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Federal Employee Pass Agreement Attachment C—Employee Use Agreement 3` <br /> U.S. Federal Employee Pass Program <br /> Program Use Agreement For Transit-Only Pass <br /> As a Federal Employee Pass holder, 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 a lost Federal Employee Pass will be replaced only once per year at a charge of <br /> $50.00. 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 U.S. Government. If I do not return my Federal Employee Pass,I authorize the amount of <br /> $TBD 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 $115.00 per month on King <br /> County Metro Transit, Community Transit and Pierce Transit vanpools. I am responsible for <br /> the balance of the vanpool fare each month, payable to the vanpool bookkeeper, which is in <br /> excess of the$115.00 per month. s4 <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 /> Federal Employee Pass Agreement Page 14 of 18 <br /> US Department of Transportation 2 <br /> Oct. 1.2008—Sept.30.2009 <br />