2709.11_10 Page 1 of 14 FOREST SERVICE HANDBOOK PACIFIC SOUTHWEST REGION (REGION 5) VALLEJO, CALIFORNIA FSH 2709.11 - SPECIAL USES HANDBOOK CHAPTER 10 - APPLICATION AND AUTHORIZATION PROCESSING Supplement No.: 2709.11-2014-1 Effective Date: February 21, 2014 Duration: This supplement expires 5 years from the effective date unless superseded or removed earlier. Approved: RANDY MOORE Regional Forester Date Approved: 2/21/2014 Posting Instructions: Supplements are numbered consecutively by title and calendar year. Post by document; remove the entire document and replace it with this supplement. Retain this transmittal as the first page(s) of this document. The last supplement to this Handbook was 2709.11-2012-1 to Chapter 10. New Document Superseded Document(s) by Issuance Number and Effective Date 2709.11_10 2709.11-2012-1 Effective 8/20/2012 14 Pages 14 pages Digest: Because of an update to the parent text a mandatory review of this supplement was conducted and then certified by the directives manager. The text remains the same as the 2012-1 version. R5 SUPPLEMENT 2709.11-2014-1 EFFECTIVE DATE 2/21/2014 DURATION: This supplement expires 5 years from the effective date unless superseded or removed earlier. 2709.11_10 Page 2 of 14 FSH 2709.11 - SPECIAL USES HANDBOOK CHAPTER 10 - APPLICATION AND AUTHORIZATION PROCESSING 10.2 - Objectives Administer the special use authorization requirements regarding liability insurance requirements in keeping with the intent of FSM 2713.1. The objectives related to liability insurance requirements are to focus limited Forest Service resources by reducing unnecessary reviews of insurance policies; limit Forest Service liability; define roles of the holder and of the Forest Service; and ensure the holder provides adequate liability insurance coverage. 10.5 - Definitions (See FSM 2705, and 36 CFR 251.51 for additional definitions.) Additional Insured. A person or entity, other than the named insured, that is added to the insurance policy, often through an endorsement, and that has the same coverage as the named insured under the policy. In the case of special use authorizations, the additional insured is the United States. Aggregate Limit. The maximum amount of coverage for third-party property damage or personal injury, under a liability insurance policy during the term of the policy (which is usually one year), regardless of how many separate incidents of third-party property damage or personal injury occur during that period. Authorized Officer. (36 CFR 251.51) Case Manager. A special use administrator qualified to process a special use proposal and application, from initial contact with the proponent to denial or authorization of the use. For routine proposals, a case manager meets the competency requirements for a special use administrator and has the knowledge and experience commensurate with the type and complexity of the proposed use. For unusual and complex uses, such as those typically authorized by term permits, leases, or easements, the case manager meets the competency requirements for a special use specialist or works directly under such a specialist's guidance. Certificate or Declaration of Insurance. A statement of coverage issued to an insured under an insurance policy outlining the insurance benefits and principal provisions applicable to the insured. Claims-Made Policy. An insurance policy that covers claims made during the time the policy is in effect. Combined Single Limit Policy. A policy that subjects third-party property damage, death of or injury to one person, and death of or injury to more than one person to a single R5 SUPPLEMENT 2709.11-2014-1 EFFECTIVE DATE 2/21/2014 DURATION: This supplement expires 5 years from the effective date unless superseded or removed earlier. 2709.11_10 Page 3 of 14 FSH 2709.11 - SPECIAL USES HANDBOOK CHAPTER 10 - APPLICATION AND AUTHORIZATION PROCESSING limit, rather than separate limits, and that does not have limits for each occurrence and aggregate limits for each category of loss. Concession. A valid special use authorization for the provision of commercial recreation services, facilities, or activities on National Forest System lands. Examples of commercial recreation services, facilities or activities include ski areas, resorts, marinas, concession campgrounds, outfitting and guiding, recreation events and other public services. Declarations. Statements in an insurance policy about the type and extent of coverage under the policy. Indemnify. To secure against injury, loss, or damage that may occur in the future, or to provide compensation for injury, loss, or damage already suffered. Insured. A person or entity covered by an insurance policy, including the named insured and any additional insured. Insurer. A person or entity that agrees, by contract, to assume the risk of another's loss and to compensate for that loss. Liability Insurance. Insurance that covers claims for personal injury and third-party property damage (damage to property other than that owned by the insured or additional insured) up to the coverage limits, subject to the terms of the insurance policy. Liability Limit. The maximum amount the insurer is obligated to pay for a certain category of loss. Liability Limit Per Occurrence. The maximum amount the insurer is obligated to pay for each occurrence of third-party property damage or personal injury during the term of the policy. Named Insured. The person or entity being contracted for, and covered by, the insurance policy (the permit holder, in the case of insurance obtained pursuant to special use authorizations). Occurrence. An incident, including continuous or repeated exposure to conditions that result in personal injury or property damage, and is covered under the insurance policy. Occurrence Policy. An insurance policy that allows claims to be made after the policy period has expired, as long as the loss occurred while the policy was in effect. R5 SUPPLEMENT 2709.11-2014-1 EFFECTIVE DATE 2/21/2014 DURATION: This supplement expires 5 years from the effective date unless superseded or removed earlier. 2709.11_10 Page 4 of 14 FSH 2709.11 - SPECIAL USES HANDBOOK CHAPTER 10 - APPLICATION AND AUTHORIZATION PROCESSING Property Insurance. Insurance that covers damage to the property of the insured and any additional insured. Right of Subrogation. The right of the insurer, when it pays the insured pursuant to an insurance policy, to succeed to the claims that the insured has against third parties who were responsible for the loss. Risk Assessment. A process for determining the potential for the United States to incur loss. Solicited Proposal. A proposed use of National Forest System lands that is initiated by the Forest Service through issuance of a prospectus. Split Limit Policy. A policy that has separate limits for third-party property damage, death of or injury to one person, and death of or injury to more than one person, and that has limits for each occurrence and aggregate limits for each category of loss. Unsolicited Proposal. A proposed use of National Forest System lands that is not initiated by the Forest Service through issuance of a prospectus. 12.21 - Criteria for Initial Screening Notify the Regional Public Services staff prior to accepting any proposal that has the potential to create hazards to military or civilian aircraft. Potential hazards include, but are not limited to: 1. Uses that physically obstruct any portion of military or civilian airspace due to relative height above ground level; 2. Uses that release into the air any substance, such as steam, dust, and smoke, which could impair pilot visibility; 3. Uses that produce light emissions, glare, or distracting lights that could interfere with pilot vision or be mistaken for airfield lighting; and, 4. Uses that produce electromagnetic and frequency spectrum interference, which could impact military operations. Regional Public Services staff will initiate and coordinate review by the Department of Defense (DOD) prior to acceptance of any proposal that has the potential to create hazards to military activities. DOD will directly notify the Regional Public Services staff whether the proposal (1) has no significant impacts on military activities, (2) has an adverse effect on military activities that can be mitigated, or (3) has an adverse effect on military activities that cannot be mitigated. DOD will describe appropriate mitigations and indicate whether review is necessary. Review by Department of Homeland Security, Federal Aviation Administration, and National Weather R5 SUPPLEMENT 2709.11-2014-1 EFFECTIVE DATE 2/21/2014 DURATION: This supplement expires 5 years from the effective date unless superseded or removed earlier. 2709.11_10 Page 5 of 14 FSH 2709.11 - SPECIAL USES HANDBOOK CHAPTER 10 - APPLICATION AND AUTHORIZATION PROCESSING Service should normally be initiated after screening has concluded. See FSM 73.1 for further details about application requirements for wind energy infrastructure. Use Geographic Information Systems to aid screening processes. Regional Public Services Staff will work closely with DOD to ensure that all available military activity data layers are updated and available to field units. Proposals for wind energy infrastructure that will be located in California should be reviewed informally by state and county agencies prior to acceptance. This review can also be coordinated by the Regional Public Services staff. As part of informal review, the authorized officer is encouraged to discuss the proposal at a regularly scheduled renewable energy permitting meeting that is attended by various federal, state, and county agency representatives in Sacramento. The primary purpose of informal state and county review is to apprise the authorized officer of potential conflicts or interference the proposal may cause to adjacent non-National Forest System lands. See 36 C.F.R. § 251.54(e)(v). In addition, this informal review provides an opportunity for the authorized officer gain familiarity with California’s unique regulatory environment for energy infrastructure permitting. 14 - PREPARING AND ISSUING AUTHORIZATIONS. Do not enter into interagency or other authorized agreements (FSM 1580) in lieu of a special use authorization, unless there is mutual benefit to be derived by both parties and the use is otherwise in conformance with applicable laws, regulations, policy, and management direction. This includes uses such as training maneuvers by the military or uses which benefit state or local governments. 14.3 - Liability and Insurance Coverage 1. Indemnification. All authorizations, except those issued to federal agencies, must include a clause that requires the holder to indemnify and hold harmless the United States for any injury, loss, or damage, including third-party claims, damage to federal property, fire suppression costs, and environmental harm or injury to natural resources, that arises in connection with the holder’s use and occupancy. Approved clauses are in chapter 50 of this Handbook. Requests for modification of approved indemnification clauses should be submitted to the Regional Office Special Uses staff to ensure they meet legal standards before authorizing their use. 2. Insurance. A clause requiring insurance sufficient to cover the holder’s obligation to indemnify the United States for all injury, loss, or damage as a result of claims, demands, losses, or judgments that arise in connection with the holder’s use must be included in all concession special use permits. R5 SUPPLEMENT 2709.11-2014-1 EFFECTIVE DATE 2/21/2014 DURATION: This supplement expires 5 years from the effective date unless superseded or removed earlier. 2709.11_10 Page 6 of 14 FSH 2709.11 - SPECIAL USES HANDBOOK CHAPTER 10 - APPLICATION AND AUTHORIZATION PROCESSING All insurance policies obtained pursuant to a special use authorization shall obligate the insurer to defend the United States, in relation to all injury, loss, or damage, that arises in connection with the holder's use and occupancy of National Forest System lands. Insurance policies shall name the United States as an additional insured and shall not allow the insurer a right of subrogation against the United States. The United States Government is self-insuring. Therefore, do not include the liability insurance clause or bond requirement in permits to Federal agencies. If the facility will be operated by a non-federal third party, a clause should be included that requires indemnification of the United States and insurance. Requests for self insurance (i.e. State and local governments, utilities) require coordination and review by the Regional Office Special Uses Staff prior to approval. 3. Property Insurance. The amount of property insurance for federal facilities shall be determined by the authorized officer. In determining the amount of property insurance coverage to require, employ sound business management principles and policy considerations, including consideration of the following: a. Which facilities and resources are key to providing public services, and the risk of damage to multiple improvements. b. The holder's liquid assets, as well as the type of use and the risk of damages or loss due to activities conducted under the authorization, including the cost of replacement and other mitigation. c. The value of the facilities involved and inherent risk of damage to these facilities. d. Full replacement coverage pays up to the dollar limit in the policy for the cost to restore or replace the damaged or destroyed property without deduction for physical depreciation. e. Current value coverage pays up to the dollar limit in the policy for the current value of the damaged or destroyed property taking into account physical depreciation. f. Full replacement coverage provides the greatest protection to the United States and the public for repair or replacement of needed facilities, but is more expensive. g. Historic structures may be prohibitive in cost to reconstruct in kind. Insurance premiums may exceed what could reasonably be expected to be paid by the holder. R5 SUPPLEMENT 2709.11-2014-1 EFFECTIVE DATE 2/21/2014 DURATION: This supplement expires 5 years from the effective date unless superseded or removed earlier. 2709.11_10 Page 7 of 14 FSH 2709.11 - SPECIAL USES HANDBOOK CHAPTER 10 - APPLICATION AND AUTHORIZATION PROCESSING In some cases, it may be best to replace a historic structure with a modern building that can accommodate the functions and capacity of the original structure. h. The authorized officer may waive property insurance when it has been determined that facilities will not be replaced or when revenues generated from their use are not sufficient to cover the cost of insurance Document the basis of property damage insurance, and attach a list of facilities and their replacement values to the special use authorization. 4. Liability Insurance Policy Standards. Forest Supervisors should review each permit issued for the degree of risk involved. For example, some categories of Outfitter/Guide uses are of lower risks than others. These might include drift boaters or packers versus white water guiding in Class IV or higher rivers or rock climbing. Another example is when a ski area is a small "club" type operation. Where determined to be low in risk of potential tort exposure, Forest Supervisors may reduce insurance requirements to a 25/300/300 minimum level. In some situations (i.e. a river with a Class IV difficulty scale) the rating may be based upon a particular set of rapids, that if not run, would reduce the difficulty to a Class III. Conversely, where risks appear to be higher, determine increased insurance requirements and document the rationale. If contemplating reduction of minimum insurance levels, the holder must outline what operational changes to make that would reduce the degree of risk involved commensurate with the reduction in insurance coverage. Document these changes in the holder's annual operation plan. Policies naming the United States as additional insured "solely as respects liability arising from acts or omissions of the named insured," are unacceptable. Change the quoted language to protect the United States. Acceptable language may read "solely as respects liability arising from operations of the named insured." If there are questions regarding additional coverage stipulations, submit the additional insured rider to the Regional Office, Director of RWHR staff group for review. Insurance policies meet Forest Service requirements when they are written on any of the following forms: a. The Occurrence Form, if adequate occurrence policies are available for the kind of business authorized. b. A modified Occurrence Form containing (1) A claim reporting period requirement and a basic extended reporting period of at least 2 years for known and reported occurrences likely to result in a claim. R5 SUPPLEMENT 2709.11-2014-1 EFFECTIVE DATE 2/21/2014 DURATION: This supplement expires 5 years from the effective date unless superseded or removed earlier. 2709.11_10 Page 8 of 14 FSH 2709.11 - SPECIAL USES HANDBOOK CHAPTER 10 - APPLICATION AND AUTHORIZATION PROCESSING (2) A feature that requires response to claims for at least 2 years after an incident occurred if the insured had no way of knowing it had occurred, and therefore did not report it. c. A Claims-Made or Modified Claims-Made Form for the kind of business authorized, when they provide both of the following: (1) The policies provide at least a two-year basic extended-reporting period. (2) They include wording, or an endorsement to the effect, that the policy will respond to claims made within two years of an incident which occurred on National Forest System lands, and solely in respect to liability arising from the operations of the named insured, whether the incident had been reported or not. Claims-Made or Modified Claims-Made Policy Forms do not meet Forest Service requirements if the minimum two-year extended-reporting period is only available as an option. d. Policies must also meet all the following conditions: (1) They name the U.S. Government as additional insured, and include the appropriate wording shown in preceding direction. (2) They meet the minimum coverage requirements for the authorized activities shown in Exhibit 01 or as required by state law or regulation. (3) They include an appropriate 30-day notification clause in case of cancellation or amendment of coverage. When premiums are paid in full prior to use, 10-day notification of cancellation for non-payment of premiums is acceptable. (4) The exclusions (if any) listed on the Certificate of Insurance do not include any of the activities/operations authorized by the permit. (5) Some insurance policies stipulate that coverage for legal defense costs and supplementary payments is limited, and any payment of legal defense costs or supplementary payments reduces the limits of remaining coverage. When holders' activities are covered by policies containing this stipulation, authorized officers shall require the holder to have liability coverage greater than the minimum shown in preceding direction. For example, if the required minimum shown is $300,000, and the policy has the legal defense cost stipulation, the authorized officer shall require $500,000 coverage. If the minimum shown is $500,000, the authorized officer shall require $1,000,000 coverage. R5 SUPPLEMENT 2709.11-2014-1 EFFECTIVE DATE 2/21/2014 DURATION: This supplement expires 5 years from the effective date unless superseded or removed earlier. 2709.11_10 Page 9 of 14 FSH 2709.11 - SPECIAL USES HANDBOOK CHAPTER 10 - APPLICATION AND AUTHORIZATION PROCESSING 5. Waivers of Liability and Acknowledgement of Risk Forms. Insurance companies often require that their policy holders use Waivers of Liability and/or Acknowledgement of Risk forms. Even when not an insurance company requirement, special use authorization holders frequently require that their customers sign one or both of these forms before participating in an activity provided by the holder. Forest Supervisors should be guided by the following: a. Appropriately worded Acknowledgement of Risk forms required by insurance companies or special use authority holders are acceptable (Exhibit 02). b. Do not permit use of Waiver of Liability forms (Exhibit 03) except for high risk recreation events, such as enduros, road rallies, equestrian events, hang-gliding contests, and so forth. Many of the forms used for these purposes are unacceptable, because they would have the participant release the U.S. Government from liability for its own negligence. This conflicts with the intent of Congress in the Federal Tort Claims Act, which makes the Federal Government liable for the negligence of its officers and employees acting within the course and scope of their employment. Additionally, these forms may be at variance with state law. Permit use of these forms as long as they do not attempt to require participants to waive their rights to sue for any cause beyond ordinary negligence. To ensure that waivers meet legal standards, submit them to the Regional Office Special Uses staff for review before authorizing their use. 6. Administration Standards. Most, if not all, policy forms are broadly written to cover a wide spectrum of permitted uses. Certain facilities or activities are frequently excluded from coverage, except by endorsement (for example, swimming pools and watercraft). In other cases certain activities, such as serving of alcoholic beverages, are excluded entirely and will not be covered by endorsement but will require additional insurance policies. Therefore, Forest Supervisors and District Rangers each have distinct responsibilities in the review of insurance policies under this program, as follows: a. District Rangers or Forest Supervisors may request or invite insurance companies, brokers and agents to submit their policy forms for review. The Forest Supervisor may approve a policy that meets requirements. If there is doubt about the policy, submit it to the Regional Office Special Uses staff for further review. b. The Regional Office Special Uses staff and Office of General Counsel (OGC) as needed shall review the policy form to determine whether the U.S. Government is appropriately protected. c. The reviewing officer shall notify insurance companies, brokers and agents that the policy form is acceptable and request them to provide a Certificate of Insurance, R5 SUPPLEMENT 2709.11-2014-1 EFFECTIVE DATE 2/21/2014 DURATION: This supplement expires 5 years from the effective date unless superseded or removed earlier. 2709.11_10 Page 10 of 14 FSH 2709.11 - SPECIAL USES HANDBOOK CHAPTER 10 - APPLICATION AND AUTHORIZATION PROCESSING including (where applicable) the Master Policy Number, to the authorized officer. Insurance companies shall include, on the Certificate of Insurance, a list of all endorsements and exclusions that have been added to the special use authorization holder's insurance policy form. d. The special use authorization holder is required to provide a copy of the insurance policy to the authorized officer. e. The authorized officer shall review all endorsements or exclusions that are additional to those provided in the policy form. The purpose of this review is to ensure that all of the holder's activities and facilities are appropriately covered and that none of the additional endorsements or exclusions contradicts the coverage described in the policy form. f. The insurer accepts the responsibility and expense of defending the holder and the Government in liability suits, regardless of their merit. g. The U.S. Forest Service Insurance Information Center web site is located at http://fsweb.f3.r6.fs.fed.us/insure. The web site provides information on Commercial General Liability insurance used by outfitters and guides who have special use permits on the National Forest. h. If there are questions or concerns regarding adequate coverage, the authorized officer should send the entire policy to the Regional Office Special Uses staff for further review. R5 SUPPLEMENT 2709.11-2014-1 EFFECTIVE DATE 2/21/2014 DURATION: This supplement expires 5 years from the effective date unless superseded or removed earlier. 2709.11_10 Page 11 of 14 FSH 2709.11 - SPECIAL USES HANDBOOK CHAPTER 10 - APPLICATION AND AUTHORIZATION PROCESSING 14.3 - Exhibit 01 Minimum Insurance Coverages for Special Uses The Required Minimum Coverage column contains Property Damage/Death or Injury - One Person/Death or Injury - More Than One Person. For example, 25/300/500 indicates $25,000 property damage, $300,000 death or injury - one person, and $500,000 death or injury - more than one person. Where insurance is required, the amounts shall not be less than 25/100/300. Most policies are written with a "Combined Single Limits" (CSL). In the CSL kind of coverage, the maximum an insurance company will pay for both property and death/injury is shown as a single total. To reflect this industry change, Region 5 has established CSL minimums. All figures are in thousands of dollars. LIABILITY INSURANCE MINIMUM LIMITS FSM 2721.11 2721.12 2721.13 2721.14 2721.15 2721.22 2721.30 2721.32 2721.33 2721.41 2721.42 2721.43 2721.44 2721.46 2721.47 2721.48 2721.52 Type of Special Use Boat Dock and Wharf Clubs Organization Camps Trail Shelters Private Camps Houseboats - insurance required only if S.U. authorization issued for a concession. Lodging Hotel-Motel Resorts Camp and Picnic Caves and Caverns Golf Course Park and Playground Rifle and Target Ranges Trailer Courts or Camps Tramway Marina Required Minimum Coverage or CSL 25/100/300 $300,000 25/300/500 $500,000 25/300/500 $500,000 10/100/200 $200,000 25/300/500 $500,000 25/300/300 $300,000 25/300/500 25/300/500 25/300/500 25/100/300 25/100/300 25/100/200 25/100/300 25/100/300 25/300/300 50/500/2000 50/500/500 $500,000 $500,000 $500,000 $300,000 $300,000 $200,000 $300,000 $300,000 $300,000 $2,000,000 $500,000 R5 SUPPLEMENT 2709.11-2014-1 EFFECTIVE DATE 2/21/2014 DURATION: This supplement expires 5 years from the effective date unless superseded or removed earlier. 2709.11_10 Page 12 of 14 FSH 2709.11 - SPECIAL USES HANDBOOK CHAPTER 10 - APPLICATION AND AUTHORIZATION PROCESSING 14.3 - Exhibit 01-- Continued LIABILITY INSURANCE MINIMUM LIMITS FSM 2721.53 2721.54 2721.55 2721.56 2721.57 2721.58 2721.61 2721.62 2721.63 2721.64 2721.65 2725.51 2725.53 Type of Special Use Outfitter and Guide Service: Saddle and Pack Stock Nordic Skiing: Non-Avalanche Areas Avalanche Potential Areas Back Packing Rock Climbing Bicycling Nature Hikes Running Clinics Snowmobiling Rafting and Boating: Class IV-V Class I-III Rental Services Restaurant Service Station Store, Shop, Offices Vendor and Peddler Winter Sports Resorts: Nordic Skiing non-avalanche areas Nordic Skiing with avalanche potential Alpine Skiing Avalanche Training Ski Lifts Ski Slopes Ski Activities Snow Play Still Photography Commercial Filming Required Minimum Coverage or CSL 25/500/500 $500,000 25/300/300 25/500/500 25/300/300 25/500/500 25/500/500 25/300/300 25/300/300 25/500/500 $300,000 $500,000 $300,000 $500,000 $500,000 $300,000 $300,000 $500,000 25/500/1000 25/500/500 25/100/300 25/100/300 25/100/300 25/100/300 25/100/300 $1,000,000 $500,000 $300,000 $300,000 $300,000 $300,000 $300,000 25/300/500 25/500/500 50/500/2000 25/500/1000 50/500/2000 50/500/2000 25/100/300 25/500/1000 25/100/300 25/100/300 $500,000 $500,000 $2,000,000 $1,000,000 $2,000,000 $2,000,000 $300,000 $1,000,000 $300,000 $300,000 R5 SUPPLEMENT 2709.11-2014-1 EFFECTIVE DATE 2/21/2014 DURATION: This supplement expires 5 years from the effective date unless superseded or removed earlier. 2709.11_10 Page 13 of 14 FSH 2709.11 - SPECIAL USES HANDBOOK CHAPTER 10 - APPLICATION AND AUTHORIZATION PROCESSING 14.3 - Exhibit 02 ACKNOWLEDGEMENT OF RISK FORM SAMPLE I (we) recognize the element of risk in any adventure, sport or activity associated with the outdoors. I (we) am (are) fully aware of the risks and dangers inherent in (activity) such as, but not inclusive, of: (explain risk) Knowing the risks and dangers, I (we) understand the possible consequences of participating in such activity are as follows: (state consequences) I (we) certify that I (we) have the necessary skills and ability to participate in the said activity and assume full responsibility for myself (ourselves) for bodily injury, death and loss of personal property and expenses thereof as a result of my (our) negligence in participating in said activity except to the extent such damage or injury may be due to the negligence of (operator). I (we) also agree to abide by the rules or instructions given to me (us) either verbally or in writing by the (operator). I (we) further understand that (operator) reserves the right to refuse to allow any person to participate who is judged to be incapable of meeting the rigors and requirements of participating in said activity. I (we) have read, understood, and accepted the terms and conditions stated herein and acknowledge that this agreement shall be effective and binding upon me (us) during the entire period of participation in the said activity. Signature Block R5 SUPPLEMENT 2709.11-2014-1 EFFECTIVE DATE 2/21/2014 DURATION: This supplement expires 5 years from the effective date unless superseded or removed earlier. 2709.11_10 Page 14 of 14 FSH 2709.11 - SPECIAL USES HANDBOOK CHAPTER 10 - APPLICATION AND AUTHORIZATION PROCESSING 14.3 - Exhibit 03 WAIVER-OF-LIABILITY FORM SAMPLE As lawful consideration for being permitted by (operator) to participate in the sport of (activity), I do hereby release from any legal liability, (operator), the United States Forest Service, and all of their officers, members, organizations, agents and employees for any and all injury or death caused by or resulting from my participation in the sport of (activity), whether or not such injury or death was caused by their negligence or from any cause. I further agree not to sue, claim against, attach the property of or prosecute (operator), the United States Forest Service, and all of their officers, members, affiliated organizations, agents and employees for any injury or death caused by or resulting from my participation in the sport of (activity), whether or not such injury or death was caused by their negligence or from any other cause. Signature Block