WPC ' !z[X *F(  6n)2]0ose(u|/;mp¢gO)/US_"Rlwi\uX67c߂O+92hREc0QB'W)G:fm J0DK_,>Ro~k^݂G#jZJ[ $t7vF/atqL*vky3. ,5~gx ʛ6>aDv99s:+߭.Ɓd/.U}#Tn5oZ|ګ4$m7L2厽^r+,t{WӯΞoQ5㏯,TU!=zJZ]jjwm0zpxeI7J̛PEHd6qc=ɽO_p#dot^b ɐuWu>£%Ňo@n6pB 0~ 0x 0k 0k 0h 0~ 0 0Q 05 0 0  0 01 0C+ 0Vn 0 0 07! 0! 0" 0Z# 0$ 0$ 0%U.4& %b& 0h& 0' 0z' 0O( 0() 0O%-Et- 0v- Z. 0=k. 0F. 0P. 1>/ 0/ 10 0&1 1 01w22 m2N2#2Ud@4^ 4 AS4 0N5|m577 8`<`p<D<>> 0P> 0i/? B*? D5? B*? D5!@ B7V@ B7@@@ DOzB 0PB^CpwCU@D DO'E 0|vEEfEaE FF FNGGoJ0K D55KjKN8L":L\L D5aL BL D5L BL D5M B:M D5WM BM D1M D5M 0DN D5SN B*N D5N 0N 0O 0P 0 FQ CQ QR B*R BQCR 1`RSnS 04S 0PS4HT \T 0PhTT 0PUU UV W WU@W 0 X 0Y 019Z 0Dj[\nZ]nZ'cnhnn3o 8oDoU@Zp"pqGsLsktptU@v}Cv"v 1w 72ix 0cxxzzzzU@zz||(}-}}}I~N~V~@EfUPg.~ YD^]t w%Ull,֛1H+y0:Q:Qׯ(-XUZZZZZoa77 0K 0ڹ 0| 01 0 0Լ 1½ 1uEEEEEE 72V& 8Document[8]Document Style0..8` ..` V8Document[4]Document Style.. . V 8Document[6]Document Style8..V 8Document[5]Document Style0..V/8Document[2]Document Style 2A.3  Ԁ   V& 8Document[7]Document Style0..0` ..` zU :Right Par[1]Right-Aligned Paragraph Numbers..2I.3  Ԁ..0..zh :Right Par[2]Right-Aligned Paragraph Numbers..` ..2A.3  Ԁ..0` ..` V?8Document[3]Document Style.. 21.3  Ԁ   z{ :Right Par[3]Right-Aligned Paragraph Numbers..` ..`  ..P 21.3  Ԁ` ..` 0 .. z :Right Par[4]Right-Aligned Paragraph Numbers..` ..`  .. .. 2a.3  Ԁ .. 0..z :Right Par[5]Right-Aligned Paragraph Numbers..` ..`  .. ..h..2(1)3  Ԁ..0h..hz :Right Par[6]Right-Aligned Paragraph Numbers..` ..`  .. ..h..h..2(a)3  Ԁh..h0..z :Right Par[7]Right-Aligned Paragraph Numbers..` ..`  .. ..h..h....2i)3  Ԁ..0..z :Right Par[8]Right-Aligned Paragraph Numbers..` ..`  .. ..h..h....p..2a)3  Ԁ..0p..pVX8Document[1]Document Style  @..^  2I.3  Ԁ     Ԉ l2:Technical[5]Technical Document Style.. 2(1)3  Ԁ. l2:Technical[6]Technical Document Style.. 2(a)3  Ԁ. l/%:Technical[2]Technical Document Style 2A.3  Ԁ   .. l,!:Technical[3]Technical Document Style 21.3  Ԁ   .. l(!:Technical[4]Technical Document Style 2a.3  Ԁ   .. l:0:Technical[1]Technical Document Style  2I.3  Ԁ     .. l1:Technical[7]Technical Document Style.. 2i)3  Ԁ. l1:Technical[8]Technical Document Style.. 2a)3  Ԁ. <6X9`(CourierPB0HeadingChapter Heading@..  2I.3  Ԁ   Ԉ tO 4Right ParRight-Aligned Paragraph Numbers.. 2I.3  Ԁ  0..R& 8BibliogrphyBibliography0.. ..L=6SubheadingSubheading 2A.3  ..    x?t2PleadingHeader for numbered pleading paper   z !(  6ZXXX6v"'*d66v"'*d6HH1HH2HH3HH4HH5HH6HH7HH8HH910111213141516171819202122232425262728  .+('2$ zT!   fp2Doc InitInitialize Document Style$S (    I. 1. A. a.(1)(a) i) a)S%&'($0 ($0 0 (($0 0 0   A_ekqwDocumentDocument StyleI.1.A.a.(1)(a)i)a)jo4Tech InitInitialize Technical StyleS *  1 .1 .1 .1 .1 .1 .1 .1 S CuyTechnicalTechnical Document Style11.11.1.11.1.1.11.1.1.1.11.1.1.1.1.11.1.1.1.1.1.11.1.1.1.1.1.1.1&$1PagesjS *2[1]Right-Aligned Paragraph Numbers..23  Ԁ..0..U 0&d9 Z(Times New Roman Ni* ?@Kj[E<<C(O$ r ~m&   _3Ч3X|MX3ЧThisformispreparedbytheAssistanceOfficer.Itisusedasthecoverpageoftheagreement.Usethearrow  keystonavigateintheformandmakesureyouneverexceedthenumberofcharactersforaline.Don'tuse  the"enter"key.Thatwillexpandthefield(block)andyouwillendupwithtwopageswhenyouprintit.If  youuseadifferentfontorcharactersizeyoumayneedtomakesomechangestogetittofitononepage.7: _Useparagraph"G"belowiftheagreementisexpectedtoexceed$100,000over  thelifeoftheagreement.TherecipientmustthencompletePartEofthe  DI2010certificationform.Youmaywanttosupplytherecipientwith  StandardForm_LLL_,DisclosureofLobbyingActivities,forsubmittingthe XX requiredreportiftheyhavedoneanythingthatrequiresreporting.The_LLL_    FormisfoundintheFARinthe"FormsAuthorizedForLocalReproduction"  section.Therecipientmustreportanyactionsemiannuallyby(September  30andMarch30).ReportsarerequiredtobesenttoyourHeadquarters xx AssistanceOfficerbyOctober15andApril15forconsolidationtothe @@ Department.ProceduresarefoundinFAR3.803,CertificationandDisclosure.   http://www.whitehouse.gov/OMB/grants/index.htmlhttp://www.whitehouse.gov/OMB/grants/index.html : ~m&   _3ЧThisiswhatacommentwilllooklike.Togobacktoyourdocumentorgetridofthiscommentjustclickyour  mouseandthiscommentboxwilldisappear.Commentsdonotshowupwhenyouprintyourdocument.=Level 1Level 2Level 3Level 4Level 5((3m$ zT!   >+ 0form[1](1)(a)23  0..&p d PdDDDD)!dxdx&p Pd dFGFG)!dxdx3+0 d d d3+0 d d dI  ~m&   _X2XCommunityactionprogramsarefocusedstructuredprogrammanagedby  thecommunitytoaccomplishlongtermfireprotectiongoals.3X|MXXX2#3ЧX3X|M7#3X|MX3Ч  #X2XX3X|M##QXX2-#vvG"Thin Top/Bottom! dxdx((3m$ zT!    T ~m&   _Listthenameofyouragency. f @m"   _ NЧNoaNЧ$XX$PARTE:0  CertificationRegardingLobbyingn n  0  CertificationforContracts,Grants,Loans,andCooperativeAgreements #NЧNoaY#&d9 Z(Times New Roman vvG"Thin Right/Left!dxdx>> 0form[2](1)(a)0..23  0` ..` LTable_A\Level 1Level 2Level 3Level 4Level 5  {m'   _3Ч(#**A00**** X NN(#Page  3  ڀof Pages12  ՀPages !   5 ' pdandrea0pdandrea .    ~m&   _ThisformisusedbytheAssistanceOfficertomodifytheagreementormodifyatask  ordertotheagreement.Yvvvv)!dxdx ~m&   _Monitoringandmaintenanceofhazardousfuelsreductionrequiresongoing  analysisasdefinedbythefuelsreductionplan.  ,  , aaaa)!dxdx  dcccc)!dxdxP Pdeeee)!dxdx dgggg)!dxdx dcc)! dxdxuuuu)!dxdx($$   1  llll)!dxdx&P d dBBBB)!dxdxjf *2[2]Right-Aligned Paragraph Numbers..` ..` 23  Ԁ..0` ..` jy *2[3]Right-Aligned Paragraph Numbers..` ..`  .. 23  Ԁ` ..` 0 .. j *2[4]Right-Aligned Paragraph Numbers..` ..`  .. ..23  Ԁ .. 0..6k$Triangle0   dPages&0 d d d  3sy2Right-Aligned Paragraph NumbersI.A.1.a.(1)(a)i)a)3|<6X9`(Courierd6X@K@( T$  ((3m$ zT!   N\N*zPages((3m$ zT!    ~m&   _Monitoringandmaintenanceofhazardousfuelsreductionrequiresongoing  analysisasdefinedbythefuelsreductionplan.((3m$ zT!     @m"   _ ЧoaЧPARTD:CertificationRegardingDrugFreeWorkplaceRequirements #ЧoaY##QЧ:# _3ЧHitthe"Find"key(F2)tofindandreplaceallthe*throughoutthedocument.Each*requiresyoutofillinyour  specificinformation.HSPages&d9 Z(Times New Roman j *2[5]Right-Aligned Paragraph Numbers..` ..`  .. ..h..h23  Ԁ..0h..hj *2[6]Right-Aligned Paragraph Numbers..` ..`  .. ..h..h..23  Ԁh..h0..j *2[7]Right-Aligned Paragraph Numbers..` ..`  .. ..h..h....23  Ԁ..0..j *2[8]Right-Aligned Paragraph Numbers..` ..`  .. ..h..h....p..p23  Ԁ..0p..p  ~m&   _Monitoringandmaintenanceofcommunityfireeducationandtrainingprograms  involvesongoinganalysisoftheireffectiveness,andtheneedforrevision  andcontinuedimplementation.<6X9`(CourierXx6X@KX@<6X9`(Courierd6X@K@02A`Helvetica`2PkCP02A`Helvetica,:2PkC,P02A`Helvetica|M2PkCP22A"HelveticaBold 2p}wC /2A`Helveticad^MC2PkC^P/2A`HelveticadE5>2PkCEP<6X9`(CourierXx6X@KX@<6X9`(Courierd6X@K@02A`Helvetica`2PkCP02A`Helvetica,:2PkC,P02A`Helvetica|M2PkCP22A"HelveticaBold 2p}wC /2A`Helveticad^MC2PkC^P/2A`HelveticadE5>2PkCEP<6X9`(CourierXx6X@KX@<6X9`(Courierd6X@K@02A`Helvetica`2PkCP02A`Helvetica,:2PkC,P02A`Helvetica|M2PkCP22A"HelveticaBold 2p}wC /2A`Helveticad^MC2PkC^P/2A`Helveticad2PkCP/2A`HelveticadE5>2PkCEP<6X9`(Courierd6X@K@Pages  @m"   _ ЧoaЧPARTC:  CertificationRegardingDrugFreeWorkplaceRequirements #^Doa:##Q^DY#&d9 Z(Times New Roman   ~m&   _Monitoringandmaintenanceofcommunityactionprogramsrequiresongoing  analysisoftheireffectivenessandtheirneedforrevisionandcontinued  implementation.    @m"   _ ЧoaЧPARTA:0  CertificationRegardingDebarment,Suspension,andOtherResponsibilityMatters{ {  0 X 0X{ X{ PrimaryCoveredTransactions #^Doa:##Q^DY#  ~m&   _Monitoringandmaintenanceofcommunityfireeducationandtrainingprograms  involvesongoinganalysisoftheireffectiveness,andtheneedforrevision  andcontinuedimplementation.  @m"   _ ЧoaЧPARTB:0  CertificationRegardingDebarment,Suspension,IneligibilityandVoluntaryExclusion{ {  0 X 0X{ X{ LowerTierCoveredTransactions #^Doa:##Q^DY#&d9 Z(Times New Roman  s ~m&   _Thisisanewrequirementandisrequiredinallagreements.  ~m&   _Monitoringandmaintenanceofcommunityactionprogramsrequiresongoing  analysisoftheireffectivenessandtheirneedforrevisionandcontinued  implementation.  (5hCEKQW]cioAutoList11.1.1.1.1.1.1.1.1.(;$25h  0  .3  0    ~m&   _SelectoneoftheParagraphBsbelowanddeletetheother.SelectAssistance  OfficerifyourBureauusesthetermAssistanceOfficertoawardand  administercooperativeagreements.SelectContractingOfficerifaContract  Specialistwillawardandadministerthecooperativeagreement.&d9 Z(Times New Roman   ~m&   _X2XCommunityactionprogramsarefocusedstructuredprogrammanagedby  thecommunitytoaccomplishlongtermfireprotectiongoals.3X|MXXX2#3ЧX3X|M7#3X|MX3Ч  #X2XX3X|M##QXX2-# ~m&   _SelecteitherAssistanceOfficerorContractingOfficeranddeletetheother. ~m&   _Selecteither_AO_ԀorCOanddeletetheother. ~m&   _ThisiseverythingyourFederalAgencywillcontributetothisagreement.  ~m&   _Thisparagraphneedstobereviewedandchangedasappropriatetofityour  agreement. 6 ~m&   _3Ч3X|MX3ЧTheauthorityforTribestoenterintoacooperativeagreementistheNationalIndianForestResources  ManagementAct_ P.L._ Ԁ101630,25U.S.C.31013120and25U.S.C.450e1inlieuofa_ P.L._ Ԁ93  638contractundersections450fand450gwhenmutuallyagreedtobytheBUREAU.#X2XX3X|M7##QXX2V# ~m&   _Selecteither_AO_ԀforAssistanceOfficerorCOforContractingOfficer.  {m'   _3Ч3X|MX3Ч ~m   !!(#**** X WW(#Page  2  ڀof, Pages12  #3ЧX3X|MV# @݈ R       `     h      p  K_3ЧAftercompletingthe*informationinthe"Purpose"paragraphbelow,weaddedashortsentence(inbroadterms)  explainingwhatisgoingtobeaccomplishedbythisagreement.Makechangesinthe Purposeifneeded.Don't  getthisconfusedwiththenextparagraph,"Objective",whichistobeexplainedindetail.Makechangestothe   Objectivetofityouragreementifneeded. [[ YoucannotuseanassistanceagreementtodosomethingtheGovernmentisrequiredtocomplete,i.e.forthedirect  benefitoruseoftheGovernment.IfthisprojectissomethingforthedirectbenefitoruseoftheGovernmentitwill  needtobeaccomplishedbycontractaction. _3ЧThePublicLawlistedhereshouldbesufficientifthisisforworkunderTitleIV.YoucanalsolistotherPublicLaws  ifneeded.MostPublicLawsareveryspecificastowhotherecipientcanbeandthepurpose.  ItisOKtolisttherecipient'sauthorityiftheywanttoprovidethatinformationandwantitintheagreement. _3ЧIdentifythebenefitstotherecipient,thepublicand*.Listallbenefitsthatwillresultfromtheperformanceofthe  project. _3ЧAddordeleteanydefinition(s)asappropriateforthisagreement.Ifyouaddordeleteanydefinitionsyoumayneed  tochangethealphabeticalletters. t_3ЧSelectoneofthetwoparagraph"A"sbelowanddeletetheotherone.  ~m&   _3ЧThisistherecipient'snameandinitials.StatethetypeofGovernmentalorganizationitissuchasState,County,  orTribalandhowitisorganized.Anexampleis"MontanaDepartmentofFishandGame(_MDF_&G),aStateagency  undertheGovernorofMontana.Thisparagraphmayneedtobemovedsoitisinalphabeticalorder.   _3ЧDeletethefollowing"ProjectInspector"paragraphifyoudonotplantoappointaprojectinspector(s). : ~m&   _3ЧExplainthedutiesoftherecipient'sprojectmanager.Thisistheindividualwhoisresponsibleforthedaytoday  operationsoftheagreement,accomplishesthetasksandprobablypreparesthereports,etc. _3ЧTherecipient'sResponsibleOfficeristhepersonresponsibleforsigningtheagreementandisresponsiblefor  makingsureallworkiscompletedasspecifiedintheagreement.Don'tgetthismixedupwiththeProjectManager  whoisthepersonresponsibleforthedaytodayoperationsandaccomplishestheprojectwork. _3ЧDeletethefollowing"TaskOrder"paragraphifyoudonotplanonissuingany_TOs_. m ~m&   _3ЧInsertthe_AOO_Ԁparagraphonlywhenthisisa"MasterAgreement"andthe_AO_Ԁwillallowother_AOs_Ԁ(fromother  _DOI_Ԁagencyiftheyaresignatorytothisagreement)toplacetaskordersagainstthisagreement.Ifyouusethe  _AOO_Ԁparagraphmoveittothepositionafterthe_AO_Ԁsoitisinalphabeticalorder. _3ЧIdentifytherespectiveroles,responsibilities,obligations,andaccountabilitywhicheachparticipanttothe  agreementwillassumeinitsefforttoachievethestatedjointobjectives.  Listeverythingtherecipientisrequiredtoperformandhowtheprojectandperformancewillbemeasuredto [[ evaluatetheobjectives. $$ Providethedetailsfortheresources,suchasservices,facilities,equipment,materials,supplies,personnel,thatthe  *andtherecipientwillprovide,andascheduleindicatingwhentheywillbeprovided.  Youmaywanttoaddanotherparagraph("The*andthe*mutuallyagreeto:")foreverythingtherecipientand*   agreetodotogether.Thisparagraphmaybethefirstorlastparagraphtothissection. _3ЧSelectoneofthetwoparagraph"IV"sbelow.Thesecondparagraphshouldbeusedifawardingandfunding_TOs_.  Agreementsmaynotexceed5years. w_3ЧUsethisparagraphonlyifissuing_TOs_. _3ЧSelectoneofthetwoparagraph"A"sbelow.Selectthesecondparagraphifprojectswillbefundedby_TOs_.  _3ЧSelectoneofthetwoparagraph"B"sbelow.Selectthesecondparagraphiftheprojectswillbefundedby_TOs_.  "_3ЧSelectoneofthethreeparagraph"C"sbelow.Selectthefirstparagraphtoestablisha_NTE_Ԁamountoverthelifeof  theagreement.Selectthesecondparagraphiftheprojectswillbefundedby_TOs_.Selectthethirdparagraphto  establisha_NTE_ԀamountoverthelifeoftheagreementANDtheprojectswillbefundedby_TOs_.  _3ЧIftherearecostsharingrequirementsinthisagreementstatetherequirementsinthefollowingparagraph.Itmay  alsobeadvisabletoadd"andtheSF424A,BudgetInformation_Nonconstruction_ԀPrograms,whichisattached  hereto"attheendoftheparagraphbelow.Review43_CFR_,SubpartC,Section12.65forrequirements.This  paragraphisoptional. _3ЧSendtherecipientacopyoftheSF3881formwhensendingthemtheawardletter.Itistheirresponsibilityto  completeitandsendittotheNBC. o ~m&   _3ЧThepreferredmethodofpaymentisreimbursement.Selecteither"advancepayment"or"reimbursement".Ifboth  methodsofpaymentwillbeusedjustdeletethe*.Forsmalleragreementsitisbesttousethereimbursement  methodonly. _3ЧThesampleparagraphsbelowshowstheSF270senttotheARandtheSF272totheAO(paragraphB&Cbelow)  butifyouwanttohavealltheinformationsenttotheAOorARthatisuptoyou.Iftherecipientdoesn'thavethe  SF270andSF272formssendthemsomewiththeawardletterorprovidethemwiththeinternetsitewheretheycan  findtheforms.Thatsiteis:4;_i6O  5  http://www.whitehouse.gov/OMB/grants/index.html66O  7_ $ [[  _3ЧIfreimbursementpaymentsareusedexclusively,deletethefollowingtwoparagraphs. _3Ч_Addanypropertyrequirementstothefollowingparagraphoraddadditionalparagraphsaboutproperty  requirementsspecifictothisagreement.Youdonothavetheauthoritytoindemnifyorholdharmlessanyonein  anyagreement(seeyourRegionalSolicitorforapproval).If_*willallowtherecipienttouseany*propertyor  equipmentstatewhowillberesponsibleforthemaintenance,repair,damage,destruction,security,etc.Youmay [[ wanttoaddaparagraphsuchas"The*assumesnoliabilityforanyactionsoractivitiesconductedunderthis $$ agreementexcepttotheextentthatrecourseorremediesareprovidedbyCongressundertheFederalTortClaims  Act[28U.S.C.1346(b),2401(b),26712680,asamendedby_P.L._Ԁ89506,80Stat.306]". |_3ЧDONTGETPERFORMANCEREPORTSCONFUSEDWITHPROGRESSREPORTS.  Thefollowingparagraphisnotrequiredexactlyasisandmaybechangedasappropriateifyouhaveyourown  reportingrequirements.Itwouldalsobeallowabletohavequarterlyprogressreportsspecifictoyourprojectanda  annualreportfortheinformationrequestedbelow. [[ Ataminimum,youmustrequireanannualperformancereport.Performancereportsmaynotberequiredmoreoften  thanquarterly,butarerequiredatleastyearly.Quarterlyorsemiannualreportsshallbedue30calendardaysafter  theendofthereportingperiod.Annualreportsaredue90daysaftertheendofthereportingperiod.Nomorethan  twocopiesofreportscanberequired. HH Progressreportsmustspecifythepertinenttechnicaldatarequirements,administrativeinformation,and/orreports   tobegeneratedinperformanceoftheproject,themannerandtimesinwhichinformationwillbesubmitted,the   responsibilitiesoftherecipientinactinguponinformationgeneratedandthemutualsupporttobeprovidedtothe l l  recipientsmanagementinformationsystem. _3ЧTheProjectInspectorparagraphbelowisoptionalandshouldbeincludedonlyifyouwillappointaPIafteraward  oftheagreement.ThePIappointmentlettershouldbeincludedwiththeawardlettertotherecipient. _3ЧSelectoneofthetwoparagraphs"A"sbelow.Selectthesecondparagraphif_TOs_Ԁwillbeused. N_3ЧIncludethefollowingparagraphinallagreementsiftherecipientisexpectedtopurchaseanysuppliesorservices  withFederalfunds.ReviewtheBudgetInformationontheSF424Atoseeiftherecipientwillbeauthorizedto  purchaseanything.!  ~m&   _3ЧIfthisagreementrequirestherecipienttoproduceareport(s)orapublication,includethefollowingclauseinyour  agreement.ThisisarequirementinDOIDepartmentalManual,Part505,Chapter4,DepositofPublications  producedUnderGrants.Thefollowingareexceptions:Administrativeinstruments,classifiedinformation,material  otherwisemarkedagainstunauthorizeddisclosure,andtentativedraftssuchaspreliminaryplanningreportsthat [[ willappearlaterinrevisedform. $$ Annual,semiannualorquarterlyperformancereportsasrequiredinSectionIX.DeliverablesandReports,donot  applytothisrequirement.  3X|MX3Ч#3ЧX3X|Ma#' e_3ЧThisprovisionisrequiredinallagreements.ItwillnolongerneedtobeupdatedeachyearaftertheInterior  AppropriationsActispassedbecauseintheFY2000AppropriationsActitstatedthatthisprovisionwas  applicableinfiscalyear2000andthereafter.) ~m&   _3ЧThisparagraphisrequiredinallgrantsandcooperativeagreements.Table_A>Q 0form[3](1)(a)0..0..23  0..>d 0form[4](1)(a)0..0..0..23  0..>w 0form[5](1)(a)0..0..0..0..23  0..> 0form[6](1)(a)0..0..0..0..0..23  0..> 0form[7](1)(a)0..0..0..0..0..0..23  0..> 0form[8](1)(a)0..0..0..0..0..0..0..23  0..AP456789 9GOW]emu{form(1)(a)(1)(a)i.(1)(a)(i)1)a)3#37=CIQYag1.a.i.(1)(a)(i)1)a);i) zT!   _X2X3X|MXXX2  @@   AGREEMENTSWITHSTATE,LOCAL,&TRIBALGOVERNMENTSFOR  IMPLEMENTINGTHENATIONALFIREPLAN  x #3ЧX3X|M:#@33Ч3Ч/1/2001Version  Thefollowingformsarecompletedbytheapplicantpriortoinitiationoftheagreement.TheSFformsandOMB 6 CircularsmaybefoundontheInternetatthefollowingsite:4< |6O  5  http://www.whitehouse.gov/OMB/grants/index.html6y6Oz  7 B" O   qk  qkr0 `   SF424,ApplicationforFederalAssistanceqkr݌ ` (#` (# Ќ    qk  qk50 `   SF424A,BudgetInformation_Nonconstruction_ԀProgramsqk5P݌Z ` (#` (# Ќ    qk  qk#0 `   SF424B,Assurances_Nonconstruction_ԀProgramsqk#>݌# s ` (#` (# Ќ  Thisformwillbecompletedbytheapplicantwhentheyexecutetheagreement.  <    qk  qkk0 `   DI2010,CertificationRegardingDebarment,SuspensionandOtherResponsibilityMatters,Drug    FreeWorkplaceRequirementsandLobbying(Thisformislocatedattheendofthismodel)#3Ч3Чh#3Ч3Ч @! #3Ч3Ч#3Ч3Чqkk݌~ ` (#` (# Ќ  #3Ч3Ч#Thisagreement_will_ԀonlybeusedinaccordancewiththeDepartmentoftheInteriorandRelatedAgencies `  AppropriationsActfortheFiscalYearendingSeptember30,2001,andforotherpurposes.PublicLaw106291,Title )  IV!WildlandFireEmergencyAppropriations.Youmayaddordeletesubjectitemstotheprojectmanagementplan,   however,youarenotrequiredtouseallfiveoftheitems.Theexamplesgivenarenotacompletelistingandother k  projectsmaybedevelopedaslongastheycomplywiththeintentofthelegislation.3Ч3Ч 4    `     h      p   A.Information_needs_Ԁtobefilledinthatisspecifictoeachagreement.Someofthesections,suchasSectionI,II,  andIII,areobviousandtheothersaremarkedwitha*.Thefollowingprocedureswillhelpyoufindallthespaces  thatrequireafillinorachoicetobemadeinthetext: X 0  1.StartwithyourcursoratthebeginningofthemodelagreementandhittheF2(FindandReplace)key.At : thebottomofthescreenyouwillseetheFindandReplacetextboxappear.(#(# 0  2.IntheFindboxtypeinthe*(allthespacestobefilledaremarkedwith*).E(#(# 0  3.WithyourmouseclickonFindNextandyourcursorwillautomaticallymovetothefirst*.Youwillneed ' tobackspace(toerasethe*)andtypeintheinformationforyouragreementormakethechoiceintext.(#(# 0  4.WiththemouseclickonFindNexttomovetothenext*andthenext*willappear.2 (#(# 0  5.Keepdoingthisuntilyoureachtheendofthedocument."(#(# B.EdittheAgreementNumber(****)intheHeader.Onceyouhavefilledintheagreementnumber,youwillneed V!$ toexitoutoftheHeaderbyclickingonFile,Close.Thefirstpagenumberin"Page___of___"intheHeaderwill "o% startwithPage2.Thesecondpagenumberiscreatedbyacodeonthelastpageofthedocument(Target(Pages)). "8& Donotdeletethiscode.Thispagenumberdoesnotautomaticallychangeaspagesareadded.Youmustgenerate #' thedocument(ControlF9)inorderforittochange.Ifyoudonotgeneratethedocumentbeforeyouprint, z$( WordPerfectwillaskyouifyouwouldliketo"generate"beforeyouprint,justanswer"Yes". C% ) >C."Comments"havebeenaddedthroughoutthisdocumentwithhelpfulinformationtoassistyouincompletingthe &$. agreementeasierandfaster.Thecommentsarewithinanovalintheleftmarginandshowupinfulltextonlywhen '%/ youusethemouseandclickontheoval.Clickontheovalontheleftofthisparagraphnow. g(v&0 D.Asyougothroughthedocumentdeletetheparagraphsnotneeded.Selectoneoftheparagraphsifsimilar )(2 paragraphsareallowed. *(3 Ifyouhaveanyquestions,comments,orsuggestedchangespleasecontactyourStateProcurementAnalystor T,c*5 ContractingOfficer. -,+6  -+7 #3Ч3Ч #XXX ~m   8"*RS ddd Xdd Xdd XX%X%, dd ,td ,4td ,td ,td +  <+ x<3,,3ЧForm15111  (February1989)@ <#3Ч,3,#3s 3ЧUnitedStatesDepartmentoftheInterior#3Ч 3sP#3,,3ЧԈ p @ !<#3Ч,3,#3s 3ЧBureauofLandManagement#3Ч 3s$#Ԉ    @ #<3  3ЧASSISTANCEAGREEMENT#3Ч 3 #Ԉ *  3,,3ЧNOTE:Bysigningthisdocument,therecipientacceptsthisagreementandagreestoperforminaccordancewithalltheenclosedterms,conditions,and   documentsattachedhereto.#3Ч,3,# ;v,  ;@ 3^ \3ЧPAGE#3Ч \3^i#Ԁ13^ \3ЧOF#3Ч \3^#Ԁ3^ \3ЧPAGES#3Ч \3^#Ԉ C9& x  v C *vv F *3^ \3Ч1.AGREEMENTNO.#3Ч \3^# _ Ѐ C9&d  vv C *vv - *3^ \3Ч2.TASKORDERNO.#3Ч \3^# F  Ѐ C9&K   vv C *vv   *3^ \3Ч3.TYPEOFAGREEMENT(Checkone)  -  Ѐ#3Ч \3^n#&3^ \3ЧGRANT 2  Ѐ#3Ч \3^#&3^ \3ЧCOOPERATIVEAGREEMENT OuB&   vv &O4.NAME,ADDRESSANDPHONENO.OFASSISTANCEOFFICER#3Ч \3^W # l   9uv*&u 93^ \3Ч5.NAME,ADDRESSANDPHONENO.OFRECIPIENT#3Ч \3^!# l   OvB&&" & uv O3^ \3Ч6.NAME,ADDRESSANDPHONENO.OFASSISTANCEREPRESENTATIVE#3Ч \3^X"# w#  9vv*1(v 93^ \3Ч7.#3Ч \3^'##3E \3ЧԀNAME,ADDRESSANDPHONENO.OFRECIPIENT'SPROJECTMANAGER#3Ч \3Ek## w)  OvB&1.  vv PO3^ \3Ч8.PROGRAMSTATUTORYAUTHORITY#3Ч \3^P$#Ԁ 9vv*/v 93^ \3Ч9.STARTINGDATE#3Ч \3^$#Ԁ OvB&0 P vv PO3^ \3Ч10.EFFECTIVEDATE#3Ч \3^%#Ԁ 9vv*d1v 93^ \3Ч11.COMPLETIONDATE#3Ч \3^;&#Ԁ OvB&d2 P vv ^O3^ \3Ч12.TYPEOFRECIPIENT(Checkone) $3 Ѐ#3Ч \3^&#&3^ \3ЧSTATE K4 Ѐ#3Ч \3^u'#&3^ \3ЧLOCALGOVERNMENT 5 Ѐ#3Ч \3^'#&3^ \3ЧINDIANTRIBALGOVERNMENT L6 Ѐ#3Ч \3^R(#&3^ \3ЧEDUCATIONALINSTITUTION 7 Ѐ#3Ч \3^(#&3^ \3ЧINDIVIDUAL o8 Ѐ#3Ч \3^I)#&3^ \3ЧFORPROFITORGANIZATION 89 Ѐ#3Ч \3^)#&3^ \3ЧNONPROFITORGANIZATION p : Ѐ#3Ч \3^2*#&3^ \3ЧOTHER(SPECIFY)#3Ч \3^*#򀀀 9vv*9 ;v 93^ \3Ч13.FUNDINGINFORMATION $< Ӏ#3Ч \3^k+#3,,3ЧRecipient*#3Ч,3,,#3^ \3Ч K= Thisobligation$#3Ч \3^},#򀀀󀀀3^ \3Ч$#3Ч \3^-#򀀀3^ \3Ч ,? Previousobligation$#3Ч \3^g-#򀀀󀀀3^ \3Ч$#3Ч \3^-#򀀀3^ \3Ч YA Totalobligation$#3Ч \3^O.#򀀀󀀀3^ \3Ч$#3Ч \3^.#򀀀3^ \3Ч C ShareRatio#3Ч \3^K/#򀀀%󀀀򀀀% OvB&{ F ^ vv O3^ \3Ч14.ACCOUNTINGANDAPPROPRIATIONDATA#3Ч \3^B0#  "G Ѐ OvB& !"H  v &O3^ \3Ч15.PROJECTTITLEANDBRIEFSUMMARYOFTHEPURPOSEANDOBJECTIVES#3Ч \3^)1# q"$I  OvB&+&'N & v O3^ \3Ч16a.NAMEANDTITLEOFSIGNER(Typeorprint)#3Ч \3^2# |' )O Ѐ 9vv*()Pv 93^ \3Ч17a.NAMEANDTITLEOFASSISTANCEORDERINGOFFICER(Typeorprint)#3Ч \3^2# |' )Q Ѐ Kvu:&()R  vv K3^ \3Ч16b.RECIPIENT c)*S ̀ *k,V @6#3Ч \3^3#3,,3Ч(AuthorizedSignature)#3Ч,3,4#3^ \3ЧԈ 4vvu#p+-Wvu 4#3Ч \3^:5#3,,3Ч16c.DATESIGNED#3Ч,3,5# c)*X @ 8vvu'*:,Zvvu 83^ \3Ч17b.UNITEDSTATESOFAMERICA c)*[ BY򀀀#3Ч \3^v6# *k,^ @f3,,3Ч(SignatureofAssistanceOfficer)#3Ч,3,m7#3^ \3ЧԈ 7vvu&p+-_vvu 7#3Ч \3^7#3,,3Ч17c.DATESIGNED#3Ч,3,P8# c)*` 3)')q+a 0  vvu 3  ,-a XXXVtV[3X|MX3ЧI.StatementofJointObjectives     `     h      p   H  A.Purpose.ThisagreementismadeandenteredintobytheDepartmentoftheInterior, Y  _*,[Agency]_Ԁandthe*(*),forthepurposeofimplementingtheNationalFirePlanforcommunity S  assistanceforprotectionfromcatastrophicwildlandfires.  M    B.Objective.  A     ` 1.Topromotecommunityassistanceprogramsthatmaybeusedtodeveloplocal  5 capabilityincluding;planning,mitigation,andhomeownereducation. / #3ЧX3X|M{9#3X|MX3Ч   ` 2.Toplanandimplementhazardousfuelsreductionactivitiesandtrainingand # monitoringassociatedwithsuchhazardousfuelsreductionactivities,onfederalland,oronadjacent  nonfederallandforactivitiesthatbenefitresourcesonfederalland.     ` 3.Toexpandtheexistingmitigationandfuelsmanagementprogramstoreducerisksto   communitiesandnaturalresourcesinhighriskareas. }      ` 4.Toenhancelocalandsmallbusinessemploymentopportunitiesforrural q communities. k   C.Authority.Thebasisforthisagreementisforthesupportorstimulationofapublicpurpose _ authorizedbythefollowingFederalstatute(s): Y $   ` 1.DepartmentoftheInteriorandRelatedAgenciesAppropriationsActfortheFiscal MW&! YearendingSeptember30,2001,andforotherpurposes.PublicLaw106291,TitleIV!Wildland GQ'" FireEmergencyAppropriations. AK(# _L_    D.Benefits.The_activities_Ԁtobeundertakenthroughthisagreementareinfurtheranceofthe* 5!{1+ andthe*[Agency]missionbytheprovidingthefollowingbenefits: /"u2,    ` 1.Reducetheriskandconsequencesofwildfire,bothinandaroundcommunitiesand #$i4. inwildlandareas. %c5/    ` 2.Expandthecapacityforlocalcommunitiestohelpthemselves. 'W71    `    ` 3.Enhancetheeconomicstabilityofruralcommunities. )K93 II.Definitions. */>8 '  A.Agreement:Thiscooperativeagreement(CA). ,JB=  ~  B.*AssistanceOfficer(_AO_):The*s[Agency]AssistanceOfficer.The_AO_Ԁistheonly .HB individualauthorizedtoobligatefunds,award,modifyorterminatetheagreementoranytaskorder /IC (TO)thereto.The_AO_Ԁisresponsibleforissuing_TOs_,monitoringtheagreementand_TOs_Ԁfor  compliance,enforcingtheagreementprovisions,issuingtimelyperformanceandpaymentapprovals,  terminatingtheagreementoranyTOtheretoandclosingouttheagreement.    B.*ContractingOfficer(CO):The*s[Agency]ContractingOfficer.TheCOistheonly   individualauthorizedtoobligatefunds,award,modifyorterminatetheagreementoranytaskorder   (TO)thereto.TheCOisresponsibleforissuing_TOs_,monitoringtheagreementand_TOs_Ԁfor   compliance,enforcingtheagreementprovisions,issuingtimelyperformanceandpaymentapprovals,   terminatingtheagreementoranyTOtheretoandclosingouttheagreement.   #3ЧX3X|M<#3X|MX3Ч  C.AssistanceRepresentative(AR):The*'s[Agency]AssistanceRepresentative.TheARwill   bedesignatedforthepurposeofadministeringthetechnicalaspectoftheagreement.TheARis   authorizedtoclarifytechnicalrequirements,andtoreviewandapproveworkwhichisclearlywithinthe   scopeoftheworkspecifiedinthisagreement.TheARisnotauthorizedtoissuechangesorinany   otherwaymodifythisagreement.   Q&  D.The*(*).Mayalsobereferredtoas*. }   E.TheCodeofFederalRegulations(_CFR_). q   F.FiscalYear(FY):TheFederalfiscalyearwhichextendsfromOctober1ofoneyear e throughSeptember30ofthefollowingyear. _   $G.The*(*).Mayalsobereferredtoasrecipient. S   H.NottoExceed(_NTE_)Amount:ThemaximumFederalfundingamount. G   I.TheOfficeofManagementandBudget(OMB)#3ЧX3X|MK#3X|MX3Ч. ; !! '  J.ProjectInspector(PI):The*'s[Agency]projectinspector.Atthetimeofaward,a* /"!%& employee(s)maybeappointedasthePI.Ifappointed,thePIwillberesponsibleforprovidingonsite )#&' inspectionoftheworkandforgivingthe*representativeanyspecialinstructions,guidance,ortraining #$'( necessarytocompleteorperformthework.ThePIwillnotbeauthorizedtoissuechangesorinany %() waymodifytheagreement. & )*   K.ProjectManager:Therecipient'sProjectManager.*  (-/ [  L.ResponsibleOfficial:Therecipient'sResponsibleOfficial.Theresponsibleofficialisthe )34 individualwhoisauthorizedtoactfortherecipientsorganizationandcommittherecipientto *45 compliancewiththetermsandconditionsofthisagreement. +56 _'_  M.TaskOrder(TO):Theorderwhichisissuedagainsttheagreementtoobligatefundsfor -9; specificservicesorworktobeaccomplished. .:<  /;= _[_  N.AssistanceOrderingOfficer(_AOO_):The*'s[Agency]AssistanceOrderingOfficer.The  _AOO_Ԁisanindividualauthorizedbythe_AO_Ԁtoissue_TOs_Ԁagainstthisagreement.The_AOO_Ԁis  responsibleforobligatingthefunds,monitoringforcompliance,enforcingtheprovisions,issuingtimely  performanceandpaymentapprovals,modifying,terminating,andclosingouttheTO.The_AOO_Ԁisnot  authorizedtoissuechangesorinanyotherwaymodifythisagreement.AProjectInspectormaybe   appointedbythe_AOO_ԀfortheTO.   __ III.ProjectManagementPlan.      A.The*agreestoprovidesupervisionandoversightandtocoordinatewithotherpublicand  privateorganizations,agenciesandindividualstoaccomplishtheidentifiedtasks. ~ #3ЧX3X|M*P#3X|MX3ЧH   ` 1.Developandimplementfireeducation,training,and/orcommunityaction Z plans/program(s)whichmayincludethefollowing: T    `  a.Mitigationandpreventionactivities H     `  b.Planning,zoningandordinances }B!    `  c.Survivablespace w<"    `    1.Vegetativemanagement q6#    `    2.Structuralignition k0$ #3ЧX3X|MZ#3X|MX3Ч   `     h      p      ` 2.ConductPlanningandAcquireClearances _$&    `  a.Developawrittenplantoimprovecommunityprotection. S(     ` 0 b.Identifyandobtainappropriatepermitsandclearancestoaccomplishwork.M)! (# (#    ` 0 c.Identifymonitoringandmaintenancerequirementsforlongtermcommunity G *" protection.A+# (# (#    ` 0   (# (#    ` 3.AccomplishthefollowingHazardousFuelsReductionActivitiesasidentifiedineach 5!,% taskorder. /"-&    `     `  a.WildlandFuels #$/(    `    1.Chemical %0)    `    2.Mechanicalandbiological &1*    `    3.Prescribedfire '2+    `  b.StructuralandLandscape#3ЧX3X|Mt]#3X|MX3Ч )4-    `    1.Survivablespace )5.    `    2.Planning,zoningandordinances *6/ #3ЧX3X|Mb#3X|MX3Ч   ` 4.Expandcommunitycapabilitytoenhancelocalemploymentopportunities#3ЧX3X|Mc#3X|MX3ЧԀ ,81    `  a.Recruitandprovidedirectsupervisionofeligibleparticipants .:3    `  b.Ensurepropertraininginsafeworkingpractices /;4    `  c.Provideappropriateworkattire     `  d.Ensurepayrollandworkerscompensationaremaintained#3ЧX3X|Md#3X|MX3Ч     `  e.Providebusinessdevelopmenttraining     `  f.Providetransportation,tools,suppliesandequipment     ` 5.DevelopshortandlongtermMonitoringandMaintenancePlans   T   `  a.Hazardousfuelsreduction   X   `  b.Communityfireeducationandtraining  t #3ЧX3X|Mf#3X|MX3Ч   `  c.Communityactionprograms  #3ЧX3X|M)i#3X|MX3Ч&  B.The*[Agency]agreestoprovidetechnicalassistance,trainingandoversightandassistin  coordinatingwithotherfederalagenciesasneededtoaccomplishthefollowingidentifiedtasks:#3ЧX3X|Mi#3X|MX3Ч  e#3ЧX3X|Mj#3X|MX3Ч#3ЧX3X|Mck#3X|MX3Ч_    1.Assistindevelopingandimplementingfireeducation,training,and/orcommunity m  actionplans/program(s)whichmayincludethefollowing: }g!      m a.Mitigationandpreventionactivities q[#!      m b.Planning,zoningandordinances kU$"      m c.Survivablespace eO%#      m  1.Vegetativemanagement _I&$      m  2.Structuralignition#3ЧX3X|Mk#3X|MX3Ч YC'% e2k#3ЧX3X|Mn#3X|MX3Ч   ` 2.AssistwithPlanningandClearances M7)'    `     `  a.Providetechnicalassistanceinthedevelopmentofawrittenplantoimprove A++) communityprotection. ; %,*    `  b.Assistinidentifyingandobtainingappropriatepermitsandclearancesto 5!-+ accomplishwork. /".,    `  c.Assistinidentifyingmonitoringandmaintenancerequirementsforlongterm )#/- communityprotection.#3ЧX3X|Mn#3X|MX3ЧԀ #$ 0.    ` 3.AssistwithHazardousFuelsReductionActivitiesbyprovidingthefollowingbased &20 onmutualagreementbetweenparties:technicalassistance,training,equipment,and/oroversight. '21    `    `  a.WildlandFuels )43    `    1.Chemicalandbiological )54    `    2.Mechanical *65    `    3.Prescribedfire +76    `  b.StructuralandLandscape#3ЧX3X|Mq#3X|MX3Ч -98    `    1.Survivablespace .:9    `    2.Planning,zoningandordinances#3ЧX3X|Mt#3X|MX3Ч /;: #3ЧX3X|Mu#3X|MX3Ч#3ЧX3X|Mu#3X|MX3Ч   ` 4.Assisttherecipientinenhancinglocalemploymentopportunities#3ЧX3X|MAv#3X|MX3ЧԀby:     `  a.Participatinginrecruitmentofeligibleparticipants     `  b.Conductingagreedupontrainingtoaccomplishindividualtaskorders      `  c.Providingtechnicaloversightandplans,drawings,mapsandspecifications   forworktobeperformedundertaskorders.      `  #3ЧX3X|Mv#3X|MX3Чd.Providingbusinessdevelopmenttrainingasidentifiedineachtaskorder.      `  e.Providingtransportationandspecializedtools,suppliesandequipmentas   specifiedineachtaskorder.   #3ЧX3X|My#3X|MX3Ч#3ЧX3X|Mxz#3X|MX3Ч   ` 5.AssistinthedevelopmentandimplementationofshortandlongtermMonitoring   andMaintenancePlans   _   `  a.Hazardousfuelsreduction  X   `  b.Communityfireeducationandtraining J #3ЧX3X|Mz#3X|MX3Ч   `  c.Communityactionprograms#3ЧX3X|M|#3X|MX3Ч }Y Ѐ   ` 6.Providepaymentstothe*inaccordancewithSection*,FinancialSupport,and qM Section*,Payments,ofthisagreementandapplicableOMBandTreasuryRegulations. kG   C.Itismutuallyagreedthat _)#!    ` 1.The*andthe*[Agency]willmeetasoftenasnecessarytoidentifytrainingand S%# developmentneedsandtoreviewworkprojectstobeaccomplished. M&$    ` 2.Thespecificworktobeperformedunderthisagreement_will_Ԁbenegotiatedbyboth A (& partiesinadvanceoftheissuanceofaTO.Thepartner_will_Ԁperformnoworkforwhichreimbursement ; )' willberequestedwithoutaproperlysignedTOand_will_Ԁperformonlythatworkwhichisinaccordance 5!)( withtheTO. /"*)    ` 3.InsofarastheUnitedStatesislegallyauthorizedtodoso,itshallholdtherecipient #$,+ harmlessfromanydamagesorinjuryresultingfromtheworkdesignatedundereachTO.Insodoing, %-, theUnitedStatesdoesnotintendto,nordoesitholdsaidrecipientharmlessfromanydamagesor &.- injuryarisingoutoforresultingfromanynegligentactsoromissionsofanyemployee,noristhisarticle '/. intendedtoconferanyliabilityupontheUnitedStatesGovernmentnotpresentlyexistingunderFederal  (0/ Law.TheUnitedStatesGovernmentisselfinsuredundertheTortClaimsAct,28U.S.C.26712680. )10    ` 4.RecipientmembersplacedunderthisCAarenotFederalemployeesforthe *32 purposeoflawsadministeredbytheOfficeofPersonnelManagementanddonothaveentitlementto +43 anyFederalbenefitssuchasinsurance,retirements,andleave.The*shallhavenoresponsibilityfor ,54 expensesof_arecipient_Ԁmember,forwhichtherecipienthasfullandexclusiveresponsibility. -65 IV._Terms_ԀofAgreement.*Thisagreementshallbecomeeffectiveonthedateofsignatureofthe* /;: [Agency]AssistanceOfficerandshallremainineffectfortheremainderofFY*,unlessterminatedin  accordancewiththeprovisionsof43_CFR_ԀSubpartC,Section12.84.Thisagreementmaybe  renewedforsubsequent_FYs_Ԁ(_NTE_Ԁatotaloffive),subjecttotheavailabilityofFederalfunding,by  mutualwrittenmodificationsignedbybothpartiestothisagreement.  IV._Terms_ԀofAgreement.*Thisagreementshallbecomeeffectiveonthedateofsignatureofthe*   [Agency]#3ЧX3X|M(}#3X|MX3ЧԀAssistanceOfficerandshallremainineffectuntil*,unlessterminatedinaccordancewiththe   provisionsof43_CFR_,SubpartC,Section12.84.   'V.TaskOrders(TO).   &  A.Issuance.Ifany_TOs_Ԁare_issued,_Ԁtheywillbeissuedinwritingbythe_AO_Ԁ*COandmust   besignedbyboththeauthorizedresponsibleofficialandthe_AO_Ԁ*COtobeeffective.    B.Contents.ATOwillcontain:     ` 1.Thespecificationsorstatementofworkwhichspecifieswhatwillbeperformed } underthisTO. w    ` 2.Alistofanydeliverableitemsthatarerequired. k    ` 3.Anynecessarydrawingsand/orlocationmaps. _    ` 4.Thedeliveryscheduleorcompletiontimewhichhasbeennegotiatedbasedonthe S levelofdifficulty,sitelocation,etc. M    ` 5.AdetailedbudgetsubmittedonformSF424A,BudgetInformation A  _Nonconstruction_ԀProgramswitha_NTE_Ԁamountforthetask. ; !    ` 6.Anyotherdetailorinformationnecessary. /" # VI.FinancialSupport. #$"% '  A.*Thisagreement_will_ԀbefundedeachFYbasedontheavailabilityof*[Agency]funding. &&* The*herebyreleasesthe*[Agency]#3ЧX3X|M#3X|MX3ЧԀfromallliabilityduetofailureofCongresstoappropriatefunds ''+ forthisagreement.  ((,   A.*Thisagreement_will_Ԁbefundedbyissuanceof_TOs_Ԁbasedontheavailabilityof*[Agency]#3ЧX3X|M#3X|MX3Ч )*. funding.The*herebyreleasesthe*[Agency]#3ЧX3X|M#3X|MX3ЧԀfromallliabilityduetofailureofCongressto *+/ appropriatefundsforthisagreement. +,0 '  B.*FundsobligatedbutnotexpendedinoneFYcanbecarriedforwardandexpendedinthe -05 subsequentFY. .16  /27   B.*FundsobligatedforaspecificTObutnotexpendedinthatFYcanbecarriedforwardand  expendedinthesubsequentFY.   [  C.*$*representsthe_NTE_Ԁamountforwhichthe*[Agency]#3ЧX3X|M#3X|MX3ЧԀwillberesponsibleunderthe  termsofthisagreement.The*[Agency]#3ЧX3X|MN#3X|MX3ЧԀshallnotbeobligatedtopayfornorshallthe*beobligated   toperformanyeffortthatwillrequiretheexpenditureofFederalfundsabovethe_NTE_Ԁamount.     C.*_TOs_Ԁwillspecifythe_NTE_Ԁamounts.The*[Agency]#3ЧX3X|M#3X|MX3ЧԀshallnotbeobligatedtopayfornor   shall*beobligatedtoperformanyeffortthatwillrequiretheexpenditureofFederalfundsabovethe   _NTE_ԀamountspecifiedinthatTO.     C.*$*representsthe_NTE_Ԁamountforwhichthe*[Agency]#3ЧX3X|M#3X|MX3ЧԀwillberesponsibleunderthe w termsofthisagreementoverthelifeoftheagreement.EachTOissuedwillspecifythe_NTE_Ԁamountfor q thatTO.The*[Agency]#3ЧX3X|MJ#3X|MX3ЧԀshallnotbeobligatedtopayfornorshallthe*beobligatedtoperformany k effortthatwillrequiretheexpenditureofFederalfundsabovethe_NTE_ԀamountspecifiedinthatTO. e  $  D.Costsharingforthisagreementshallbeinaccordancewith43_CFR_,SubpartC,Section } _12.64._ w VII.Payments. k   A. ` ElectronicFundsTransferPayments _    ` 1.PaymentunderthisagreementwillbemadebytheGovernmentbyelectronicfunds S!  transfer(throughtheTreasury_Fedline_ԀPaymentSystem(_FEDLINE_)ortheAutomatedClearingHouse M"! (_ACH_)). G#"    ` 2.Afteraward,butnolaterthan14daysbeforeaninvoiceoragreementfinancing ; %$ requestissubmitted,theRecipientshalldesignateafinancialinstitutionforreceiptofelectronicfunds 5!&% transferpayments(SF3881),andshallsubmitthisdesignationtothefollowingaddress: /"}'& *Changethe_BLM_Ԁaddressbelowtotheappropriate_FWS_,BIA,or_NPS_Ԁaddress #$q)( #3ЧX3X|Ms#3X|MX3Ч   `  BureauofLandManagement &e+*    `  NationalBusinessCenter,BC630 '_,+    `  DenverFederalCenter,Bldg.50  (Y-,    `  POBox25047 )S.-    `  Denver,CO802250047 )M/.    ` 3.Ifadesignationhasbeensubmittedtothe*[Agency]underapreviousagreementit +A10 isnotnecessarytocompleteanotherSF3881unlessyouarechangingyourdesignationoffinancial ,;21 institution. -532 [K  B.The*_will_Ԁbeentitledtoreimbursement*oradvancepayment*atleastquarterlyupon /->: submissionofanoriginalRequestforAdvanceorReimbursement,StandardForm(SF)270totheAR.  Paymentsshallbegovernedbytheprovisionsof43_CFR_ԀSubpartC,Section12.61and12.81.  '  C.Ifadvancepaymentsaremadethe*mustsubmitaFederalCashTransactionReport,SF  272tothe_AO_Ԁ*CO15workingdaysfollowingtheendofeachquarter.     D.Advancepaymentsshallbemadeonlyinamountsnecessarytomeetcurrentdisbursement    needsandshallbescheduledsothatthefundsareavailableonlyimmediatelypriortotheir    disbursement.   VIII.PropertyManagementandDisposition.     Any*[Agency]#3ЧX3X|Mѡ#3X|MX3ЧԀpropertyusedorotherpropertyacquiredunderthisagreement,including  intangiblepropertysuchascopyrightsandpatentsshallbegovernedbytheprovisionsof43_CFR_,  SubpartC,Section12.71through12.74.Eachpartyagreesthatitwillberesponsibleforitsownacts  andtheresultsthereofandshallnotberesponsiblefortheactsoftheotherpartyandtheresultsthereof.  Eachparty,therefore,agrees,totheextentauthorizedbyapplicablelawswillassumeallrisksand } liabilitytoitself,itsagentsoremployees,foranyinjurytopersonsorpropertyresultingfromany w operationsofitsagentsoremployeesunderthisagreement,andforanyloss,cost,damage,orexpense q resultingatanytimefromanyandallclausesduetoanyacts,ornegligence,orthefailuretoexercise k properprecautionsoforbyitselforitsownagentstothisagreement.The*[agency]assumesno e liabilityforanyactionsoractivitiesconductedunderthisagreementexcepttotheextentthatrecourseor _ remediesareprovidedbyCongressundertheFederalTortClaimsAct[28U.S.C.1346(b),2401(b), Y 26712680,asamendedby_P.L._Ԁ89506,80Stat.306.#3ЧX3X|M+#3X|MX3Ч Sz IX.DeliverablesandReports. Gn!  \   SubmitonecopyofanannualperformancereporttotheAssistanceRepresentativewithin90 ; /$ daysaftertheendoftheFY.Theperformancereportmustbepreparedinaccordancewith43_CFR_, 5!0% SubpartC,Section12.80andaddressitemssuchasacomparisonofactualaccomplishmentswith /"1& establishedgoals,reasonswhygoalsmaynothavebeenmet,costoverrunsandanyotherpertinent )#2' information. #$3( X.KeyOfficials. &5* &  A.*AssistanceOfficer(_AO_)*ContractingOfficer(CO)  (9/    ` *Name );1    ` *Address *<2    ` TelephoneNumber(*)* +=3   B.AssistanceRepresentative(AR) -?5    ` *Name /A7    ` *Address     ` TelephoneNumber(*)*  #3ЧX3X|M#3X|MX3Ч  C.ProjectInspector(PI)      ` *Name       ` *Address      ` TelephoneNumber(*)*   #3ЧX3X|M*#3X|MX3Ч  D.ResponsibleOfficial      ` *Name     ` *Address     ` TelephoneNumber(*)*  #3ЧX3X|Mk#3X|MX3Ч  E.ProjectManager }    ` *Name q    ` *Address k~    ` TelephoneNumber(*)* ex #3ЧX3X|M#3X|MX3ЧXI.SpecialTermsandConditions. Yl '  A.*OrderofPrecedence M   Anyinconsistencyinthisagreement_will_Ԁberesolvedbygivingprecedenceinthefollowing A{  order:(a)Anynationalpolicyrequirementsandadministrativemanagementstandards;(b)requirements ; u! oftheapplicableOMBCircularsandTreasuryregulations;(c)43_CFR_ԀPart12;(d)specialtermsand 5!o " conditions;and(e)allAgreementsections,documents,exhibits,andattachments. /"i!#   A.*OrderofPrecedence #$]#%   Anyinconsistencyinthisagreement_will_Ԁberesolvedbygivingprecedenceinthefollowing &Q%' order:(a)Anynationalpolicyrequirementsandadministrativemanagementstandards;(b)requirements 'K&( oftheapplicableOMBCircularsandTreasuryregulations;(c)43_CFR_ԀPart12;(d)specialtermsand  (E') conditions;(e)allAgreementsections,documents,exhibits,andattachments;and(f)allTOsections, )?(* documents,exhibits,andattachments. )9)+   B.Modifications +-+- &  Thisagreementmaybemodifiedbywrittenagreementsignedbybotha*officialandthe_AO_Ԁ* -G/2 CO#3ЧX3X|M#3X|MX3Ч.Administrativechanges_(i.e.,_Ԁ_AO_Ԁ*COnamechange)whichdonotchangetheproject .A03 managementplan,_NTE_Ԁamount,etc.orotherwiseaffecttherecipientmaybesignedunilaterallybythe /;14 _AO_Ԁ*CO.  [  C.ProcurementProcedures    Itisanationalpolicytoplaceafairshareofpurchaseswithminoritybusinessfirms.The   DepartmentoftheInteriorisstronglycommittedtotheobjectivesofthispolicyandencouragesall   recipientsofitsgrantsandcooperativeagreementstotakeaffirmativestepstoensuresuchfairness.   Positiveeffortsshallbemadebyrecipientstoutilizesmallbusinesses,minorityownedfirms,and   women'sbusinessenterprises,wheneverpossible.RecipientsofFederalawardsshalltakeallofthe   followingstepstofurtherthisgoal:      ` 1.Ensurethatsmallbusinesses,minorityownedfirms,andwomen'sbusiness w enterprisesareusedtothefullestextentpracticable. q    ` 2.Makeinformationonforthcomingopportunitiesavailableandarrangetimeframes e forpurchasesandcontractstoencourageandfacilitateparticipationbysmallbusinesses,minority _ ownedfirms,andwomen'sbusinessenterprises. }Y    ` 3.Considerinthecontractprocesswhetherfirmscompetingforlargercontractsintend qM tosubcontractwithsmallbusinesses,minorityownedfirms,andwomen'sbusinessenterprises. kG    ` 4.Encouragecontractingwithconsortiumsofsmallbusinesses,minorityownedfirms _; andwomen'sbusinessenterpriseswhenacontractistoolargeforoneofthesefirmstohandle Y5 individually. S/    ` 5.Usetheservicesandassistance,asappropriate,ofsuchorganizationsastheSmall G# BusinessDevelopmentAgencyinthesolicitationandutilizationofsmallbusiness,minorityownedfirms A andwomen'sbusinessenterprises. ;    i   D.DepositofPublications /"t)#   Two(2)copiesofeachapplicablepublicationproducedunderthisagreementshallbesentto #$h+% theNaturalResourcesLibrarywithatransmittalthatidentifiesthesenderandthepublication,andstates %b,& thatthepublicationisintendedfordepositintheNaturalResourcesLibrary.Publicationsshallbesent &\-' tothefollowingaddress: 'V.(    ` U.S.DepartmentoftheInterior )J0*    ` NaturalResourcesLibrary )D1+    ` InteriorServiceCenter *>2,    ` GiftsandExchangesSection +83-    ` 1849CStreet,_N.W._ ,24.    ` Washington,D.C.20240 -,5/ XII.GeneralProvisions. / 71 Ї  A.NationalPolicyRequirementsandAdministrativeManagementStandards.Allapplicable  nationalpolicyrequirementsandadministrativemanagementstandardsassetforthintheOfficeof  ManagementandBudget,FinancialManagementDivision,DirectoryofPolicyRequirementsand  AdministrativeStandardsforFederalAidProgramsareincorporatedbyreference.    B.43_CFR_ԀPart12,AdministrativeandAuditRequirementsandCostPrinciplesforAssistance   Programsisincorporatedbyreference.   #3ЧX3X|M#3X|MX3Ч  C.OMBCircularA87,CostPrinciplesforStateandLocalGovernmentsisincorporatedby   reference.     D.SingleAuditActAmendmentsof1996,PublicLaw104156,110Stat.1396,31U.S.C.   75017and43_CFR_,Part12,isincorporatedbyreference.     E.43CodeofFederalRegulations(_CFR_)Part12,AppendixAtoSubpartD,Certification   RegardingDebarment,Suspension,andOtherResponsibilityMattersPrimaryCoveredTransaction  andcompletedFormDI2010areincorporatedbyreference. }   F.43_CFR_ԀPart12,AppendixCtoSubpartD,CertificationRegardingDrugFreeWorkplace q Requirements,AlternateI(Granteesotherthanindividuals)andcompletedFormDI2010_are_ k incorporatedbyreference. e 9   G.3lU.S.C.1352,CertificationRegardingLobbyingandcompletedFormDI2010are Yr incorporatedbyreference. Sl  #3ЧX3X|M#3X|MX3Ч&[  H.ComplianceWithBuyAmericanAct.PursuanttoSec.307oftheDepartmentofthe G& InteriorandRelatedAgenciesAppropriationsActof2000,PublicLaw106113,beadvisedofthe A'  following: ; (!    ` 1.Noneofthefundsmadeavailableinthisagreementmaybeexpendedbyarecipient /"*# unlesstherecipientagreesthatinexpendingthefundstherecipientwillcomplywithsections2through )#*$ 4oftheActofMarch3,1933(41U.S.C.10a10c;popularlyknownasthe"BuyAmericanAct"). #$+%    ` 2.PurchaseofAmericanmadeequipmentandproducts.Inthecaseofanyequipment &-' orproductthatmaybeauthorizedtobepurchasedwithfinancialassistanceprovidedusingfundsmade '.( availableinthisAct,itisthesenseoftheCongressthatentitiesreceivingtheassistanceshould,in  (/) expendingtheassistance,purchaseonlyAmericanmadeequipmentandproducts. )0*    ` 3.Recipientalsoagreestofollowtheproceduresin43_CFR_ԀPart12,SubpartE, *2, Section12.700BuyAmericanRequirementsforAssistancePrograms. +3- ('  I.OppositiontoAnyLegislation.RecipientshallnotuseanypartoftheGovernmentsfunds -72 foranyactivityorthepublicationordistributionofliteraturethatinanywaytendstopromotepublic .83 supportoroppositiontoanylegislativeproposalonwhichCongressionalactionisnotcomplete. /94 Ї&  J.IncreasingSeatBeltUseintheUnitedStates.Recipientsofgrants/cooperativeagreements & and/orsubawardsareencouragedtoadoptandenforceonthejobseatbeltusepoliciesand   programsfortheiremployeeswhenoperatingcompanyowned,rented,orpersonallyownedvehicles.  Thesemeasuresinclude,butarenotlimitedto,conductingeducation,awareness,andotherappropriate  programsfortheiremployeesabouttheimportanceofwearingseatbeltsandtheconsequencesofnot   wearingthem.   #3ЧX3X|M# ,      :AP456789(03;HHXX  TRY,3'X3' Letter 3' Letter3'T^)E@ U.S.DepartmentoftheInterior   @v v  3&b%3ЧCertificationsRegardingDebarment,Suspension_and w[ @| | OtherResponsibilityMatters,DrugFreeWorkplace Y= @ggRequirementsandLobbying ; @ (,H$H$( ;#3Ч%3&b|#3oa3ЧPersonssigningthisformshouldrefertotheregulationsreferenced  belowforcompleteinstructions:    CertificationRegardingDebarment,Suspension,andOther    ResponsibilityMattersPrimaryCoveredTransactions The   prospectiveprimaryparticipantfurtheragreesbysubmittingthis  t  proposalthatitwillincludetheclausetitled,"Certification Y =  RegardingDebarment,Suspension,IneligibilityandVoluntary "  ExclusionLowerTierCoveredTransaction,"providedbythe   departmentoragencyenteringintothiscoveredtransaction,   withoutmodification,inalllowertiercoveredtransactionsand }a inallsolicitationsforlowertiercoveredtransactions. Seebelow F* forlanguagetobeusedorusethisformforcertificationandsign.(See    AppendixAofSubpartDof43_ CFR_ ԀPart12.)  CertificationRegardingDebarment,Suspension,Ineligibilityand  VoluntaryExclusionLowerTierCoveredTransactions(See   AppendixBofSubpartDof43_ CFR_ ԀPart12.) q U CertificationRegardingDrugFreeWorkplaceRequirements   AlternateI.(GranteesOtherThanIndividuals)andAlternateII.  t  (GranteesWhoareIndividuals)(SeeAppendixCofSubpartDof43 Y =  _ CFR_ ԀPart12) "  Signatureonthisformprovidesforcompliancewithcertification x\  requirementsunder43_ CFR_ ԀParts12and18.Thecertificationsshall A% betreatedasamaterialrepresentationoffactuponwhichreliancewill    beplacedwhentheDepartmentoftheInteriordeterminestoaward ! thecoveredtransaction,grant,cooperativeagreementorloan. " #3Ч3oa #3&b%3Ч G+# (,HVHV( ( #  HX #3Ч%3&b#3oa3Чi5J3#h L'"C!< `EHC!zdt{ " i#3Ч3oa`# 3oa3Ч $     #3Ч3oa#3s 3Ч CHECK򀀀IFTHISCERTIFICATIONISFORAPRIMARYCOVEREDTRANSACTIONANDISAPPLICABLE. #3Ч 3s#3oa3Ч &   l[HHlP X`h!$p&( +x-/(24609;=Hl (1) l Theprospectiveprimaryparticipantcertifiestothebestofitsknowledgeandbelief,thatitanditsprincipals: ( ~[HHl%P X`h!$p&( +x-/(24609;=HHlX~ l (a)0 % Arenotpresentlydebarred,suspended,proposedfordebarment,declaredineligible,orvoluntarilyexcludedbyanyFederal D(* departmentoragency; +%$%$  l (b)0 % Havenotwithinathreeyearperiodprecedingthisproposalbeenconvictedoforhadaciviljudgmentrenderedagainstthemfor cG- commissionoffraudoracriminaloffenseinconnectionwithobtaining,attemptingtoobtain,orperformingapublic(Federal,State ,. orlocal)transactionorcontractunderapublictransaction;violationofFederalorStateantitruststatutesorcommissionof / embezzlement,theft,forgery,bribery,falsificationordestructionofrecords,makingfalsestatements,orreceivingstolenproperty;0%$%$ {XHHl%P X`h!$p&( +x-/(24609;=HHl%X{ l (c)0 % Arenotpresentlyindictedfororotherwisecriminallyorcivillychargedbyagovernmentalentity(Federal,Stateorlocal)with  2 commissionofanyoftheoffensesenumeratedinparagraph(1)(b)ofthiscertification;and 3%$%$ ~[HHl%P X`h!$p&( +x-/(24609;=HHl%P X~ l (d)0 % Havenotwithinathreeyearperiodprecedingthisapplication/proposalhadoneormorepublictransactions(Federal,Stateorlocal) 3" 5 terminatedforcauseordefault." 6%$%$ (2)0 l Wheretheprospectiveprimaryparticipantisunabletocertifytoanyofthestatementsinthiscertification,suchprospectiveparticipant R$6"8 shallattachanexplanationtothisproposal.%"9l$l$    i5J3#h L72C!< `EHq&C!zdt{ %" i q&U$; #3Ч3oa%#3s 3Ч   CHECK򀀀IFTHISCERTIFICATIONISFORALOWERTIERCOVEREDTRANSACTIONANDISAPPLICABLE. #3Ч 3s#3oa3Ч 7)'=   (1)0 l Theprospectivelowertierparticipantcertifies,bysubmissionofthisproposal,thatneitheritnoritsprincipalsispresentlydebarred, x*\(? suspended,proposedfordebarment,declaredineligible,orvoluntarilyexcludedfromparticipationinthistransactionbyanyFederal A+%)@ departmentoragency. ,)Al$l$ (2)0 l Wheretheprospectivelowertierparticipantisunabletocertifytoanyofthestatementsinthiscertification,suchprospectiveparticipant `-D+C shallattachanexplanationtothisproposal. #3Ч3oa#). ,Dl$l$ 3oa3Ч    -HHHl%P X-  #3Ч3oa#3,,3ЧDI2010 /c-F   June1995 /-G   (ThisformreplacesDI1953,DI1954, i0M.H   DI1955,DI1956andDI1963)#3Ч,3,U#3oa3Ч  0.I ^)E ^,, ^  _ #3Ч3oaM#3oa3Ч-1HHl%P XH1  l5J6&"h \72 P!< `EH,P!dt " l ,   3s 3oa CHECK򀀀IFTHISCERTIFICATIONISFORANAPPLICANTWHOISNOTANINDIVIDUAL.#3oa 3s# )   AlternateI.(GranteesOtherThanIndividuals) c7 A.Thegranteecertifiesthatitwillorcontinuetoprovideadrugfreeworkplaceby:   l (a)0 % Publishingastatementnotifyingemployeesthattheunlawfulmanufacture,distribution,dispensing,possession,oruseofacontrolled  substanceisprohibitedinthegrantee'sworkplaceandspecifyingtheactionsthatwillbetakenagainstemployeesforviolationof   suchprohibition;] %$%$  l (b) % Establishinganongoingdrugfreeawarenessprogramtoinformemployeesabout    [HHl%vP X`h!$p&( +x-/(24609;=HHl%P X l  % (1)0 v Thedangersofdrugabuseintheworkplace;~ R v$v$  l  % (2)0 v Thegrantee'spolicyofmaintainingadrugfreeworkplace;% v$v$  l  % (3)0 v Anyavailabledrugcounseling,rehabilitation,andemployeeassistanceprograms;and v$v$  l  % (4)0 v Thepenaltiesthatmaybeimposeduponemployeesfordrugabuseviolationsoccurringintheworkplace;s G v$v$ [HHl%P X`h!$p&( +x-/(24609;=HHl%vP X l (c)0 % Makingitarequirementthateachemployeetobeengagedintheperformanceofthegrantbegivenacopyofthestatementrequired   byparagraph(a);Z %$%$  l (d)0 % Notifyingtheemployeeinthestatementrequiredbyparagraph(a)that,asaconditionofemploymentunderthegrant,theemployee  willm%$%$ [HHl%vP X`h!$p&( +x-/(24609;=HHl%P X l  % (1)0 v Abidebythetermsofthestatement;and@v$v$  l  % (2)0 v Notifytheemployerinwritingofhisorherconvictionforaviolationofacriminaldrugstatuteoccurringintheworkplaceno  laterthanfivecalendardaysaftersuchconviction;v$v$ [HHl%P X`h!$p&( +x-/(24609;=HHl%vP X l (e)0 % Notifyingtheagencyinwriting,withintencalendardaysafterreceivingnoticeundersubparagraph(d)(2)fromanemployeeor  otherwisereceivingactualnoticeofsuchconviction.Employersofconvictedemployeesmustprovidenotice,includingposition  title,toeverygrantofficeronwhosegrantactivitytheconvictedemployeewasworking,unlesstheFederalagencyhasdesignated X acentralpointforthereceiptofsuchnotices.Noticeshallincludetheidentificationnumbers(s)ofeachaffectedgrant;I%$%$  l (f)0 % Takingoneofthefollowingactions,within30calendardaysofreceivingnoticeundersubparagraph(d)(2),withrespecttoany k  employeewhoissoconvicted\0!%$%$ [HHl%vP X`h!$p&( +x-/(24609;=HHl%P X l  % (1)0 v Takingappropriatepersonnelactionagainstsuchanemployee,uptoandincludingtermination,consistentwiththe " requirementsoftheRehabilitationActof1973,asamended;or#v$v$  l  % (2)0 v Requiringsuchemployeetoparticipatesatisfactorilyinadrugabuseassistanceorrehabilitationprogramapprovedforsuch oC$ purposesbyaFederal,State,orlocalhealth,lawenforcement,orotherappropriateagency;4%v$v$ [HHl%P X`h!$p&( +x-/(24609;=HHl%vP X l (g)0 % Makingagoodfaithefforttocontinuetomaintainadrugfreeworkplacethroughimplementationofparagraphs(a)(b),(c),(d),(e) V' and(f). G(%$%$  B.Thegranteemayinsertinthespaceprovidedbelowthesite(sfortheperformanceofworkdoneinconnectionwiththespecificgrant: i* PlaceofPerformance(Streetaddress,city,county,state,zipcode) , ____________________________________________________________________________________________________  ^- ____________________________________________________________________________________________________ ! / ____________________________________________________________________________________________________ &#!1 Check___ifthereareworkplacesonfilethatarenotidentifiedhere. t$H#3 f52"`xC! `EQ%C!tt[ *%"Af HIHIH$H$ HIHIHIHI HIHIHIHI HIHIHIHI HIHIHIHI HIHIHIHI H$H$HIHI  3s 3oaCHECK򀀀IFTHISCERTIFICATIONISFORANAPPLICANTWHOISANINDIVIDUAL.  )':   #3oa 3s# AlternateII.(GranteesWhoAreIndividuals)  *(<  l (a)0 % Thegranteecertifiesthat,asaconditionofthegrant,heorshewillnotengageintheunlawfulmanufacture,distribution,dispensing, n+B*> possession,oruseofacontrolledsubstanceinconductinganyactivitywiththegrant;3,+?%$%$  l (b)0 % Ifconvictedofacriminaldrugoffenseresultingfromaviolationoccur%  ringduringtheconductofanygrantactivity,heorshewill -U,A reporttheconviction,inwriting,within10calendardaysoftheconviction,tothegrantofficerorotherdesignee,unlesstheFederal F.-B agencydesignatesacentralpointforthereceiptofsuchnotices.Whennoticeismadetosuchacentralpoint,itshallincludethe  /-C identificationnumber(s)ofeachaffectedgrant. /.D%$%$ -HHHHl%P X- H 33,3oaDI2010 w0K/E  H June1995 0/F  H (ThisformreplacesDI1953,DI1954, ]110G  H DI1955,DI1956andDI1963)#3oa,33K#1HHl%P XHH1_   10H -i5MJ3#h L726!< `EH,6!zdtn " i , 3s 3oa  CHECK򀀀IFCERTIFICATIONISFORTHEAWARDOFANYOFTHEFOLLOWINGAND [/ THEAMOUNTEXCEEDS$100,000:AFEDERALGRANTORCOOPERATIVEAGREEMENT;  SUBCONTRACT,OR_ SUBGRANT_ ԀUNDERTHEGRANTORCOOPERATIVEAGREEMENT. [ CHECK򀀀IFCERTIFICATIONISFORTHEAWARDOFAFEDERAL  LOANEXCEEDINGTHEAMOUNTOF$150,000,ORA_ SUBGRANT_ ԀOR I SUBCONTRACTEXCEEDING$100,000,UNDERTHELOAN.     #3oa 3s)# Theundersignedcertifies,tothebestofhisorherknowledgeandbelief,that: U )  (1)0 l NoFederalappropriatedfundshavebeenpaidorwillbepaid,byoronbehalfoftheundersigned,toanypersonforinfluencingorattempting    toinfluenceanofficeroremployeeofanagency,aMemberofCongress,andofficeroremployeeofCongress,oranemployeeofaMember t H  ofCongressinconnectionwiththeawardingofanyFederalcontract,themakingofanyFederalgrant,themakingofanyFederalloan,the =   enteringintoofanycooperativeagreement,andtheextension,continuation,renewal,amendment,ormodificationofanyFederalcontract,   grant,loan,orcooperativeagreement. l$l$ (2)0 l IfanyfundsotherthanFederalappropriatedfundshavebeenpaidorwillbepaidtoanypersonforinfluencingorattemptingtoinfluence % anofficeroremployeeofanyagency,aMemberofCongress,anofficeroremployeeofCongress,oranemployeeofaMemberofCongress  inconnectionwiththisFederalcontract,grant,loan,orcooperativeagreement,theundersignedshallcompleteandsubmitStandardForm  _ LLL_ ,"DisclosureFormtoReportLobbying,"inaccordancewithitsinstructions.Tl$l$ (3)0 l Theundersignedshallrequirethatthelanguageofthiscertificationbeincludedintheawarddocumentsforall_ subawards_ Ԁatalltiers(including  subcontracts,_ subgrants_ ,andcontractsundergrants,loans,andcooperativeagreements)andthatall_ subrecipients_ Ԁshallcertifyaccordingly.sl$l$ Thiscertificationisamaterialrepresentationoffactuponwhichreliancewasplacedwhenthistransactionwasmadeorenteredinto.Submission  ofthiscertificationisaprerequisiteformakingorenteringintothistransactionimposedbySection1352,title31,U.S.Code.Anypersonwho  failstofiletherequiredcertificationshallbesubjecttoacivilpenaltyofnotlessthan$10,000andnotmorethan$100,000foreachsuchfailure. [ Astheauthorizedcertifyingofficial,Iherebycertifythattheabovespecifiedcertificationsaretrue. ]% 򀀀 5 ) SIGNATUREOFAUTHORIZEDCERTIFYINGOFFICIAL * 򀀀  - TYPEDNAMEANDTITLE !` . 򀀀 #a"1 DATE  8$ #2 3s 3oa-HHHHl%P X- H #3oa 3sB+#3,,3oaDI2010 /g.C  H June1995 0.D  H (ThisformreplacesDI1953,DI1954, }0Q/E  H DI1955,DI1956andDI1963)#3oa,3,+#  0/F  *2 d d dd td 4td 4td td RSH$H$, dd ,td ,td ,Xtd ,td ,td ,td +  <+,, x<3s 3oaForm15112 x (February1989)#3oa 3s{.#@X X 3s 3oaUnitedStatesDepartmentoftheInterior3,, 3sԈ : @ 3s ,3,BureauofLandManagement3Ч 3sԈ  ZHH!@qq3  3ЧAMENDMENTOFREQUESTFOR  @;;APPLICATION/MODIFICATIONOF   @ASSISTANCEAGREEMENT3Ч 3 Ԉ ;v,  ;@ 3^ \3ЧPAGE3Ч \3^Ԁ13^ \3ЧOF3Ч \3^Ԁ3^ \3ЧPAGES3Ч \3^Ԉ C9&x  x  v C *vv   *3^ \3Ч1.AMENDMENT/MODIFICATIONNO.3Ч \3^ 9   Ѐ C9&   vv C *vv U  *3^ \3Ч2.EFFECTIVEDATE3Ч \3^   Ѐ C9&\  vv C *vv Q% *3^ \3Ч3.REQUISITIONNO.3Ч \3^  Ѐ OvB&X,  vv >O3^ \3Ч4.ISSUEDBY3Ч \3^ }  9vv*) v 93^ \3Ч5.ADMINISTEREDBY(IfotherthanItem4.)3Ч \3^ }  SvB&)  > vv S3^ \3Ч6.NAMEANDADDRESSOFRECIPIENT(No.,street,county,state,andZIP)3Ч \3^ z N   Lvv;,P$"JJv L(3) z N #  Gvv8)% $vv G3^ \3Ч7A.AMENDMENTOFREQUESTFORAPPLICATIONNO.3Ч \3^ z N % Ѐ C9& &  vv tC   &  *vv  & *3^ \3Ч7B.DATED3Ч \3^Ԁ C9&J ' t vv C ,vv  ' , Gvv8)o( %vv G3^ \3Ч8A.MODIFICATIONOFASSISTANCEAGREEMENTNO.3Ч \3^ o) Ѐ C9&*  vv tC  *  *vv * *3^ \3Ч8B.DATED3Ч \3^Ԁ OvB&k?+ t vv PO3^ \3Ч9.THISITEMAPPLIESTOAMENDMENTSOFREQUESTFORAPPLICATION3Ч \3^Ԁ OvB&, P v &OЀ33Ч&3E \3ԀTheabovenumberedRequestisamendedassetforthinItem10.ThehouranddatespecifiedforreceiptofApplications3 \3E&3E \3Ԁisextended,3 \3E&3E \3Ԁisnotextended.  - ApplicantsmustacknowledgereceiptofthisamendmentpriortothehouranddatespecifiedintheRequestorasamended,byoneofthefollowingmethods: .   a)BycompletingItems6and13,andreturning򀀀copiesoftheamendment;b)ByacknowledgingreceiptofthisamendmentofeachcopyoftheApplicationsubmitted;orc)Byseparate 0 letterortelegramwhichincludesareferencetotheRequestforApplicationandamendmentnumbers.FAILUREORYOURACKNOWLEDGMENTTOBERECEIVEDATTHEPLACE M!1 DESIGNATEDFORTHERECEIPTOFAPPLICATIONSPRIORTOTHEHOURANDDATESPECIFIEDMAYRESULTINREJECTIONOFYOURAPPLICATION.Ifbyvirtueof 2 thisamendmentyoudesiretochangeanapplicationalreadysubmitted,suchchangemaybemadebytelegramorletter,providedeachtelegramorlettermakesreferencetotheRequestfor yM3 Applicationandthisamendment,andisreceivedpriortothehouranddatespecified. XvK/4 & v X3^ \ \3E10.DESCRIPTIONOFAMENDMENT/MODIFICATION(attachadditionalpagesifneeded)3Ч \3^ -5 3E \3ЧExceptasprovidedherein,alltermsandconditionsofthedocumentreferencedinItem7Aor8Aabove,asheretoforechanged,remainunchangedandinfullforceandeffect. OvB&Z .@ v PO3^ \ \3E11.ACCOUNTINGANDAPPROPRIATIONDATA(Ifrequired)3Ч \3^Ԁ OvB&x!L A P v O3^ \3Ч12.IMPORTANT:Recipient3 \3^&3^ \3Ԁisnot,3 \3^&3^ \3Ԁisrequiredtosignthisdocumentandreturn򀀀copiestotheissuingoffice.3Ч \3^ OvB&"!B  v O3^ \3Ч13A.NAMEANDTITLEOFSIGNER(Typeorprint)3Ч \3^ e$9#C Ѐ $#D  9vv*%c$Ev 93^ \3Ч14A.NAMEANDTITLEOFASSISTANCEOFFICER(Typeorprint)3Ч \3^ e$9#F Ѐ $#G  Kvu:&%c$H  vv K3^ \3Ч13B.RECIPIENT/APPLICANT &%I 򀀀 '&K @W 3,, \3^(AuthorizedSignature) 4vvu#](1'Lvu 413C.DATESIGNED3Ч,3, &%M @ 8vvu''&Ovvu 83^ \3Ч14B.UNITEDSTATESOFAMERICA &%P BY򀀀3Ч \3^ '&R @V3,,3Ч(SignatureofAssistanceOfficer) 7vvu&](1'Svvu 714C.DATESIGNED &%T @ $ $) $3)'J'&U 0   vvu 3