete mailing address (including ZIP Code)

PERMITTEE (Name and complete mailing address (including ZIP Code)

GOVERNMENT REPRESENTATIVE (Name, title, and complete address)

DESCRIPTION OF PROPERTY (Specify unit numbers, metes and bounds, etc.)

LAND

BUILDING

SIGNATURE

NAME AND TITLE (Typed or Printed)

DATE ISSUED

SIGNATURE

Form ARS-494 (6/88)

NAME AND TITLE (Typed or Printed)

See reverse for General Terms and Conditions

DATE ISSUED

USDA-ARS

1. Grant — This permit is granted by the United States of America, acting by and through the Real Estate Warrant Officer, or duly authorized representative, for the specified purposes, and subject to the conditions and requirements set forth herein.

2.Use Limitations — The permittee's use of the described premises is limited to the purposes herein specified. The permit is subject to such easements and rights-of-way in, over, or upon the herein-described lands that have been granted or that may hereafter be granted by the Government and shall be subject further to the right of access by duly authorized Federal Personnel to any part thereof in the performance of official duties.

3.Damages — The permittee shall hold the United States harmless from claims, demands, suits in law or in equity of any kind or nature for damage to or loss of property, or of injury to, or death of persons resulting from or attributable to the development, use or maintenance of the herein-described lands of the Government.

4.Operating Rules and Laws — The permittee shall keep the premises in a neat and orderly condition at all times, and shall comply with all municipal, county, and State laws applicable to operations under the permit as well as all Federal laws, rules, and regulations governing the area described in this permit.

5.Responsibility of Permittee — The permittee, by operating on the premises, shall be considered to have accepted these premises with all the facilities, fixtures, or improvements in their existing condition as of the date of this permit. At the end of the period specified or upon earlier termination, the permittee shall give up the premises in as good order and condition as when received except for reasonable wear, tear, or damage occurring without fault or negligence. Notwithstanding other provisions in this permit requiring reasonable care, the permittee shall be strictly liable for any and all damages to property, real or personal, including, but not limited to, damages or loss caused from fires, or injury to or loss of livestock, resulting from or attributable to the use or operation on the herein-described lands.

6.Revocation Policy — This permit may be revoked at the will of the Real Estate Warrant Officer or duly authorized representative. Upon giving of such notice or revocation, this permit shall be null and void and,

within a period of not more than days, the property of the permittee shall be removed in such manner as not to endanger property of the Government or to interfere with the use thereof by the Government, and the premises utilized in this permit shall be restored to the same condition as when this permit was first issued, ordinary wear and tear excepted.

7.Termination Policy — At the termination of this permit, the permittee shall immediately give up possession to the Government representative, reserving the rights specified in paragraph 8.

8.Removal of Permittee's Property — Upon the expiration or termination of this permit, the permittee may, within a reasonable period as stated in this permit or as determined by the Government representative, but not

to exceed days, remove all structures, machinery and/or equipment, etc., from the premises for which the permittee is responsible. Upon failure to remove any of the above items within the aforesaid period, they shall become property of the United States.

9.Transfer of Privileges — No rights under this permit may be transferred without the advance written approval of the Real Estate Warrant Officer, or duly authorized representative.

10.Officials Barred from Participating — No member of or delegate to Congress or Resident Commissioner shall be admitted to any share or part of this permit or to any benefit to arise therefrom. This provision shall not be construed to extent to this permit if made with a corporation for its general benefit.

11.Non-discrimination — This permit is made subject to the provisions in "Assurance of Compliance with the Department of Agriculture Regulations under Title VI of the Civil Rights Act of 1964," Form ARS-519. In addition to signing the permit, the permittee is required to sign the attached Form ARS-519 — not applicable to Government rental of quarters.

12.Use of Insecticides — The permittee shall not use an "Active Ingredient" as defined in Section 2 of the Federal Insecticide, Fungicide, and Rodenticide Act, as amended, (61 Stat. 163; 7 U.S.C. 136 et seq.) in violation of said Act on the land described in this permit.