13 CC-BLRI004-25 Exhibit G.pdf

CC-BLRI004-25 Exhibit G: Concessioner’s Leasehold Surrender Interest Page G-1

V4.2018

EXHIBIT G

LEASEHOLD SURRENDER INTEREST

AS OF THE EFFECTIVE DATE OF THIS EXHIBIT

Pursuant to Section 9(c)(2), the Concessioner's Leasehold Surrender Interest in Real Property Improvements as of the effective date of this Exhibit G, if any, is as follows:1

Table 1

Location FMSS# FMSS Description UOM Qty LSI Start

Date LSI Value

None

Total: $0

The following payments, if any, reduced the Concessioner’s Leasehold Surrender Interest in Real Property Improvements, but have not yet been applied to the Concessioner’s Leasehold Surrender Interest in Real Property Improvements set forth in Table 1 above (see the relevant amendment(s) to this Contract for details):

Table 2

Buy Down Date

Amendment

FMSS#

(if applicable) FMSS Description

(if applicable)

Buy Do Amou wn nt

Total

1 Note that any reductions set forth in Table 2 and the increases set forth in Table 3 have not yet been applied to the Concessioner’s Leasehold Surrender Interest in Real Property Improvements set forth in Table 1.

CC-BLRI004-25 Exhibit G: Concessioner’s Leasehold Surrender Interest Page G-2

V4.2018

Pursuant to Section 9(c)(2), the Concessioner’s Leasehold Surrender Interest in Real Property Improvements has increased as set forth in Table 3 below. These increases, if any, which were effective as of the dates stated in Table 3, have not yet been applied to the Concessioner’s Leasehold Surrender Interest in Real Property Improvements set forth in Table 1 above.

Table 3

Effective Date

FMSS# FMSS Description LSI Deductions LSI Additions

Total $0

NATIONAL PARK SERVICE

United States of America

By: ________________________________ Mark A. Foust Regional Director Interior Region 2

Exhibit G Approved Effective: __________

CONCESSIONER

By: ________________________________

Printed Name: ______________________

Title: ______________________________