Fillable Form 4120-6 - Cooperative Range Improvement Agreement printable pdf download

Form 4120-6 - Cooperative Range Improvement Agreement

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FORM APPROVED

Form 4120-6

OMB NO. 1004-0019

(February 2017)

Expires: January 31, 2020

FOR BUREAU OF LAND MANAGEMENT USE ONLY

UNITED STATES

DEPARTMENT OF THE INTERIOR

State .......................................................

BUREAU OF LAND MANAGEMENT

Office .....................................................

COOPERATIVE RANGE IMPROVEMENT AGREEMENT

Project Number(s)

Project Name(s)

INSTRUCTIONS - Cooperator(s) to receive original, and one copy each to the

District/Field Office case or lease file and District/Field Office project file.

1. I, (We)

and

hereinafter called cooperator(s) and the United States of America, by the Bureau of Land Management, hereinafter called the BLM, for and in consideration

of the mutual benefits hereunder, and in accordance with the Taylor Grazing Act (43 U.S.C. 315, 315a-r), as amended, the National Soil Conservation Act

(16 U.S.C. 590a(3)), as amended, the Federal Land Policy and Management Act (43 U.S.C. 1701, et seq.), and the Public Rangelands Improvement Act (43

U.S.C. 1904) do enter into this cooperative agreement for the construction and/or maintenance of range improvements, installation of conservation works or

establishment of conservation practices, hereinafter referred to collectively as improvements, for the benefit of the public lands and of the cooperator(s).

2. The improvement(s) known as the

will be

is (are)

located upon:

1/4, Sec(s).

Meridian, County of

, State of

3. IT IS MUTUALLY AGREED:

(a)

The parties hereto will furnish labor, materials, and equipment as required, the total cost or value not to exceed the amount listed below for each

of the parties respectively for the initial construction and/or installation of the improvements indicated in paragraph 2.

TOTAL