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USDA ffi"1 Forest service <br />- <br />(,30 u.s. DEeARTMENToFAGRIcuLTuRE <br />FS-Is00-r9 (vER. 0s/24) <br />OMB No. 0596-0217 <br />EXPI05l3ll2027 <br />OFPACE <br />PAGES <br />1 2MODIFICATION OF GRANT OR AGREEMENT <br />2. RECIPIENT/COOPERATOR CRANT or <br />AGREEMENT NUMBER. IF ANY: <br />3. MODIFICATION NUMBER: <br />nn1 <br />I. U,S. FOREST SERVICE CRANT/AGREEMENT <br />NUMBER: <br />NA24-LE-t1 06 1 700-080, LAW <br />ENFORCEMENT ACTIVITIES IN <br />KITTITAS COUNTY <br />5. NAME/ADDRESS OF U.S, FOREST SERVICE UNIT ADMINISTERING <br />PROJECT/ACTIVITY (unit name, street, city, state, and zip + 4): <br />OKANOGAN-WENATCHEE NATIONAL FOREST <br />215 MELODY LANE <br />WENATCHEE WA 98801 <br />4, NAMSADDRESS OF U,S. FOREST SERVICE UNIT ADMINISTERINC <br />GRANT/AGREEMENT (unit name, street, city, state, and zip + 4): <br />OKANOGAN.WENATCHEE NATIONAL FOREST <br />215 MELODY LANE <br />WENATCHEE WA 98801 <br />7. RECIPIENT/COOPERATOR'S HHS SUB ACCOUNT NUMBER (For HHS <br />payment use only): <br />NA <br />6, NAMBADDRESS OF RECIPIENT/COOPERATOR (street, city, state, and zip <br />+ 4, county): <br />KITTITAS, COUNTY OF <br />205 W 5TH AVE STE 108 <br />Ellensburg, Washington 98926-2887 <br />8. PURPOSE OF MODIFICATION <br />CHECKALL <br />THATAPPLY: <br />This modification is issued pursuant to the modification provision in the grant/agreement <br />referenced in item no. 1, above. <br />CHANCE IN PERFORMANCE PERIODT <br />x <br />ADMINISTRATIVE CHANGES:! <br />OTIIER (Speciff type of modification):T <br />Except as provided herein, all terms and condltions of the Grant/Agreement referenced in 1, above, remain unchanged <br />fullforceand effect. <br />and in <br />9. ADDITIONAL SPACE FOR DESCRIPTION OF MODIFICATION (add additional pages as <br />This modification adds funds in the amount of $28,776.00 to the CY24 operating funds. These funds may be <br />utilized on patrols, and as needed on approved "Special Enforcement Situations" such as fire incidences. All remaining funds from <br />prior years have been canied forward and remain available to spend throughout the term ofthe Cooperative Law Enforcement <br />Agreiment, or until de-obligated at the request of the U,S. Forest Service, All funds must be spent in accordance with the original <br />Cooperative Law Enforcement Agreement, its most recent Operating and Financial Plan, and the most recent U.S. Forest Service <br />Fire Emergency Language & Billing Protocol (Addendum A). <br />needed): <br />10. ATTACHED DOCUMENTATION (Check all that apply)! <br />Revised Scope of Work <br />Other: <br />CHANGE IN FUNDING: Add tunding in the amount of $28,776.00.Previous funding not expended remains <br />available for use, <br />Revised Financial Plan <br />11. SIGNATURES <br />AUTI.IORIZED REPRESENTATIVE: BY SIGNATURE BELOW, THE SIGNING PARTIES CERTIFY THAT <br />OF THEIR RESPECTTVE PARTIES AND AUTHORLZED TO ACT IN THEIR RESPECTryE AREAS FOR MA <br />THEY ARE THE OFFICTAL REPRESENTATIVBS <br />TTERS RELATED TO THE ABOVE-REFERENCED <br />GRANT/ACREEMENT <br />I I,A. KITTITAS COUNTY SIONATURE <br />eq u,4'n <br />I I.B. DATE <br />SICNED <br />T -t?-l,Ll <br />I1,C, U.S. FOREST SERVICE SICNATURE <br />TARA u M pH Rt ES SifliilliJ$* <br />o"o* <br />D ale: 2O24.07 .29 1 6:37:28 -07'00' <br />I I.D, DATE <br />SICNED <br />(sisnature of Simatory Official)(sisnature of Siffatorv Official) <br />I l.E. NAME (type or print)r CLAY MYERS ll.F. NAME (type or print): TARA UMPHRIES <br />I l.c, TITLE (type orprint): Sheriff I l,H, TITLE (type orprint): Forest Supervisor (AcTINc), <br />Okanosan-Wenatchee National Forest <br />Page 1 ol 2