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g @ r:m*irxr%',oo*,.,,,,*, <br />FS- l 500- r I (vER. 05/24) <br />OMB No.0596-0217 <br />ExP: 05/31/2027 <br />Replace U.S. Forest Admin LEI contact Cindy Orlando with Rachele Avery <br />Rachele Avery, Program Assistant PNW R6 LEl, NOOZ <br />16400 Champion Way <br />Sandy, OR 97055 <br />(s03) 668-r62s <br />rachel e.avery@usda.gov <br />Update Provision <br />lV. N. Equipment and fUppligS,Applq'ygd for purchase under this agreement are available only for use as attthorized. The U.S. <br />Forest Service reserves the right to transfer title to the U.S. Forest Service of equipment and supplies, with a current per-unit fair <br />market value in excess of $ I 0,000.00, purchased by Cooperator using any Federal funding. Upon expiration of this agreement <br />Cooperator shall forward an equipment and supply inventory to the U.S. Forest Service, listing all equipment purchased throughout <br />the life of the project and unused supplies. The U.S. Forest Service will issue disposition instructions within I 20 calendar days, in <br />accordance with equipment regtrlations contained in 7 CFR 3016.32' <br />Add Provision <br />IV. AA. PAID SICK LEAVE REQUIREMENTS. Executive Order 13706, Establishing Paid Sick Leave for Federal Contractors, <br />and its implementing regulations, including the lederal contractor paid sick leave clause at 29 CFR Part 13, Appendix A, apply to <br />the Cooperator and any subcontractors under this agreement. These regulatory requirements are incorporated by reference into this <br />agreement as if fully set forth in this agreement. <br />10. ATTACHED DOCUMENTATION (Check all that apply): <br />Revised of Work <br />Revised Financial Plan <br />Other:2025 and Financial Plan <br />II. SIGNATURES <br />AUTHORIZED REPRESENTATIVE: BY STGNATURE BELOW, THE SIGNlNG PARTIES CERTIFY THAT THEY ARE THE OFFICIAL REPRESENTATI VES <br />OF THEIR RESPECTIVE PARTIES AND AUTHORIZED TO ACT IN THEIR RESPECTIVE AREAS FOR MATTERS RELATED TO THE ABOVE- <br />REFERENCED CNENT/ACNEEUENT <br />I I A K1TTITAS COUNTY SICNATURE <br />Ud.-, 4>ta <br />II.B. DATE <br />SIGNED <br />7-e-2-s <br />I I.C. U,S FOREST SERVICE SIGNATURE <br />TARA <br />UMPHRIES <br />Digitally signed by TARA <br />UMPHRIES <br />Date: 2025.08. 1 3 1O:57 :34 <br />-07'00' <br />II.D. DATE <br />SIGNED <br />(Signature df Si gnatory Olfi cial )(Signature of Signatory Official) <br />I l.E. NAME (type or prinr): CLAY MYERS I l.F. NAME (type or print): TARA UMPHRIES <br />I l.C. TITLE (type or print): Shefiff I l.H. TITLE (rype or print): Forest Supervisor' Okanogan- <br />Wenatchee National Forest <br />II.t. U.S. FOREST SERVICE SIGNATURE II,J. DATE <br />SIGNED <br />8t13125 <br />CANUTO <br />MOLINA <br />Digitally signed by <br />CANUTO MOLINA <br />Date: 2025.08.1 3 09:20:1 9 <br />-07'00' <br />(Sisnature of Sisnatory Ollicial) <br />I I K. NAME (type or print) CANUTO MOLINA <br />ll.L. TITLE (type or print): Acting Special Agent in Charge, <br />USDA Forest Service, Pacific Northwest Region Law Enforcement <br />& lnvestiqations