liiorder Infrastructure Pro}ect(s) 

U.S. CUSTOMS AND BORDER PROTECTEON

DEPARTMENT OF SECURITY

Right?of?Entry For Survey and Site Assessment

The undersigned, hereinafter cailed the ?Owner", hereby grants to the United States of America,
hereinafter called the ?Government?, a temporary right?of-entry upon Owner's property
described below, hereinafter called the ?Property." This right-of?entry is granted upon the
following terms and conditions:

i .

The Government's officers, employees, agents, and contractors shall have the right to
enter upon the Property for the purpose of conducting environmental assessments and
property surveys, including the right to temporarily store, move and remove necessary
equipment and supplies; survey, stake out, appraise, bore and take soil and/or water
samples, and perform any other such work which may be necessary and incidental to
the Government?s assessment of the Property for Border Infrastructure Projects in the
Rio Grande Valley Sector area of responsibility.

This right-of-entry is irrevocable for a period of Eighteen (3g) months from the date of
this instrument.

The rights granted herein include the right of ingress and egress on other lands of the
Owner not described below, provided such ingress and egress is necessary to access
the Property and is not otherwise conveniently available to the Government.

All tools, equipment, and other property taken upon or placed upon the land by the
Government shall remain the property of the Government and may be removed by the
Government at any time within a reasonable period after the expiration of this right?of?

entry.

If any action of the Government?s officers, employees, agents, or contractors in the
exercise of this right?of?entry results in damage to real property, an administrative claim
can be made using a Standard Form (SF) 95 (Claim for injury, Damage, or Death). The
SF 95 must include supporting documentation and state a claim for monetary damages
in a sum certain amount for any aiieged loss or damage of property, and must be filed
within two years after the claim accrues. Please submit the SF 95 and supporting
documentation to the CBP Port of Entry or United States Border Patrol station nearest to
where the alleged damages occurred.

The Property that is subject to this right?of-entry is located in the State of Texas, County
of Hidalgo, and is shown on the attached Exhibit Map.

I affirm that I have the authority to grant this right?of?entry onto the Property described
above.

 

Border lr?lt?rastructu re Project(s) DACW63ngni 8" 

 

 

 

Dated this day of 20 THE UNITED OF AMERICA
Owner?s signature By:

Loren Flossman, Director

Border Patrol Air and Marine
Owner?s printed name Program Management Office,

Facilities Management and
Owner's mailing address: Engineering,

US. Customs and Border Protection,

 

Department of Homeland Security

 

 

 

Home Telephone:

 

Work Telephone:

 

 

Owner requires notification prior to entry. Yes No (please circle one)

if yes, please provide the primary and alternate point of contact (P00) and phone

number and/or email.
Primary POC:
Alternate POO:

 

 

 

Border  ntrastructure Iiirojec?s) 

(3 R?t'l I AT A I TY
(applicable for Corporations and Organizations)

I, (name), certify that I am the

 

 

(position held in organization) of the (organization), duly organized
and registered in the State of Texas; that (executor of
instrument), who signed the foregoing instrument on behalf of the grantee, was then

(position of executor of instrument) of said

 

(organization). I further certify that the said officer was acting

 

within the scope of powers delegated to this officer by the governing body of the grantee in

executing said instrument.
IN WITNESS WHEREOF, I have hereunto set my hand, and the seal of the

(organization), this day of 

 

20

By:

 

Typed Name:

 

Title:

 

NOTE: THE PERSON SIGNING THE ABOVE CERTIFICATE CANNOT BE THE SAME
PERSON THAT SIGNED THE 

 

l3 0 rd Infra CONSENT 0F TENANT: {if applicable)

I hereby consent to the use of the property by the Government in accordance with this right-not"
entry.

 

Tenant?s Signature

 

Tenant's Printed Name

Owner?s Mailing Address:

 

 

 

Home Telephone:

 

Work Telephone:

 

 

Tenant requires notification prior to entry. Yes No (please circle one)

if yes, please provide the primary and alternate point of contact (P00) and phone number
and/or email.
Primary POC:
Alternate POC: