Dd Form 2402 - Civil Aircraft Hold Harmless Agreement printable pdf download

OMB No. 0701-0050

CIVIL AIRCRAFT HOLD HARMLESS AGREEMENT

The public reporting burden for this collection of information is estimated to average 10 minutes 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. Send comments regarding this burden estimate or any other aspect of this collection of information,

including suggestions for reducing the burden, to the Department of Defense, Washington Headquarters Services, Executive Services Directorate, Information Management Division, 1155

Defense Pentagon, Washington, DC 20301-1155 (0701-0050). Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to

comply with a collection of information if it does not display a currently valid OMB control number.

PLEASE DO NOT RETURN YOUR FORM TO THE ABOVE ORGANIZATION. SEND COMPLETED FORM TO THE ADDRESS IN NOTE 2 ON BACK.

NOTE: THIS FORM DOES NOT CONSTITUTE A CIVIL AIRCRAFT LANDING PERMIT.

Please read Privacy Act Statement and Instructions on back before completing this form.

If additional space is required, continue on back.

1. THE USER NAMED BELOW, IN CONSIDERATION OF PERMISSION GRANTED BY THE UNITED STATES ARMED FORCES UNDER PL 85-726,

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

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

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

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

personnel" shall include:

airfield, supplies, or services, by the User. The User will defend, pay or

settle every claim or suit against the United States, its agencies, and

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

United States personnel, by agents or employees of the User or persons

claiming through them, or by third parties, and will hold the United States,

including non-appropriated fund employees, acting within the scope of

its agencies, and United States personnel, harmless against every such

their employment, and

claim or suit, including attorney fees, costs, and expenses, arising out of

the use of the military airfield or military supplies or services, by the User.

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

employees.

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

resulting solely from the willful misconduct of United States personnel;

and, in addition, any liability from another contract concerning the use of

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

the military airfield, supplies, or services shall not be affected by the Hold

regulations listed in NOTE 1 and local supplements, directives, and

Harmless Agreement.

orders, which are hereby incorporated into this agreement.

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

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

e. This agreement replaces previous Hold Harmless Agreements, if

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

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

use of the military airfield or military supplies or services, by the User,

by the User requires 60 days written notice to the military authority

unless the death, injury, loss, or damage results solely from the

where the agreement was submitted.

negligence or willful misconduct of United States personnel.

NOTE 1

ARMY

NAVY

AIR FORCE

32 CFR 766

AFI 10-1001

AR 95-2 Can be viewed at:

Can be viewed at:

2. USER

a. CORPORATION (Name and address of divisions, subsidiaries, or companies of the parent organization named as user and for whom the user is legally liable

should also be listed if this agreement is applicable to their use of military airfields.)

(1) TYPED COMPANY NAME(S)

(2) COMPANY ADDRESS(ES)

N/A

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.