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

Form Approved

CIVIL AIRCRAFT HOLD HARMLESS AGREEMENT

OMB No. 0701-0050

Expires Apr 30, 2007

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, Executive Services and Communications Directorate (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

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.

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

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

SECNAVINST 3770.1C

AFI 10-1001

AR 95-2 Can be viewed at:

Can be viewed at:

Directives/dirindex.html

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)

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)