HomeMy WebLinkAboutFallout Shelter License Form and Example FACT SHEET
CONCERNING THE
FALLOUT SHELTER LICENSE FORM
I. PURPOSE OF LICENSE:
The obtaining of a large percentage of signed license forms from building
owners whose structures offer fallout protection is vital in providing
local citizens with fallout protection, in our future planning and to the
success of the National Shelter Program.
A completed license joins individual citizens, local, State and Federal
governments in a common effort of National defense in keeping with the
Federal Civil Defense Act of 1950. This Act places the responsibility for
Civil Defense upon all elements of government. Coordinated effort, in
cooperation with private citizens, is essential to an effective civil
defense program.
II. PARTIES TO THE LICENSE:
A. For the Shelter Building:
The owner or person otherwise authorized to grant such license or
privilege.
B. For the Local Government:
A local official (usually Mayor, City Manager or Civil Defense Direc-
tor) who is legally empowered to sign for the political subdivision.
C. For the Federal Government:
Steuart L. Pittman, Assistant Secretary of Defense, Civil Defense.
III. GENERAL TERMS OF LICENSE: (for exact terms see License Form Text)
A. Building owners:
1. Allow use of the basements, corridors, other common use areas or
other areas of the building or structure as specifically indi-
cated by building owner, which offer protection from radioactive
fallout, for use by local government as public fallout shelter in
the event of enemy attack.
2. Allow the affixing of appropriate signs designating shelter areas.
3. Allow for the placement of a minimum amount of shelter supplies
within the designated shelter area (estimated requirement--
approximately one and a half cubic foot per person sheltered.
Actual floor space required will vary slightly depending upon
arrangement of store room, ceiling height, etc.).
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4. Allow, during reasonable periods when the premises are open for
business, authorized civil defense officials the right to inspect
the shelter area including supplies stored therein.
5. Owner may revoke the license or privilege by ninety (90) day
written notice to the political subdivision and Federal govern-
ment sentby registered mail.
B. Local Government:
1. Contacts building owner or authorized representative for purpose
of executing license or privilege form.
2. Places within the designated shelter area, Federally procured
shelter supplies. Accepts title to such supplies and gives them
the same reasonable care and maintenance as that afforded to
other focal government property.
3. Prepares local government plans for use of such shelter space
in the event of national emergency.
C. Federal Government:
1. Through private architectural and engineering firms, surveys
structure to determine area within the building offering suit-
able fallout protection.
2. Provides and affixes appropriate shelter signs to designated
shelter areas.
3. Provides to local government minimum shelter supplies necessary
for sustaining shelter occupants for the period immediately before
and shortly after an enemy attack.
IV. LIABILITY:
A. For Shelter Supplies:
The license or privilege form specifies that, "It is expressly under-
stood that the Grantor shall have no responsibility or liability for
the care, protection or maintenance of the shelter stocks, willful
damage or bad faith excepted."
B. To Persons Occupying Shelter:
Section 7 of Texas Civil Protection Act of 1951.
C. Liability Insurance:
Annex G. DOD /OCD National Fallout Shelter Survey, Marking and Stock-
ing Program document dated February 15, 1962, refers to this subject.
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V. USE OF SPACE:
A. The license or privilege specifies that the designated shelter space
is to be used for the sole purpose of temporarily sheltering persons
during and after any and every actual or impending attack. It does
not provide for use of designated shelter space during test exercises
or tornado or other natural disasters. The use of such space for any
test exercises would be a matter of arrangement between the local
government and the building owners.
B. The license or privilege form stipulates the use of basements, corri-
dors, and other common areas of the building or structure which are
determined by survey to offer protection from fallout and are suitable
for shelter purposes. As the license form is executed before the final
results of the survey are known, it is not certain that a structure
will have suitable shelter space. Supplies will be stocked and shel-
ters marked only in buildings found to offer suitable shelter space.
Also, the exact shelter areas or numbers of shelter spaces within a
structure cannot be determined until after detailed computations are
completed.
C. If the building owner wishes to grant a license for space within the
structure other than that specified in Paragraph I. A. of the License
or Privilege (basements, corridors, and other common areas) a descrip-
tion of such area may be inserted in the blank space in the middle of
the license or privilege form. This space may also be used for limit-
ing areas within the structure covered by the survey.
D. Designated shelter space is to be used during attack by the public, in
accordance with the local emergency plan. The public, of course, in-
cludes building occupants, customers, and others in the immediate area.
VI. COMPLETION OF FORM:
A. Upon receipt by the building owner, the license form will already be
signed by authorized representatives of the Federal and local govern-
ment. It remains only for the owner or person otherwise authorized to
sign three copies in the blank space labeled " Grantor(s)," provide the
signature of two witnesses and enter the date of signature in the
appropriate space. No formal "Seal" other than the Grantcr(s) signa-
ture is required.
B. Grantor(s) signature on all copies may be imprinted by rubber stamp or by
using carbon paper if so desired. Owner should retain one copy for his
files.
C. The text of the license or privilege form cannot be modified in any
manner. There is a blank space in the middle of the form for spe-
cifically identifying areas within the structure to be covered by the
license or privilege if such insertion is desired by the Grantor,
under the conditions outlined in Paragraph V. C. above
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D. It is desired that a separate license be executed for each structure
under consideration. However, if an owner desires to use a single
license form for a number of his buildings, this is permissible, pro-
vided the required information is attached to the license and the
license itself indicates that this is an attachment.
VII. GENERAL:
A. Minimum Requirements for Fallout Shelter Space:
1. Offer a protection factor of 100 or above (inside radiation
intensity is 1/100 of outside intensity.)
2. A minimum capacity of 50 persons.
3. Space of 10 square feet per person with adequate ventilation » 500
cubic feet per person without ventilation.
4. Storage space is indicated under Paragraph III. A. 3.
B. Shelter Supplies:
(A more detailed description can be provided by the local civil defense
director, Annex E to February 15, 1962, document.)
1. 10,000 calorie food supply per person sheltered.
2. Water containers for a fourteen day supply based on one quart per
day per person sheltered.
3. Radiological measuring instrument and minimum medical supplies.
4. Minimum sanitary facilities and supplies.
FALLOUT SHELTER LICENSE OR PRIVILEGE I SEE INSTRUCTIONS ON R$VERSE SIDE .
WHEREAS, The President of the United States has un- B. Further, the right to designate the said building
dertaken for the Nation an accelerated and strengthened civil or structure as a civil defense shelter, and to affix
defense program, including a fallout shelter program; and thereto, and maintain thereon, at no expense to the
Grantor, such civil defense shelter and other signs
WHEREAS, a fallout shelter survey has indicated that as are determined appropriate, so long as there is
certain areas of the hereinafter described premises will afford no interference with the usual use of the premises
persons protection from the hazard of fallout in the event of for the carrying on of business therein.
enemy attack;
II. The Federal Government, said State and said polit-
NOW, THEREFORE, the undersigned, being the owner of ical subdivision may place and maintain on the prem-
the hereinafter described premises, or the person otherwise au- ises such appropriate shelter equipment and stocks
thorized to grant such license or privilege, does hereby volun- as may be determined necessary, estimated to re-
tarily and without compensation, in consideration of the mutual quire approximately one (1) cubic foot per person of
promises expressed herein and in cooperation with the Federal, the shelter capacity; and it is expressly understood
State, and local civil defense programs for measures to protect that the Grantor shall have no responsibility or lia-
persons against the threat of fallout radiation from enemy at- bility for the care, protection, or maintenance of the
tack, grant to the Federal Government, the State of shelter stocks, wilful damage or bad faith excepted.
The shelter stocks and equipment placed in the li-
censed or privileged area are to be cared for and
and the political subdivision of d ty maintained by said political subdivision at no ex-
and to the general public for use in accordance wi civi de- pense to the Grantor.
fense shelter plans, the following license or privilege;
III. The Grantor agrees that, during such reasonable pe-
1. A. Use of the basements, corridors, and other common riods as the premises are open for business, the po-
areas of the building or structure situated at litical subdivision and the Federal Government,
Tim= MC U3L VQI'�] t f their authorized officers, agents, or representatives,
shall have the right to inspect the premises, includ-
and known as ing any equipment and supplies stored thereon, so
as well as any other common use parts of the said long as this license or privilege is in effect.
building or structure which the Federal Govern-
ment and the political subdivision shall determine This license or privilege is granted on the express
appropriate, including without limitation the rights condition that it shall be valid and binding upon the heirs,
to the public of ingress to and egress from the - assigns, or successors in interest of any nature whatsoever,
premises, for the sole purpose of temporarily shel- this license or privilege may be revoked by ninety (90) days'
tering persons during and after any and every ac- written notice to the political subdivision and the Federal
tual or impending attack. Government, sent by registered mail.
Signed, sealed, and delivered this day of , 196
WITNESSES: •
SEAL
GRANTOR(s)
The acceptance and approval of the above license or privilege is authorized by the political subdivision of
Standard Location Code
Facility Number
(Official Title)
KNOW ALL MEN BY THESE PRESENTS:
The United States of America acknowledges the voluntary cooperation of the above -named Grantor in the civil defense program
of the Nation; and his Government extends its appreciation for his uncompensated assistance. The above license or privilege is accepted
I and approved by the United States of America when completed in accordance with its terms and conditions and filed with its authorized
representative. %
Assistant Secretary of Defense (Civil Defense)
•
INSTRUCTIONS FOR USE OF FALLOUT SHELTER LICENSE OR PRIVILEGE
OCAL GOVERNMENT OFFICIAL be typed, stamped, lettered or in longhand prior to contacting person in . --
1. Forms may be signed by local official prior to contacting persons in trol of premises.
.ntrol of structures for signature. Local government official's signature
d title may be imprinted by rubber stamp or by using carbon paper, if so 2 • When forms have been executed by owner, retain original, return a
ired. Entries in blanks common to a given locality, such as, name of copy to local field office of Army Corps of Engineers or Navy Bureau of
ate and political subdivision and standard location code number, facility Yards and Docks conducting the survey in your area; present owner with
ber, address of building or structure and name of building or structure may one copy. The local field offices are;
Alabama US Army Engineer District, Mobile, PO Sox 1169, Mobile, Alabama
Alaska US Army Engineer District, Alaska, PO Box 7002, Anchorage, Alaska
Arizona US Army Engineer District, Los Angeles, PO Box 17277 Foy Station, Los Angeles, Calif.
Arkansas US Army Engineer District, Little Rock, PO Box 867, Little Pock, Arkansas
California US Army Engineer District, Sacramento, PO Box 1739, Sacramento, California
Director, Southwest Division, Bureau of Yards and Docks, 1.220 Pacific highway, San Diego, Calif.
District Public Works Officer, 12th Naval District, San 3runo, California
US Army Engineer District, Los Angeles, PO Box 17277 Foy Station, Los Angeles, California
Colorado US Army Engineer District, Omaha, 215 No. 17th Street, Omaha, Nebraska
Connecticut Director, Atlantic Division, Bureau of Yards and Docks, 90 Church Street, New York, New York
Delaware District Public Works Officer, Fourth Naval District, Bldg. 1, Naval Base, Philadelphia 12, Pa.
Florida US Army Engineer District, Jacksonville, PO Box 4970, Jacksonville 1, Florida
Georgia US Army Engineer District, Savannah, PO Box 889, Savannah, Georgia
1{awaii US Army Engineer Division, Pacific Ocean, Bldg. 96, Ft. Armstrong, Honolulu 13, I{awaii
District Public Works Officer, 14th Naval Dist., US Naval Base, Pearl Harbor, Hawaii
US Army Engineer District, Honolulu, Bldg. 96, Ft. Armstrong, lionolulu 13, Hawaii
Idaho US Army Engineer District, Walla Walla, Bldg. 602, City - County Airport, Walla Walla, Washington
Illinois US Army Engineer District, Chicago, 536 South Clark Street, Chicago, Illinois
US Army Engineer District, Rock Island, Clock Tower Bldg., Rock Island, Illinois
Indiana US Army Engineer District, Louisville, PO Box 59, Louisville 1, Kentucky
Iowa US Army Engineer District, Rock Island, Clock Tower Bldg., Rock Island, Illinois
Kansas US Army Engineer District, Kansas City, 1800 Federal Bldg., 911 Walnut St., Kansas City 6, Mo.
Kentucky US Army Engineer District, Louisville, PO Box 59, Louisville 1, Kentucky
Louisiana US Army Engineer District, New Orleans, PO Box 267 Foot of Prytania St., New Orleans 9, La.
District Public Works Officer, 8th Naval District, Bldg. 16, Naval Station, New Orleans 40, La.
Maine District Public Works Officer, 1st Naval District, 495 Summer St., Boston 10, Massachusetts
Maryland US Army Engineer District, Baltimore, PO Box 1715, Baltimore 3, Maryland
District Public Works Officer, 5th Naval District, Naval Base, Norfolk 11, Virginia
Massachusetts US Army Engineer Division, New England, 424 Trapelo Road, Waltham 54, Massachusetts
Michigan US Army Engineer District, Detroit, PO Box 1027, Detroit 31, Michigan
Minnesota US Army Engineer District, St. Paul, 1217 USPO, 180 E. Kellog Blvd., St. Paul 1, Minnesota
Mississippi US Army Engineer District, Vicksburg, PO Box 60, Vicksburg, Mississippi
Missouri US Army Engineer District, St. Louis, 420 Locust St., St. Louis 2, Missouri
US Army Engineer District, Kansas City, 1800 Federal Bldg., 911 Walnut St., Kansas City 6, Mo.
Montana US Army Engineer District, Walla Walla, Bldg. 602, City - County Airport, Walla Walla, Washington
Nebraska US Army Engineer District, Omaha, 215 No. 17th St., Omaha, Nebraska
. Nevada District Public Works Officer, 12th Naval District, San Bruno, California
New Hampshire US Army Engineer Division, New England, 424 Trapelo Road, Waltham 54, Massachusetts
New Jersey US Army Engineer District, Philadelphia, PO Box 8629, Philadelphia, Pennsylvania
New Mexico US Army Engineer District, Albuquerque, PO Box 1.538, Albuquerque, New Mexico
New York US Army Engineer District, New York, 111 East 16th St., New York 3, New York
US Army Engineer District, Buffalo, Foot of Bridge Street, Buffalo 7, New York
US Army Engineer District, Eastern Ocean, 346 Broadway, New York 13, New York
Director, Atlantic Division, Bureau of Yards and Docks, 90 Church Street, New York, New York
North Carolina Director, Southeast Division, Bureau of Yards and Docks, US Naval Base, Charleston, S. C.
US Army Engineer District, Wilmington, PO Box 1890, Wilmington, N. C.
District Public Works Officer, 5th Naval District, Naval Base, Norfolk 11, Virginia
North Dakota US Army Engineer District, Omaha, 215 No. 17th St., Omaha, Nebraska
Ohio US Army Engineer District, Huntington, PO Box 2127, Huntington 18, West Virginia
US Army Engineer District, Buffalo, Foot of Bridge St., Buffalo 7, New York
Oklahoma US Army Engineer District, Tulsa, PO Box 61, Tulsa, Oklahoma
Oregon US Army Engineer District, Portland, 628 Pittock Block, 10th Ave. & Wash. St., Portland 5, Oregon
Pennsylvania District Public Works Officer, 4th Naval District, Bldg. 1, Naval Base, Philadelphia 12, Pa.
US Army Engineer, District, Pittsburgh, 925 New Federal Bldg., Pittsburgh 19, Pennsylvania
Rhode Island District Public Works Officer, 1st Naval District, 495 Summer St., Boston 10, Mass.
South Carolina Director, Southeast Division, Bureau of Yards and Docks, US Naval Base, Charleston, S. C.
US Army Engineer District, Charleston, PO Box 905, Charleston, S. C.
South Dakota US Army Engineer District, Omaha, 215 No. 17th St., Omaha, Nebraska
Tennessee US Army Engineer District, Nashville, PO Box 1070, Nashville, Tennessee
US Army Engineer District, Memphis, PO Box 97, Memphis 1, Tennessee
Texas US Army Engineer District, Ft. Worth, PO Box 1600, Ft. Worth, Texas
US Army Engineer District, Albuquerque, PO Box 1538, Albuquerque, New Mexico
US Army Engineer District, Galveston, PO Box 1229, 606 Sante Fe Bldg., Galveston, Texas
District Public Works Officer, 8th Naval District, Bldg. 16, Naval Station, New Orleans 40, La.
Utah US Army Engineer District, San Francisco, 180 New Montgomery St., San Francisco, Calif.
Vermont US Army Engineer Division, New England, 424 Trapelo Road, Waltham 54, Massachusetts
Virginia District Public Works Officer, 5th Naval District, Naval Base, Norfolk 11, Virginia
US Army Engineer District, Norfolk, PO Box 119, Foot of Front St., Norfolk, Virginia
Area Public Works Office, Chesapeake, US Naval Weapons Plant, Washington 25, D. C.
Washington Director, Northwest & Alaska Division, Bureau of Yards and Docks, Seattle 99, Washington
US Army Engineer District, Seattle, 1519 South Alaskan Way, Seattle 4, Washington
US Army Engineer District, Walla Walla, Bldg. 602, City - County Airport, Walla Walla, Wash.
West Virginia US Army Engineer District, Huntington, PO Box 2127, Huntington 18, West Virginia
Wisconsin District Public Works Officer, 9th Naval District, Bldg. 1A, NTC, Great Lakes, Illinois
Wyoming US Army Engineer District, Omaha, 215 No. 17th St., Omaha, Nebraska
District of Columbia Area Public Works Office, Chesapeake, US Naval Weapons Plant, Washington 25, D. C.
American Samoa Director, Pacific Division, Bureau of Yards and Docks, Pearl Harbor, Hawaii
Canal Zone US Army Engineer District, Jacksonville, PO 4970, Jacksonville, Florida
Guam Director, Pacific Division, Bureau of Yards and Docks, Pearl Harbor, Hawaii
Officer In Charge of Construction Marianas, Public Works Center, Guam
Puerto Rico Area Public Works Office, Caribbean, US Naval Station, San Juan, Puerto Rico
Virgin Islands Area Public Works Office, Caribbean, US Naval Station, San Juan, Puerto Rico
HER OR OWNER'S AUTHORIZED REPRESENTATIVE may be imprinted by rubber stamp or by using carbon paper, if so desired.
1. If the owner is granting a license or privilege for other than the 3. Retain one copy.
.ecified parts of the building or structure, insert description of area in LOCAL FIELD OFFICES OF THE CORPS OF ENGINEERS AND BUREAU
.ace provided in the form. The grantor must initial ail changed insertions. OF YARDS AND DOCKS
2. Owner's or his authorized representative's signature on all copies 1. File returned copy and notify State of receipt.
U. S. GOVERNMENT PRINTING OFFICE : 1962 0 - 625020
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