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3 Federal Employee Pass Agreement Attachment C — Employee Use Agreement <br /> U.S. Federal Employee Pass Program <br /> Program Use Agreement For Shore-to-Ship-to-Shore Pass <br /> As a Federal Employee Passholder, I agree to the following: <br /> 1. The Federal Employee Pass is a benefit provided to me as an employee and is to be used only <br /> during the period I am employed by an agency or department of the United States <br /> Government that participates in the Federal Employee Pass Program. <br /> 2. I will use my Federal Employee Pass for my own transportation only. I will not transfer my <br /> Federal Employee Pass to any other person. Doing so may result in the loss of program <br /> privileges and subject me to other personnel actions as determined by my employer. <br /> 3. I will keep my Federal Employee Pass secure and in good condition. I will immediately <br /> report a lost, stolen, or damaged Federal Employee Pass to the Transportation Coordinator. I <br /> understand that no replacement Annual Shore-to-Ship-to-Shore passes will be issued. <br /> A non-working Federal Employee Pass will be replaced free of charge. <br /> 4. I will return my Federal Employee Pass upon request or when I leave my employment with <br /> the US Government. If I do not return my Federal Employee Pass, I authorize the amount of <br /> $110.00 for each whole and partial month remaining on the Federal Employee Pass to be <br /> withheld from my paycheck. <br /> 5. I understand that the Federal Employee Pass is valid for up to $110.00 per month on Kitsap <br /> Transit vanpools. I am responsible for the balance of the vanpool fare each month,payable to <br /> the vanpool bookkeeper, which is in excess of the$110.00 amount. <br /> I acknowledge the receipt of my Federal Employee Pass, and understand and agree to the terms <br /> stated above on using the Federal Employee Pass. <br /> Employee's Signature Date <br /> Employee's Printed Name Pass Serial# <br /> Transportation Coordinator Use Only- Pass returned: <br /> Employee's Signature Date <br /> Pass Serial # <br /> '�0 <br /> Federal Employee Pass Agreement Page 17 of 20 <br /> US Department of Transportation <br /> Oct. 1,2007—Sept. 30,2008 <br /> *Amended Sept 25,2007 <br />