MOD#1 TO GRANT AGREEMENT US FOREST SERVICE.PDF

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MODIFICATION OF GRANT OR AGREEMENT PAGES
1 1
I. U.S. FOREST SERVICE GRANT/AGREEMENT 2. RECIPIENT/COOPERATOR GRANT :r 3. MODIFICATION NUMBER:
NUMBER: AGREEMENT NUMBLR, IF ANY: 1
16-LE-11031200-005
4. NAME/ADDRESS OF U.S. FOREST' SERVICE UNIT ADMINISTERING 5. NAME/ADDRESS OF U.S. FOREST SERVICE UNIT ADMINISTERING
GRANT/AGREEMENT (unit name, street, city, state, and zip -1- 4): PROJECT:ACTIVITY (unit name, street, city, state, and zip + 4):
Sherry Smith, Grant & Agreement Specialist Bray Addison, Patrol Captain
Tonto National Forest, Supervisor's Office Tonto National Forest, Supervisor's Office
2324 East McDowell Road 2324 East McDowell Road
Phoenix, AZ 85006 Phoenix, AZ 85006
6 NAMEADDRF.SS OF RECIPIENT/COOPERATOR (street, city, state, and zip 7. RECIPIENT:COOPERATOR'S HHS SUB ACCOUNT NUMBER (For HHS
+4, county): payment use only)
Maricopa County on behalf of the
Maricopa County Sheriff's Office
550 West Jackson Street, 4th Floor
Phoenix, AZ 85003 .
8. PURPOSE OF MODIFICATION
CHECK ALL This modification is issued pursuant to the modification provision in the grant/agreement
THAT APPLY: referenced in item no. 1, above.
CHANGE IN PERFORMANCE PERIOD: CY2017 Annual Operating Plan estimated dates January 1,2017 through
(E1 December 31, 2017.
CHANGE IN FUNDING: Add funding in the amount of S100,400.00 for work to be performed in CY2017 Annual
ril Financial and Operating Plan, attached as Exhibit A.
ADMINISTRATIVE CHANGES: Add additional language to the Cooperative Law Enforcement Agreement (see 9.
El below)
OTHER (Specify type of modification):
Except as provided herein, all terms and conditions of the Grant/Agreement referenced in 1, above, remain unchanged and in
full force and effect.
9. ADDITIONAL SPACE FOR DESCRIPTION OF MODIFICATION (add additional pages as needed):
Note: 2017 CYAnnual Operating Plan will be incorporated as Exhibit A to this agreement. ..
10. ATTACHED DOCUMENTATION (Check all that apply):
Revised Scope of Work
Revised Financial Plan
0 Other: Exhibit A, CY2017 Annual Financial and Operating Plan
11. SIGNATURES
AuTliORIZED REPRESENTATIVE: BY SIGNATURE BELOW, TIIE SIGNING PARTIES CERTIFY THAT THEY ARE TIIE OFFICIAL
REPRESENTATIVES OF THEIR RESPECTIVE PARTIES AND AUTHORIZED TO ACT IN THEIR RESPECTIVE AREAS FOR MATTERS RELATED
TO THE ABOVE-REFERENCED GRANT/AGREEMENT.
II .A. MARICOPA COUNTY, ARIZONA SIGNATURE I 1.B. DATE l 1.C. U.S. FOREST SERVICE SIGNATURE II.D.
SIGNED DATE
SIGNED
(Signature of Signatory Official) (Signature of Signatory Official)
11.E NAME (type or print) I I.F. NAME (type or print): NEIL J. BOS WORTH
11.G. TITLE (type or print): Chairman Board of Supervisors 11.H TrrLE (type or print): Forest Supervisor
ATTEST:
,

USDA Forest Service OMB 0596-0217
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FRAN MCCARROLL Date Date
Clerk of the Board of Supervisors Special Agent in Charge,
Southwestern Region
PAUL PENZONE Date
Sheriff
12. G&A REVIEW
12,A, The authority and format of thtmodification have been reviewed and approved for signature by: 12.13, DATE
c.:--) SIGNED
nn..A.2 . 7.--)rY11,t-/
SHERRY J. SAIIIFf 1 akiartip
1.1 5 Flirest Service Grants & Agreemenis Spethlist _

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USDA Forest Service OMB 0596-0217
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APPROVED AS TO FORM
THIS DAY OF ,201
BY:
DEPUTY MARICOPA COUNTY ATTORNEY