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FS-'l 500-0100 (REV. 01/2026) <br />Additional Contacts (if applicable): <br />29. U.S. Forest Service Program Manager: <br />y.,1sms. Darra Canrredy <br />phone: (509) 664-9390 Email: darra cannedy@usda.govne'(509) 962-7685 frnpil. nanc!.shaff@co.kiitias.wa.us <br />Cooperator Program Manager: <br />smg. Nancy Shaff <br />31. U.S. Forest Service Program Manager: <br />Name: <br />Phone: Email: <br />Narre: <br />Phone; <br />Cooperator Program Manager: <br />Email: <br />Any additional contacts shall be included in an attachment to this instrument. <br />ditional Signatories (if applicable): <br />By signing this instrument, the signer certifies that they are vested with the authority to enter into this instrument. <br />Date:Name and Title:Cooperator Signature <br />DateName and Title:Cooperator Signature: <br />instrument, subject to the provisions above, is executed by The U.S. Forest Service Authorized Signatory: <br />Date: <br />and Title: <br />kanogan*ARA UMPHRIES, Forest Supervisor, <br />Wenatchee National Forest <br />OfficialU.S. ForestDAVID <br />FARMER <br />Digitally signed by DAVID <br />FARMER <br />Dale: 2026.07.21 1 3:32: 1 6 <br />-07'00' <br />Signature: <br />Date <br />Forest Service nis <br />35.Signature: <br />Any additional signatories shall be included in an attachment to this instrument. <br />PAPERWORK REDUCTION ACT STATEMENT <br />SM.FS.lnfoCollect@usda.gov, with OMB control number 0596-0217 in the subject line. <br />NONDISCRIMINATION STATEMENT <br />ln accordance with Federal civil rights law and U.S. Department of Agriculture (USDA) civil rights regulations and policies., the USDA, its <br />Agencies, offices, and employeesl and institutions participating in or idministering usDA programs are prohibited from discriminating based on <br />raie, color, national origin, religion, sex, disability, age, maritaistatus, family/parental status, income derived from a public assistance program, <br />political oeilefs, or repriial or r6tuliution for prior civit*rights activity, in any program or activity conducted or funded by USDA (not all bases apply <br />to all programs). Remedies and complaint filing deadlines vary by program or incident. <br />Pe rsons with di SA bilities who require altern ative means of co mmunication for p rogram nformation (e s.Braille la rge print,audiota pe,American <br />ign La etc,)should contact th res po NS ible Agency or USDA S TARG ET Center at (202)720-2600 (voice and TTY)or co ntact U S DAnguage, <br />rmatio be made la b le tn languages other ihan EnghtheFederalRelayServiceat(800)877-8339 Additional ly prog ra m info n maY ava <br />T o fil A program d lscn m nation complaint,com plete the U SDA P rogra m D scrimination C omplaint F orm AD-3027 found on ne at <br />and at any US DA office or write a letter add rESS ed l^US DA and provid ln the letter all UI the nfo rmatio n <br />requ ested n the form To request a copy of the com pl aint form (866)632-5992.Submit your completed form or letter to U S DA by:mail: <br />il .S Depa rtment of Agriculture offi ce of th Assista nt Secretary fo c tvt Rights 1 400 ndependence Avenue,SW Washington,D c <br />2A250-94 1 n Q)fax:(202)b 90-7442i or (3)email:orooram. intake@usda.qov. <br />USDA is an equal opportunity provider, employer, and lender <br />File Code:1500 For technical questions and Section 508 accommodation, please contact SM.FS.fseforms(Ousda.aov Page of