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. .. , <br /> 0 Q PAGE 1 OF 4 PAGES <br /> Form 1511 - 1 <br /> . • (February 1989) United States Department of the Interior 1. AGREEMENT NO. <br /> Bureau of Land Management HAA031M00 <br /> ASSISTANCE AGREEMENT 2 HAF061M12 <br /> NOTE. By signing this document, the recipient accepts this agreement and agrees to perform in accordance with all the enclosed terns, 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, OSO 952 Parks and Open Space Division <br /> P.O. Box 2965 1820 Roosevelt Blvd <br /> Portland, Oregon 97208 Eugene, OR 97402 <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 RECIPIENTS PROJECT MANAGER <br /> Sally Villegas Jean Jancaitis <br /> Bureau of Land Management Wetlands Ecologist <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 -4927 <br /> 8. PROGRAM STATUTORY AUTHORITY FLPMA, JITW, CCI, 9. STARTING DATE Date set forth in Block 17c <br /> WYDEN, SRS, TPIA, NFP <br /> 10. 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 /> Recipient Agency <br /> ❑. STATE <br /> ❑ LOCAL GOVERNMENT This obligation $ $39.591.00 <br /> ❑ INDIAN TRIBAL GOVERNMENT <br /> ❑ EDUCATIONAL INSTITUTION Previous obligation $ $ <br /> ❑ INDIVIDUAL <br /> ❑ FOR - PROFIT ORGANIZATION Total obligation $ $39,591.00 <br /> ❑ NON - PROFIT ORGANIZATION <br /> ❑ OTHER (SPECIFY) Share Ratio 0% 100% <br /> 14. ACCOUNTING AND APPROPRIATION DATA <br /> 2006 OR095 2881JA NPAX 411C = $ 4,591.00 (ASAP) <br /> 2006 OR050 2881JA NPBA 411C = $18,000.00 <br /> 2006 OR050 2881JA NPBC 411C = $15,000.00 <br /> 2006 OR050 2881JA B5BQ 411C = $ 2,000.00 <br /> 15. PROJECT TITLE AND BRIEF SUMMARY OF THE PURPOSE AND OBJECTIVES <br /> NATIVE SEED COLLECTION, WEST EUGENE WETLANDS, as specified in the attached Statement of <br /> Work. <br /> A ) <br /> 1 6a. NAME AND TITLE OF SIGNER (Type or print) 17a. NAME AND TITLE OF ASSISTANCE ORDERING OFFICER (Type or print) <br /> 411k <br /> V Kurt A. Corey, Public Works Director Pamella M. Sterling, Assistance Officer <br /> 16b. RECIPIENT 16c. DATE SIGNED 17b. UNITED STATES OF AMERICA 17c. DATE SIGNED <br /> q. 4y-O-b BQG� it ?/ , /2cc <br /> (Aut -riz Signature) (Signature of Assistance cer) <br />