Conflict of Interest Determination. The Farmer represents and warrants that, to the best of the Xxxxxx’x knowledge, the information Farmer has provided on The Nature Conservancy’s Conflict Inquiry Form (attached as Exhibit “C”) is true and correct. If any of the information the Farmer has provided changes during the term of this Agreement, the Farmer agrees to promptly notify the Conservancy in writing of such change. [INTENTIONALLY BLANK. SIGNATURES FOLLOW ON NEXT PAGE.] SIGNATURE PAGE TO ICHAWAYNOCHAWAY CREEK WATERSHED IRRIGATION SUSPENSION AGREEMENT AND LICENSE BETWEEN , AND THE NATURE CONSERVANCY Although the parties are signing this Agreement on the dates indicated below, the Agreement is effective as of the Effective Date on Page 1. FARMER: By: [Insert Farmer name] Date: [SIGNATURES CONTINUE ON FOLLOWING PAGE.] SIGNATURE PAGE TO ICHAWAYNOCHAWAY CREEK WATERSHED IRRIGATION SUSPENSION AGREEMENT AND LICENSE BETWEEN , AND THE NATURE CONSERVANCY IN SUPPORT OF THE GA-FIT TEAM: THE NATURE CONSERVANCY By: Xxxxxx Xxxxxxxx Georgia Chapter Executive Director Date: EXHIBIT “A” The Property EXHIBIT “B” Irrigation Suspension Immediately upon execution of this Agreement, the Farmer will suspend irrigation for the Term on the following portion(s) of the Property: [Insert detailed description of property where irrigation will be suspended. Include number of acres where irrigation will be suspended; meter number; field location; etc… Consider referring to Agricultural Withdrawal Permit to describe in detail how irrigation practices will differ from that Permit.] The Irrigation Suspension Payment is calculated based on suspension of irrigation on acres of land, with payment at the rate of $ per acre, for a total Irrigation Suspension Payment of $ . The meter number for the Property on the Effective Date of this Agreement is . The meter number at the end of the Term shall not exceed (the “Maximum Meter Number”). If the meter number at the end of the Term exceeds the Maximum Meter Number by more than two percent (2%), that shall be deemed a Default under this Agreement. EXHIBIT “C” STEP 2: DEFINITIONS & QUESTIONS (Complete *only* the section relevant to your organization)
Conflict of Interest Determination. Contractor represents that to the best of its knowledge the information it has provided on TNC’s Disclosure Form, now or up to two years prior to the commencement date of this Contract, is true and correct.
