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Integrated Resource Contract Name of Contractor U.S. DEPARTMENT OF AGRICULTURE FOREST SERVICE INTEGRATED RESOURCE CONTRACT (Applicable to Contracts with Measurement before Harvest) National Forest Ranger District Region Contract Number Gifford Pinchot Mt Adams Pacific N-West Contract Name Award Date Termination Date Grouse STEW 12/31/2021 The parties to this contract are The United States of America, acting through the Forest Service, United States Department of Agriculture, hereinafter called Forest Service, and hereinafter called Contractor. Unless provided otherwise herein, Forest Service agrees to sell and permit Contractor to cut and remove Included Timber and Contractor agrees to purchase, cut, and remove Included Timber and complete required stewardship projects. IN WITNESS WHEREOF, the parties hereto have executed this contract as of the award date. UNITED STATES OF AMERICA By: Two Witnesses:2/ Contracting Officer (Title) (Name) By: (Contractor) 3/ (Address) (Name) (Title) (Address) (Business Address) I, 4 /_____________________________________________ , certify that I am the _________________________________________ Secretary of the corporation named as Contractor herein; that _________________________________________________________ who signed this contract on behalf of Contractor, was then ___________________________________________________________ of the corporation; that the contract was duly signed for and in behalf of the corporation by authority of its governing body, and is within the scope of its corporate powers. CORPORATE SEAL 5/ Page 1 Contract FS-2400-13T, (9/04) Contract Name: Grouse STEW Contract No: INSTRUCTIONS: 1/ If Contractor is a corporation, state a "corporation organized and existing under the laws of the State of _________________" and specify the State; if Contractor is a partnership, state a "partnership consisting of ____________________________" and specify the names of each partner; and if Contractor is a sole proprietor doing business under an assumed name, state "(n) individual doing business under the name of ________________________________ City of ____________________, State of _______________." 2/ The signatures and addresses of two witnesses are required if Contractor is other than a corporation. 3/ If Contractor is a co-partnership, the signatures should be: XYZ Company, by John Doe, a member of the firm. If Contractor is a corporation, form of signature should be: XYZ Company, by John Doe, President (or other officer or agent) and the seal of the corporation must be impressed or indicated. 4/ The certificate must be completed if Contractor is a corporation. 5/ For companies incorporated in States that require a corporate seal, if the corporation has no corporate seal that fact shall be stated, in which case a scroll or adhesive seal shall follow the corporate name. EXAMPLE 1/ Subcontractor Certification Regarding Debarment, Suspension, Ineligibility, and Voluntary Exclusion Contract Name: _______________________ National Forest: __________________________ The prospective subcontractor (participants in lower tier covered transactions) certifies, by submission of this proposal, that neither it nor its principals is presently debarred, suspended, proposed for debarment, declared ineligible, or voluntarily excluded from participation in this contract by any Federal department or agency. Where the prospective subcontractor is unable to certify to any of the statements in this certification, such prospective subcontractor shall attach an explanation to this proposal. Name of Subcontractor: __________________________ Business Address: __________________________ __________________________ ________________ ___________________________ Date Signature 1/ It is Contractor's responsibility to have subcontractors complete this certification and to maintain a file of completed certifications. This certification does not need to be returned to the Forest Service, except at the written request of the Contracting Officer. Contract Name: Grouse STEW Contract No: AT.0 - SPECIFIC CONDITIONS. The following conditions apply to the indicated portions of Division BT - Standard Provisions issued September 2004. AT.1 - Location and Area, applicable to BT.1 This Contract Area of 3275 acres more or less is located in: Sections 24, 25, 26, 35, and 36, T5N, R8E; Section 6, T5N, R9E; Sections 7, 8, 9, 16, 17, 18, 19, 20, 21, 27, 28, 29, 30, 31, 32, 33, 34,T6N, R9E, W.M., Unsurveyed, Skamania County, Washington AT.2 - Volume Estimate and Utilization Standards, applicable to CT.1, CT.2, CT.4, and GT.4 Minimum Specifications Merchantable Tree Piece Required to be Removed Diameter Number Diameter Breast of Inside Net Scale High Minimum Bark at in % of (d.b.h.) Small End Estimated Unit of Pieces Length Gross (inches) (inches) Species Product Quantity * Measure per Tree (feet) Scale Douglas-fir and Western Larch Sawtimber 6,364.00 CCF 7.0 1 8 5.0 40 Pacific Silver Fir and Other Sawtimber 4,563.00 CCF 7.0 1 8 5.0 40 Coniferous Species All Coniferous Species Grn Bio Cv 362.00 CCF 5.0 1 8 4.0 N/A Total Quantity 11,289.00 CCF * Quantities not included here are described in CT.4. Page 2 Contract FS-2400-13T, (9/04) Contract Name: Grouse STEW Contract No: AT.3- Timber Designations, applicable to CT.3; acres are approximate: Number Acres Clearcutting Units (CT.3.1) Specified Road Clearing (CT.3.2) Overstory Removal Units (CT.3.3) Understory Removal Units (CT.3.4) Individual Trees (CT.3.5) 477 Incompletely Measured Payment Units (CT.3.6) Page 3 Contract FS-2400-13T, (9/04) Contract Name: Grouse STEW Contract No: AT.4 - Timber Payment Rates, applicable to DT.1 and ET.0 AT.4.1 - Escalated Rates, applicable for Species and Products to be Paid for at Rates Escalated under DT.2 Rates per Unit of Measure Required Bid Bid Deposits Base Advertised Premium (Tentative) Slash Unit of Disposal Base $ $ $ $ Species Product Measure $ Index Douglas-fir and Western Larch Sawtimber CCF 1.00 47.08 1.14 193.97 Pacific Silver Fir and Other Sawtimber CCF 1.00 32.83 1.14 176.31 Coniferous Species AT.4.2- Flat Rates, applicable for Species and Products to be Paid for at Flat Rates Rates per Unit of Measure Required Bid Bid Deposits Base Advertised Premium (Flat) Slash Unit of Disposal $ $ $ $ $ Species Product Measure All Coniferous Species Grn Bio Cv CCF .25 .25 1.14 For purposes of convenience in collection and bookkeeping, Bid Rates stated in AT.4 include payment of deposits for contract area betterment required pursuant to 16 USC 576b. Such deposits are not included as Required Deposits defined hereunder. Page 4 Contract FS-2400-13T, (9/04) Contract Name: Grouse STEW Contract No: AT.4.3 - Schedule of Payment Units To be Escalated under AT.4.1 To be Paid for at Flat Rates under AT.4.2 Total Total Required Pay- Total Flat Deposits ment App Tentative Rate for Slash Unit rox. Payment Payment Disposal No. Acres Species Product Qty UOM $ Species Product Qty UOM $ $ 1 33 Douglas-fir and Sawtimber 426.00 CCF 873.24 Western Larch Pacific Silver Fir Sawtimber 320.00 CCF and Other Coniferous Species All Coniferous Grn Bio Cv 20.00 CCF Species Total PU Quantity And Value 746.00 CCF Total PU Quantity And Value 20.00 CCF 2 26 Douglas-fir and Sawtimber 335.00 CCF 687.42 Western Larch Pacific Silver Fir Sawtimber 252.00 CCF and Other Coniferous Species All Coniferous Grn Bio Cv 16.00 CCF Species Total PU Quantity And Value 587.00 CCF Total PU Quantity And Value 16.00 CCF 3 24 Douglas-fir and Sawtimber 310.00 CCF 634.98 Western Larch Pacific Silver Fir Sawtimber 233.00 CCF and Other Coniferous Species All Coniferous Grn Bio Cv 14.00 CCF Species Total PU Quantity And Value 543.00 CCF Total PU Quantity And Value 14.00 CCF 5 41 Douglas-fir and Sawtimber 529.00 CCF 1,085.28 Western Larch Pacific Silver Fir Sawtimber 398.00 CCF and Other Coniferous Species All Coniferous Grn Bio Cv 25.00 CCF Species Total PU Quantity And Value 927.00 CCF Total PU Quantity And Value 25.00 CCF 6 58 Douglas-fir and Sawtimber 748.00 CCF 1,535.58 Western Larch Pacific Silver Fir Sawtimber 563.00 CCF and Other Coniferous Species All Coniferous Grn Bio Cv 36.00 CCF Species Total PU Quantity And Value 1,311.00 CCF Total PU Quantity And Value 36.00 CCF 7 62 Douglas-fir and Sawtimber 800.00 CCF 1,641.60 Western Larch Pacific Silver Fir Sawtimber 602.00 CCF and Other Coniferous Species All Coniferous Grn Bio Cv 38.00 CCF Species Total PU Quantity And Value 1,402.00 CCF Total PU Quantity And Value 38.00 CCF Page 5 Contract FS-2400-13T, (9/04) Contract Name: Grouse STEW Contract No: To be Escalated under AT.4.1 To be Paid for at Flat Rates under AT.4.2 Total Total Required Pay- Total Flat Deposits ment App Tentative Rate for Slash Unit rox. Payment Payment Disposal No. Acres $ $ $ 8 25 Douglas-fir and Sawtimber 322.00 CCF 661.20 Western Larch Pacific Silver Fir Sawtimber 243.00 CCF and Other Coniferous Species All Coniferous Grn Bio Cv 15.00 CCF Species Total PU Quantity And Value 565.00 CCF Total PU Quantity And Value 15.00 CCF 9 52 Douglas-fir and Sawtimber 671.00 CCF 1,375.98 Western Larch Pacific Silver Fir Sawtimber 505.00 CCF and Other Coniferous Species All Coniferous Grn Bio Cv 31.00 CCF Species Total PU Quantity And Value 1,176.00 CCF Total PU Quantity And Value 31.00 CCF 10 32 Douglas-fir and Sawtimber 413.00 CCF 847.02 Western Larch Pacific Silver Fir Sawtimber 311.00 CCF and Other Coniferous Species All Coniferous Grn Bio Cv 19.00 CCF Species Total PU Quantity And Value 724.00 CCF Total PU Quantity And Value 19.00 CCF 11 4 Douglas-fir and Sawtimber 52.00 CCF 106.02 Western Larch Pacific Silver Fir Sawtimber
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