Appendix D to Part 440 - Agreement for Waiver of Claims and Assumption of Responsibility for a Crew Member
14:4.0.2.9.22.3.30.1.34 : Appendix D
Appendix D to Part 440 - Agreement for Waiver of Claims and
Assumption of Responsibility for a Crew Member
THIS AGREEMENT is entered into this __ day of ____, by and among
[name of Crew Member] (the “Crew Member”) and the Federal Aviation
Administration of the Department of Transportation, on behalf of
the United States Government (collectively, the “Parties”), to
implement the provisions of section 440.17(f) of the Commercial
Space Transportation Licensing Regulations, 14 CFR chapter III (the
“Regulations”). This agreement applies to the Crew Member's
participation in activities that the FAA has authorized by license
or permit during the Crew Member's employment with [Name of
licensee or permittee].
In consideration of the mutual releases and promises contained
herein, the Parties hereby agree as follows:
1. Definitions
Crew Member means:
(a) The above-named Crew Member,
(b) All the heirs, administrators, executors, assignees, next of
kin, and estate of the above-named Crew Member, and
(c) Anyone who attempts to bring a claim on behalf of the Crew
Member or for damage or harm arising out of the Bodily Injury,
including Death, of the Crew Member.
License/Permit means License/Permit No. ____ issued on
____, by the Associate Administrator for Commercial Space
Transportation, Federal Aviation Administration, Department of
Transportation, to the Licensee/Permittee, including all
license/permit orders issued in connection with the
License/Permit.
Licensee/Permittee means the Licensee/Permittee and any
transferee of the Licensee under 51 U.S.C. Subtitle V, chapter
509.
United States means the United States and its agencies
involved in Licensed/Permitted Activities.
Except as otherwise defined herein, terms used in this Agreement
and defined in 51 U.S.C. Subtitle V, chapter 509 - Commercial Space
Launch Activities, or in the Regulations, shall have the same
meaning as contained in 51 U.S.C. Subtitle V, chapter 509, or the
Regulations, respectively.
2. Waiver and Release of Claims
(a) Crew Member hereby waives and releases claims it may have
against the United States, and against its respective Contractors
and Subcontractors, for Bodily Injury, including Death, or Property
Damage sustained by Crew Member, resulting from Licensed/Permitted
Activities, regardless of fault.
(b) The United States hereby waives and releases claims it may
have against the Crew Member for Property Damage it sustains, and
for Bodily Injury, including Death, or Property Damage sustained by
its own employees, resulting from Licensed/Permitted Activities,
regardless of fault.
3. Assumption of Responsibility
(a) The Crew Member shall be responsible for Bodily Injury,
including Death, or Property Damage sustained by Crew Member,
resulting from Licensed/Permitted Activities, regardless of fault.
The Crew Member shall hold harmless the United States, and the
Contractors and Subcontractors of each Party, for Bodily Injury,
including Death, or Property Damage sustained by Crew Member,
resulting from Licensed/Permitted Activities, regardless of
fault.
(b) The United States shall be responsible for Property Damage
it sustains, and for Bodily Injury, including Death, or Property
Damage sustained by its own employees, resulting from Licensed
Activities, regardless of fault, to the extent that claims it would
otherwise have for such damage or injury exceed the amount of
insurance or demonstration of financial responsibility required
under sections 440.9(c) and (e), respectively, of the
Regulations.
(c) The United States shall be responsible for Property Damage
it sustains, resulting from Permitted Activities, regardless of
fault, to the extent that claims it would otherwise have for such
damage exceed the amount of insurance or demonstration of financial
responsibility required under section 440.9(e) of the
Regulations.
4. Extension of Assumption of Responsibility and Waiver and Release
of Claims
(a) The United States shall extend the requirements of the
waiver and release of claims, and the assumption of responsibility
as set forth in paragraphs 2(b) and 3(b), respectively, to its
Contractors and Subcontractors by requiring them to waive and
release all claims they may have against Crew Member and to agree
to be responsible, for any Property Damage the Contractors and
Subcontractors sustain and for any Bodily Injury, including Death,
or Property Damage sustained by their own employees, resulting from
Licensed Activities, regardless of fault.
(b) The United States shall extend the requirements of the
waiver and release of claims, and the assumption of responsibility
as set forth in paragraphs 2(b) and 3(c), respectively, to its
Contractors and Subcontractors by requiring them to waive and
release all claims the Contractors and Subcontractors may have
against Crew Member and to agree to be responsible, for any
Property Damage they sustain, resulting from Permitted Activities,
regardless of fault.
5. Indemnification
Crew Member shall hold harmless and indemnify the United States
and its agencies, servants, agents, subsidiaries, employees and
assignees, or any of them, from and against liability, loss, or
damage arising out of claims brought by anyone for Property Damage
or Bodily Injury, including Death, sustained by Crew Member,
resulting from Licensed/Permitted Activities.
6. Assurances Under 51 U.S.C. 50914(e)
Notwithstanding any provision of this Agreement to the contrary,
Crew Member shall hold harmless the United States and its agencies,
servants, agents, employees and assignees, or any of them, from and
against liability, loss or damage arising out of claims for Bodily
Injury, including Death, or Property Damage, sustained by Crew
Member, resulting from Licensed/Permitted Activities, regardless of
fault, except to the extent that, as provided in section 6(b) of
this Agreement, claims result from willful misconduct of the United
States or its agents.
7. Miscellaneous
(a) Nothing contained herein shall be construed as a waiver or
release by the United States of any claim by an employee of the
United States, respectively, including a member of the Armed Forces
of the United States, for Bodily Injury or Property Damage,
resulting from Licensed/Permitted Activities.
(b) Notwithstanding any provision of this Agreement to the
contrary, any waiver, release, assumption of responsibility or
agreement to hold harmless herein shall not apply to claims for
Bodily Injury, including Death, or Property Damage resulting from
willful misconduct of any of the Parties, the Contractors and
Subcontractors of any of the Parties, and in the case of the United
States, its agents.
(c) This Agreement shall be governed by and construed in
accordance with United States Federal law.
In witness whereof, the Parties to this Agreement have
caused the Agreement to be duly executed by their respective duly
authorized representatives as of the date written above.
I [name of Crew Member] have read and understand this agreement
and agree that I am bound by it.
Crew Member Signature: Printed Name: Federal Aviation
Administration of the Department of Transportation on Behalf of the
United States Government By: Its: Associate Administrator for
Commercial Space Transportation [Doc. No. FAA-2012-0232, 77 FR
20534, Apr. 5, 2012]