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PAGE 1 OF 3 PAGES <br /> Form.!511 <br /> (February 1989) United States Department of the Interior 1. AGREEMENT NO. <br /> Bureau of Land Management HAA031 M00 <br /> 2. TASK ORDER NO. <br /> ASSISTANCE AGREEMENT HAF061M13 <br /> NOTE: By signing this document, the recipient accepts this agreement and agrees to perform in accordance with all the enclosed terms, conditions, and 3. TYPE OF AGREEMENT (Check one) <br /> documents attached hereto. ❑ GRANT <br /> ® COOPERATIVE AGREEMENT <br /> 4. NAME, ADDRESS AND PHONE NO. OF ASSISTANCE OFFICER 5. NAME, ADDRESS AND PHONE NO. OF RECIPIENT <br /> Pamella M. Sterling City of Eugene <br /> Bureau of Land Management (OR -952) Parks and Open Space Division <br /> P.O. Box 2965 1820 Roosevelt Blvd <br /> Portland, OR 97208 Eugene, OR 97402 ft <br /> 503- 808 -6221 Telephone: (541) 682 -4888 <br /> 6. NAME, ADDRESS AND PHONE NO. OF ASSISTANCE REPRESENTATIVE 7. NAME, ADDRESS AND PHONE NO. OF RECIPIENT'S PROJECT MANAGER <br /> Sally Villegas -Moore Eric N. Wold <br /> Bureau of Land Management Wetlands Program Supervisor <br /> Wetland Program Office City of Eugene <br /> 751 S. Danebo Avenue 1820 Roosevelt Blvd <br /> Eugene, OR 97402 -9358 Eugene, OR 97402 <br /> (541) 683 -6790 Telephone: (541) 682 -4888 <br /> 8. PROGRAM STATUTORY AUTHORITY FLPMA, JITW, CCI, 9. STARTING DATE Date set forth in Block 1 7c <br /> WYDEN, SRS, TPIA, NFP . <br /> 1 0. EFFECTIVE DATE Date set forth in Block 17c 11. COMPLETION DATE August 31, 2007 <br /> 12. TYPE OF RECIPIENT (Check one) 13. FUNDING INFORMATION <br /> r Recipient Agency <br /> ❑. STATE <br /> ® LOCAL GOVERNMENT This obligation $ $50,000.00 <br /> ❑ INDIAN TRIBAL GOVERNMENT <br /> ❑ EDUCATIONAL INSTITUTION • Previous obligation $ $ <br /> ❑ INDIVIDUAL • <br /> ❑ FOR - PROFIT ORGANIZATION Total obligation $ $50,000.00 <br /> ❑ NON - PROFIT ORGANIZATION <br /> ❑ OTHER (SPECIFY) <br /> Share Ratio 0% • 100% <br /> 14. ACCOUNTING AND APPROPRIATION DATA <br /> 2006 OR095 6334JA 411C = $50,000.00 (ASAP) (Reference RQ OR HEQ06004) <br /> 15. PROJECT TITLE AND BRIEF SUMMARY OF THE PURPOSE AND OBJECTIVES <br /> Implement habitat enhancement actions on the Hansen site. <br /> 1) <br /> a l6a NAME AND TITLE OF SIGNER (Type or print) I7a. NAME AND TITLE OF ASSISTANCE ORDERING OFFICER (lope or prim) <br /> Pamella M. Sterling <br /> Kurt A. Corey, Public Works Director Assistance Officer <br /> 16b. RECIPIENT 16 c. DATE SIGNED 17b. UNITED STATES OF AMERICA 17c. D 2.06 6 <br /> q. o 0 BY �'�ti c�� / �--7_ ,, <br /> (Authort.ed Si (Signature of Assistance Officer) <br />