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USDA Forest Servicedi OMB 0596-0217 <br />�.TT(Tnc CCU, Tv 41JGD FS -1500-19 <br />MODIFICATION OF GRANT OR AGREEMENT <br />F <br />PAGE OPAGES <br />1 11 <br />1. U.S. FOREST SERVICE GRANT.'AGREEMENT NUMBER: <br />2. RECIPIENT/COOPERATOR GRANT or <br />3. MODIFICATION NUMBER: <br />19 -LE -11061700-009 (Cooperative Law <br />AGREEMENT NUMBER, IF ANY: <br />005 <br />Enforcement Agreement) <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 />PROJECTIACTIVITY (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 />N/A <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 />CHANGE IN PERFORMANCE PERIOD: <br />® <br />CHANGE IN FUNDING: Add funds in the amount of $47,960.00 to agreement. <br />ADMINISTRATIVE CHANGES: <br />® <br />OTHER (Specify type of modification): Incorporate 2023 Operating and Financial Plan (Exhibit A). <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 />This modification adds funds in the amount of $47,960.00 to existing agreement. <br />Summary of Obligated Dollars: <br />CY 22 Balance Carryover: $0.00 <br />Modification: $47,960.00 <br />Total: $47,960.00 <br />This modification adds the 2023 Operating and Financial Plan. <br />10. ATTACHED DOCUMENTATION (Check all that apply): <br />Revised Scope of Work <br />Revised Financial Plan <br />® Other: Exhibit B - Specialized Equipment and Rates, Addendum A: Fire Emergency Language & Billing Protocol <br />