14 BLRI008-26 Exhibit G Concessioner LSI.pdf

CC-BLRI008-26 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

[If there are currently none, type “NONE” in the first table.]

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 Down Amount

Total

Pursuant to Section 9(c)(2), the Concessioner’s Leasehold Surrender Interest in Real Property Improvements

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-BLRI008-26 Exhibit G: Concessioner’s Leasehold Surrender Interest Page G-2

V4.2018 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

Exhibit G Approved Effective: [Date].

CONCESSIONER DIRECTOR, NATIONAL PARK SERVICE

United States of America

By: _____________________________ By: ________________________________ [Name] [Name]

Title: ___________________________