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Ob ting Docwn ent for Award/Amendment <br />1 a. A GTJEEN-MvT NO. <br />21- A.NL=1-Vf ENT NO. 3. 4. TNTPE OF ACTION 5. CONTROLINO. <br />ENIS-20177EP-00004-SOI <br />RECIPIENT ANVARD FY2017R10E1V1PG <br />NA.ME <br />NO. <br />-roTAL AWARDED TOTAL <br />916001095G <br />6. RE CIPIENFT N.A-NIE A.NL-D <br />il, ISSUING FENLA OFFICE AND 8. P-117i'vIENIT OFFICE AND ADDRESS <br />ADDRESS <br />ADDRESS Financial Senices Branch <br />Washington.Nfilitary <br />% <br />Grant Operations I <br />500 C Street, S. Room 7-3 <br />Department <br />245 Murray Lane - Building 410, SW <br />15 Washington DC, 204x2 <br />Buil ding 20 <br />Washington DC, 2.0528-7000 <br />Camp Murray, WA, 98430 - <br />POC: 866-9217-5646 <br />22 <br />5122 <br />2017 A -D.111 1 -R.1 07% <br />9. NAIVIE OF RECIPIENT <br />PHONT NO. 10. NAME OF FENLI PROJECT COORDINATOR <br />PROJECT OFFICER <br />Central Scheduling and Information Desk <br />T'uzah Kincheloe <br />Phone: 800-368-6498 <br />Pedormanec <br />Email: Askcsid@dhs.gov <br />11. EFFECTIVE DATE OF <br />1-1. 13. ASSISTi1"NCEARP,1UNGEMENLT 14. PERFORKA-NCE PERIOD <br />=S ACTION <br />METHOD Cost Reimbursement <br />10/0112016 OF <br />PAYN= <br />P.,-:1RS <br />15. DESCRIPTION OF ACTION <br />a. (Indicate fundinge, data for awards or financial changes) <br />From: To: <br />10X112016 0913012018 <br />Budget Period <br />1 OMIJ2016 09/30/2018 <br />PROGRAMCFDANLO. <br />ACCOUNTLNGDATA. <br />PRIOR AMOUNT CUPJZ-.,P-,NT <br />CUMULATIVENO-N- <br />NA.ME <br />QAC CS CODE) <br />-roTAL AWARDED TOTAL <br />FEDERAL CON&UTIvIENT <br />ACRONYM <br />0CX- <br />AWARD THIS A V1.kR DI <br />=,-X <br />ACTION <br />+ OR - <br />Emergency <br />Emergency 97 04*2 <br />2017 A -D.111 1 -R.1 07% <br />SO.00 S7,30611 1 <br />624.00 $7 05,614.00 <br />See Totals <br />Management <br />4101-D <br />Pedormanec <br />Grants <br />TOTALS <br />$0.00 VA06y624.00 $7 306A24.00 <br />VA06424M <br />b. To describe changes other than funding data or financial changes, attach schedule and check here. <br />NIA <br />:_.; .. ..... . ..... .... .......... . . ........ <br />16 a. FOR. NON- DISASTER PRO GRA IVIS: RECIPIENT IS RE QLMZED TO SIGN ANS RE T U R. N,- Tf I REE (3 COPIES 0 F THIS <br />DOCUTMENT TO FEK-1 (See Block 7/ for address) <br />Emergency Management Performance Grants recipients are not required to sign and return copies of this document. However, recipients <br />should paint and keep a copy of this document for their records. <br />16b. FOR DISAS TER PRO GRAIN S: RECIPIENT IS NO T RE QUIRED TO SIGN <br />This assistance is subject to terms and conditions attached to this award noti ce or by incorporated reference in program legislation cited <br />above. <br />177. RECIP= SIGNATORY OMCL-IL (Name and llitic) DATE <br />Sierra Wardell, Preparedness Grants Section Prograrn Manager <br />Fri Aug 25 19:59:14 G"NIT <br />18. FENIA SIGNATORY OFFICIAL (Name and Title) <br />KIMBERLY ERIN PENFOLD -Assistance Officer <br />2017 <br />DATE <br />Mon Aug 2119.-577-.05 G17I <br />2017 <br />DHS-FEN1A-EMPG-FY 17 Page 36 of 36 Kittitas County, E18-131 <br />