### U.S. Department ofTransportation Office ofthe Se.cretary ofTransportation 

### AGREEMENT 

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# l**0Pt"Ht1T/C1~tc·** The undersigned carriers (hereinafter referred to as "the Carriers") herebyagree as follows: ·· · 1 -' 'i\) 1. Each ofthe Carriers shall, effective May 16, 1966, include the following in its conditions of

### carria~~~nQI!J~ing**~~ri~mb.o~riQg** conditions ofcarriage filed by itwith any government: ·· " I ; ·· I
"The Carrier shall avail itselfofthe limitation of liability provided in the Convention for the Unification ofCertain Rules Relating to International Carriage by Air signed at Warsaw October 12th, 1929, orprovided in the said Convention as amended by the Protocol signed at The Hague September28th, 1955. However, in accordancewith Article 22(1) ofsaid Convention, or said Convention as amended by said Protocol, the Carrier agrees that, as to all international transportation by the Carrier as defined in the said Convention or said Convention as amended by said Protocol, which, according to the contract ofCarriage, includes a point in the United States ofAmerica as a point oforigin, point ofdestination, or agreed stopping place (1) The limit of liabilityfor each passenger for death, wounding, or other bodily injury shall be the sum of US $75,000 inclusive of legal fees and costs, exceptthat, in case ofa claim brought in a State where provision is made for separate award of legal fees and costs, the limit shall be the sum of US $58,000 exclusive of legal fees and costs. {2) The Carrier shall not, with respect to any claim arising out ofthe death, wounding, or other bodily injury ofa passenger, avail itselfofany defense underArticle 20(1) ofsaid Convention or said Convention as amended by said Protocol. Nothing herein shall be deemed to affectthe rights and liabilities ofthe Carrier with regard to any claim brought by, on behalf of, or in respect ofany person who has willfully caused damagewhich resulted in death, wounding, or other bodily injury ofa passenger." · 2. Each Carrier shall, at the time ofdelivery ofthe ticket, furnish to each passenger whose transportation is governed bythe Convention, orthe Convention as amended by the Hague Protocol, and by the special contract described in paragraph 1, the following notice, which shall be printed in type at least as large as 10 point modern type and in ink contrasting with the stock on (i) each ticket; (ii) a piece of paper either placed in the ticket envelope with the ticket or attached to the ticket; or (iii) on theticket envelope: "ADVICE TO INTERNATIONAL PASSENGER ON LIMITATION OF LIABILITY Passengers on ajourney involving an ultimate destination or a stop in a country otherthan the country oforigin are advised thatthe provisions ofa treaty known as the Warsaw Convention may be applicable to the entirejourney, including any portion entirely within the country oforigin ordestination. For such passengers on a journeyto, from, orwith an agreed stopping place in the United States ofAmerica, the Convention and special contracts ofcarriage embodied in applicable tariffs provide that the liability of [certain 

### ]* [(name ofcarrier) and certain other] carriers parties to such special contracts for death ofor personal injuryto passengers is limited in most cases to proven damages notto exceed US $75,000 per passenger, and thatthis liability up to such limit shall not depend on negligence on the part ofthe carrier. For such passengers traveling by a carrier not a partyto such special contracts or on ajourney not to, from, or having an agreed stopping place in the United States ofAmerica, liability ofthe carrier for death or personal injury to passengers is limited in mostcases to approximately US $10,000 or US $20,000.
The names of Carriers parties to such special contracts are available at all ticket offices of such carriers and may be examined on request. Additional protection can usually be obtained by purchasing insurance from a private company. Such insurance is not affected by any limitation ofthe carrier's liability underthe Warsaw Convention or such special contracts ofcarriage. Forfurther information please consult your airline or insurance company representative." 3. [This Agreement was filed with the Civil Aeronautics Board ofthe United States. The Board approved it by Order E-23680, adopted May 13, 1966. The Agreement (Agreement 18900) became effective May 16, 1966. On January 1, 1985, this Agreement became the responsibility ofthe Department ofTransportation (DOT) by operation of law.]
4. This Agreement may be signed in any number ofcounterparts, all ofwhich shall constitute one Agreement.. Any Carrier may become a party to this Agreement by signing a counterpart hereofand depositing it with DOT.
5. Any Carrier party hereto may withdraw from this Agreement by giving twelve (1 and the other Carriers partiesto the Agreement.

*Either alternative may be used.

OST Form 4523 (Formerly CAB Form263) (Signature and Date)**----"~,£;....----"'---'""'-1~'------.-wv-.......,"'¥--~** (Printed Name and Title)**.....,_-"'-"'"""",t..PI'-'--=::.u..L>L.~U,~;w..._...,LI-I'.Xlf;,Q&,.'-"J~::::I!~** (Name and Address ofCarrier) 

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