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• <br /> 04 -05411 <br /> PAGE I Of 5 <br /> Form 1511 -1 <br /> (February 1989)United States Department of the Interior <br /> Bureau of Land Management <br /> ASSISTANCE AGREEMENT <br /> NOTE: By signing this document, the recipient accepts this agreement and agrees to perform in accordance with all the enclosed terms, conditions, and <br /> documents attached hereto. <br /> 1. AGREEMENT NO. <br /> HAA031 M00 <br /> 2. TASK ORDER NO. <br /> HEF03 1 MO 1 <br /> 3. TYPE OF AGREEMENT (Check one) <br /> — GRANT <br /> X COOPERATIVE AGREEMENT <br /> 4. NAME, ADDRESS AND PHONE NO. OF ASSISTANCE OFFICER 5. NAME, ADDRESS AND PHONE NO. OF RECIPIENT <br /> Pamella M. Schiele City of Eugene <br /> Bureau of Land Management Public Works Department <br /> P.O. Box 10226 858 Pearl <br /> Eugene, Oregon 97440 -2226 Eugene, OR 97401 <br /> 541- 683 -6423 Telephone (541) 682 -5262 <br /> 6. NAME, ADDRESS AND PHONE NO. OF ASSISTANCE REPRESENTATIVES 7. NAME, ADDRESS AND PHONE NO. OF RECIPIENTS OPERATIONS MANAGER <br /> Patricia K. Johnston Kurt Corey <br /> Bureau of Land Management Public Works Director <br /> Eugene District Office City of Eugene <br /> P.O. Box 10226 858 Pearl <br /> Eugene, Oregon 97440 -2226 Eugene Oregon 97401 <br /> 541- 683 -6450 or 541 -520 -2159 (Johnston) Telephone (541) 682 -5241 <br /> 8. PROGRAM STATUTORY AUTHORITY FLPMA, JITW,CCI, WYDEN, 9. STARTING DATE June 19, 2003 <br /> SRS, TPIA, NFP. <br /> 10. EFFECTIVE DATE Date set forth in Block 17c. 11. COMPLETION DATE September 30, 2003 <br /> 12. TYPE OF RECIPIENT (Check one) 13. FUNDING INFORMATION <br /> STATE Recipient BLM <br /> X LOCAL GOVERNMENT This obligation S $13, 750.00 <br /> _ INDIAN TRIBAL GOVERNMENT Previous obligation S 0.0 $ 0.0 <br /> _ EDUCATIONAL INSTITUTION <br /> INDIVIDUAL Total obligation S $13,750.00 <br /> _ FOR- PROFIT ORGANIZATION <br /> NON - PROFIT ORGANIZATION Share Ratio % % <br /> OTHER (SPECIFY) <br /> 14. ACCOUNTING AND APPROPRIATION DATA <br /> 0R095/2823- 3M- MF40/252Z = $7,750.00 <br /> 0R095/2823- JM- MF41/252Z = $6,000.00 <br /> 15. PROJECT TITLE AND BRIEF SUMMARY OF THE PURPOSE AND OBJECTIVES <br /> REDUCTION OF HAZARDOUS FUELS IN THE WEST EUGENE WETLANDS — See attached Statement of Work. <br /> Ix c> 1 6a. NAME AND TITLE OF SIGNER (Type or print) 17a. NAME AND TITLE OF ASSISTANCE ORDERING OFFICER (Type or print) <br /> Pamella M. Schiele <br /> 16b. RECIPIENT 16c. DATE SIGNED 17b. STATES OF AMERICA 17c. DATE SIGNED <br /> BY ' BY <br /> (Authorize re) alai-Way c-•: cer) C14 - 1 –a-CH etAA. <br />