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USDA Forest Service OMB 0596-0217 ' <br />FS -1500-19 <br />MODIFICATION OF GRANT OR AGREEMENT <br />PAGE OF PAGES1 <br />12 <br />1. U.S. FOREST SERVICE GRANT/AGREEMENT NUMBER: <br />2. RECIPIENT/COOPERATOR GRANT or3. <br />MODIFICATION NUMBER: <br />19 -LE -11061700-009 (Kittitas County <br />AGREEMENT NUMBER, IF ANY: <br />003 <br />Cooperative Law Enforcement) <br />4. NAME/ADDRESS OF U.S. FOREST SERVICE UNIT ADMINISTERING <br />5. NAME/ADDRESS OF U.S. FOREST SERVICE UNIT ADMINISTERING <br />GRANT/AGREEMENT (unit name, street, city, state, and zip + 4): <br />PROJECT/ACTIVITY (unit name, street, city, state, and zip + 4): <br />Okanogan -Wenatchee National Forest <br />Okanogan -Wenatchee National Forest <br />215 Melody Lane <br />215 Melody Lane <br />Wenatchee, WA 98801 <br />Wenatchee, WA 98801 <br />6. NAME/ADDRESS OF RECIPIENT/COOPERATOR (street, city, state, and zip + <br />7. RECIPIENT/COOPERATOR'S HHS SUB ACCOUNT NUMBER (For HHS <br />4, county): <br />payment use only): <br />Kittitas, County of <br />205 W 5TH AVE STE 108 <br />Ellensburg, Washington 98926-2887 <br />8. PURPOSE OF <br />MODIFICATION <br />CHECK ALL <br />This modification is issued pursuant to the modification provision in the grant/agreement <br />THAT APPLY: <br />referenced in item no. 1, above. <br />El <br />CHANGE IN PERFORMANCE PERIOD: <br />M <br />CHANGE IN FUNDING: Add CY funding of $8,407.40 to agreement <br />E] <br />ADMINISTRATIVE CHANGES: <br />M <br />OTHER (Specify type of modification): Add CY 2022 Annual Operating Plan <br />Except as provided herein, all terms and conditions of the Grant/Agreement referenced in 1, above, remain unchanged and in full <br />force and effect. <br />9. ADDITIONAL SPACE FOR DESCRIPTION OF MODIFICATION (add additional pages as needed): <br />The United States Forest Service will add $8,407.40 to existing agreement. All previously obligated funds remain available until spent. <br />Summary of Obligated Dollars: <br />CY21 Balance Carryover: $7,700.00 <br />Modification: $8,407.40 <br />Total: $16,107.40* <br />*Partial funding through Continuing Resolution (PL 11743 9/30/21). Additional funds may be available when full Appropriation Bill <br />is enacted <br />This modification also adds the 2022 Annual Operating and Financial Plan. <br />10. ATTACHED DOCUMENTATION (Check all that apply): <br />Revised Scope of Work <br />® Exhibit A - 2022 Annual Operating and Financial Plan <br />M Other: Exhibit B - 2022 Specialized Equipment Rates <br />