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USDA Forest Service oMB 0596-0217 FS-l 500-19 MODIFICATION OF GRANT OR AGREEMENT PAGE OF PAGES I t2 I. U.S. FOREST SERVICE GRANT/AGREEMENT NUMBER: I 9-LE- I I 06 I 700-009 (Kittitas County Cooperative Law Enforcement) 2. RECIPIENT/COOPERATOR CRANT or AGREEMENT NUMBER, IF ANY: 3. MODIFICATION NUMBER: 002 4. NAME/ADDRESS OF U,S FOREST SERVICE UNIT ADMINISTERJNC CRANT/AGREEMENT (unit name, street, city, state, and zip + 4): Okanogan-Wenatchee National Forest 215 Melody Lane Wenatchee, WA 98801 5. NAMEIADDRESS OF U,S. FOREST SERVICE IJNIT ADMINISTERING PROJECTIACTIVITY (unit name, streBt, city, state, and zip + 4). Okanogan-Wenatchee National Forest 215 Melody Lane Wenatchee, WA 98801 6. NAMVADDRESS OF RECIPIENT/COOPERATOR (street, city, state, and zip + 4, coung): County of Kittitas Sheriff s Office 307 W. Umptanum Road Ellensburg, WA98926 7. RECIPIENT/COOPERATOR'S HHS SUB ACCOIINT NUMBER (For HHS payment use only): N/A 8. PURPOSE OF MODIFICATION C}IECK ALL THATAPPLY This modification is issued pursuant to the modification provision in the granVagreement referenced in item no. I abovenCHANCE IN PERFORMANCE PERIOD X CHANGE IN FUNDING Add CY2l funding in the amount of $47,960.00 ADMIMSTRATIVE CHANGES: Update ASC email address for invoicing.See Exhibit A - 2021 Annual Operating Plan Section IV.A. Uodate U.S.Service Grants & Asreements contact.See box 9.n OTFIER (Specifu type of modification): Except as provided herein, all terms and conditions of the Grant/Agreem force and effect. ent referenced in l, above, remain unchanged and in fult 9. ADDITIONAL SPACE FOR DESCRIPTION OF MODIFICATION (add additional pages as needed): This modification is to add the 2021 Annual Operating and Financial Plan and update U.S. Forest Service Grants & Agreements contact from Verellen to Underwood. 10. ATTACHED DOCUMENTATION (Check att that apply): Revised Scope of Work Exhibit A:2021 Annual Operating and Financial Plan Other: Exhibit B:2021 Specialized Equipment and Rates 1T. SIGNATURES AurHonzgn Rrpnrserurertvr:BY SICNATURE BELow, THE sIGNING PARTIES CERTIFY THAT THEY ARE THE OFFICIAL REPRESENTATIVES OF THEIR RESPECTIVE PARTIES AND AUTHORIZ ED TO ACT IN THEIR RESPECTIVE AREAS FOR MATIERS RELATED TO THE ABOVE.REFERENCED GRANT/AGREEMENT. I I. A. KITTITAS COIJNTY SIGNATURE ry +rryr.^.L 1-'t-4 I I .8. DATE SIGNED I I- C. U.S. FOREST SERVICE SIGNATURE KRIST|N R-*l!1i',"HliJ"BAIL ?i,f.iB133J' II D DATE SICNED I L E. NAME (type or print) CLAY MYERS I l. F. NAME (type or print): KRISTTN M. BAIL I I. G. TITLE (type or print): Sheriff, Kittitas County I t. H. TITLE (type or print): Forest Supervisor, Okanogan-Wenatchee National Forest