Trade in pictures - federal_liability statement.pdf

TRADE IN

1991 Honda TRX 300 Vin#; 478TE1403MA306908, Miles; UNKOWN

Condition: There is nothing to track miles or hours. Looks to be in good condition, leaking some oil but runs well.

2006 Honda Foreman Vin# 1HFTE310464114637 Miles 6287

Condition: Runs good, front end is banged-up but it is in good operating condition.

2005 Yamaha Kodiak 450 Vin#; 5Y4AJ14Y45A002057 Miles; 970

Condition: Sun faded, in working order, no known issues, new tires in 2021, fire extinguisher not included

*A certificate of origin or an SF97- United States Government Certificate to Obtain Title will be provided to the vendor upon pickup (if local) or by mail. The vendor is responsible for coordination of drop off and pickup to/from 1801 Hwy 18

Bypass, Hot Springs, SD. 57747, date & time can be arranged with the point of contact provided below.

Mathew Tschacher

1801 Hwy 18 Bypass

Hot Springs, SD. 57747 mathew.tschacher@usda.gov

Work- 1-605-745-8206

FEDERAL LIABILITY STATEMENT

Property Hereby Procured / Donated

1991 Honda TRX 300 Vin#; 478TE1403MA306908

2006 Honda Foreman Vin# 1HFTE310464114637

2005 Yamaha Kodiak 450 Vin#; 5Y4AJ14Y45A002057

I (We), the undersigned, hereby certify that the procurer/donee has knowledge and understanding of the nature of the property hereby procured/donated which requires special handling, and will comply with all applicable Federal, state, and local laws, ordinances, and regulations with respect to the care, handling, storage, shipment, and disposal of the property.

The procurer/donee agrees and certifies that the United States shall not be liable for personal injuries to, disabilities of, or death of the procurer/donee or the procurer’s/donee employees, or any other person arising from or incident to the procurement/donation of the property, its use, or its final disposition. Additionally, the procurer/donee agrees and certifies to hold the United States harmless from and shall indemnify the United States against any or all debts, liabilities, judgments, costs, demands, suits, actions, or claims of any nature arising from or incident to the procurement/donation of the property, its use, or final disposition.

Name and title of procurer/donee (print or type)

Signature of procurer/donee Date;