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ffi GRANT OR AGREEMENT AWARD COVER SHEET <br />FS-1 500-0100 <br />OMB No.0596-0217 <br />EXP: A58112027 <br />2. Cooperator AgreemenVlnstrument #: NA1. Federal Award ldentification Number (FAIN):24-LE-1 1 061 700-080Number) <br />NewI Modiflcation <br />FFA Award I Master ! Stand-Alone I SPA <br />Mod. Number 003 4. lnstrument (Project) Title: <br />-aw Enforcement Activities in Kiititas County <br />6. Assistance Listing Number and Title <br />1 0.7 04, Law Enforcement Agreements <br />5. Authority U.S.C and Title: <br />Cooperaiive Law Enforcement Act of August 1 0, I 971, Pub. L. 92-82, <br />16 U.S.C,55'la <br />8. U.S. Forest Service Unit Address (where the work is being managed): <br />Name: Okanogan-Wenatchee National Forest <br />Address: 215 Melody Lane <br />City: Wenatchee State WA ZiP:98801 <br />7. Cooperator/Recipieni lnformation (Must match SAM.gov): <br />Name: County of, Kittitas <br />Address: 307 W. Umptanum Rd <br />City: Ellensburg SiateWA ZiP:98926 <br />10. Master Agreement Number if SPA: na9. Cooperator Unique Entity ldentifier (UEl): WQ23XPBSAU44 <br />12. Master Agreemeni Expiration Date: <br />(SPA expiration date cannot exceed the Master) <br />11. Period of Performance Start Date: <br />ExecutionDate:7122126 Expiration Date:03/19i2029 <br />14. U.S. Forest Service Program Manager: <br />Phone: (541)278-3840 Email: hailey.fuller@usda.gov <br />16. Cooperator Contribution Funds: $0.00 <br />ame: Hailey Fuller, Captain <br />13. Cooperator Program Manager: <br />Name: Clay Myers, Sheriff <br />Phone: (505) 96?-7525 Email: clay.myers@co.kittitas.wa.us <br />15. FederalFunding to be Obligated to Cooperator: $72,960.00 <br />18. Cooperator Match Percentage: 00.00% <br />Advancef-l Advance Period <br />17. Payment Method <br />No Funds Reimbursable Cooperator lndirect Cost Rate (approved rate charged to award): <br />Financial Report FrequencY: <br />De minimis Supported RateNICRAYes'l 9. Program lncome/Revenue: No <br />1. Performance <br />attachments listed below are hereby incorporated and made a part of this instrument' <br />n <br />24. REQUIRED DEPENDENTON INSTRUMENT TYPE: <br />Statement of Mutual Benefit and lnterest <br />Federal Financial Assistance Forms/Assurances <br />TFPA/638 Project ProPosals <br />Modification Purpose and/or Description <br />Addendum A, Specialized Equipment RatesOiher (specifu): <br />23. REQUIRED FOR ALL INSTRUMENTS <br />USDA FFA/MlA General Terms and Conditions <br />FS FFA/MIAJR&D GeneralTerms and Conditions <br />l-l eurposeiScope of Work Narrative <br />Budget/Financial Plan <br />Other (specifu): Annual Operating and Financial Plan <br />25. By sig ning this instrument, the signer certifies that they are vested with the authority to enter into this instrument' <br />D,t-,L/io/xtCooperatorSignature: ry ry*f and Title: CLAY MYERS, Sheriff, Kitittas County <br />26. This instrument, subject to the provisions above, is executed by The U.S. Forest Service Authorized Signatory <br />Date:SONNY ST <br />JOHN <br />Digitally signed by SONNY ST <br />JOHN <br />Datei 2026.Q7 .22 08:26:'18 -07'00' <br />Signature: <br />alOfficiForest.b. <br />tnSTNNYN.JOH a AgentSpeci (Acting), <br />Northwest Law Enforcement and lnvestigations <br />27. The authority and format of this instrurnent have been reviewed and approved for signature' <br />Date.06124120?6MICHAEL <br />GADDISSignature; <br />stanagement <br />HAEL K, GADDIS <br />Forest Service <br />2A?5.96.24 <br />-07'00' <br />Dlgitalty sbned by <br />MICHAEL GAODIS <br />IDENTIFICATION'NFORMATION <br />FINANCIAL INFORMATION <br />REPORTING REQUIREMENTS <br />ATTACHITENTS <br />File Code:1500 For technical questions and Section 508 accommodation, please contact SM.FS.fseforms@usda.qov Paqe of