Laserfiche WebLink
Rf;,Cfr'YFN <br />USDA Fnrcst Scrvicc l.'t r rrr. *" ! /,, "!. e llrrrt v q <br />0htB 0596-02 r 7 <br />fis- 1 500.1 9 <br />MODIFICATION OF GRANT OR AGREEMENT PAC€ OF PAGFS <br />ll <br />I. U.S, FOREST SERVICE CRANTJACR[EMENT NUMBER: <br />I g-LE- I I 06 I 700-009 (Cooperative Law <br />Enforcement Agreement ) <br />2. RECIPIENTCOOPERATOR GRANT or <br />ACREEMEN'I' NUMBTR. IF ANY; <br />3. MC,DIFICATION NUMBER: <br />005 <br />4. NAME/ADDRESS OT U,S. FOREST SERVICE UNIT ADM{NISTERINC <br />CR.{NTIACREEMENT (unit namc, srrccr, ciry, slatc. and tip r 4): <br />Okanogan-Wenatchee National Forest <br />215 Melody Lane <br />Wenatchee, WA 98801 <br />5. NAMEIADDRESS OF U.S- FOREST SERVICE UNIT ADMiNl"bRINA <br />PROJE(TIACTIVITY (unir narnr., srrcet, ciry, $tare, nnd zip 1 4): <br />Okanogan-Wenatchee National Forest <br />215 Melody Lane <br />Wenatchee, WA 98801 <br />6. NAMSADDRrSS Of RECTPIENTTCOOPERATOR (srrsct, ciry, sllte, ana iip +- <br />4, county): <br />Kittitas, County of <br />205 W 5th Ave Ste 108 <br />Ellensburg. Washington 98926-288 7 <br />7. RECIPIENT/COOPSRATOR'S HHS SUB ACCOUNT NUMBER {For HHS <br />payment use only): <br />N/A <br />8.PURPOSE OF MODIFTCATION <br />CHECKALL <br />TI{AT APPLY <br />This modification is issued pursuant to the modification provision in the grant/agreem€nt <br />referenced in item no. I above.n CHANCE IN PERFORMANCE PERIOD: <br />X CHANGE IN FUNDING: Add funds in the amount of $47,960.00 to agreement. <br />ADMTNISTRATryE CHANGES <br />a OTHER (Specify type of lncorporate 2023 and Financial Plan A). <br />Except as provlded herelnn rll terms rnd conditions of the GranUAgreement referenced in l, above, remain unchrnged rnd in <br />force and ellect <br />full <br />9. ADDITIONAL SPACE FOR DESCRIPTION OP <br />This modification adds funds in rhe amounr of $4 <br />Summary of Obligated Dollars: <br />CY 22 Balance Carryover: $0.00 <br />Modification : $47,960.00 <br />Total: $47,960.00 <br />Revised of Work <br />MODIFICATION (add additional <br />7,960.00 to existing agreement. <br />pages as needed) <br />2023 <br />IO. ATTACHED DOCUMNNTATION all that <br />Other: Exhibit B - Specialized and Rates, Addendum A: Fire Emergency Language & Billing Protocol