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s. <br /> { <br /> PAGE 1 Of 9 <br /> Form 1511-1 <br /> (February t9svlUnited States Department of the Interior A ~ ~ ~ <br /> Bureau of Land Management U <br /> ASSISTANCE AGREEMENT <br /> i NOTE: By signing this documem, 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 /> HAA031M00 <br /> 2. TASK ORDER NO. <br /> HEF031M03 <br /> 3. TYPE OF AGREEMENT (Check one) <br /> _ GRANT <br /> <br /> 1 X COOPERATrvE AGREEMENT <br /> 4. NAME, ADDRESS AND PHONE NO.OF ASSLSTANCE 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 OR 97440-2226 Eugene OR 97401 <br /> (541)683-6423 Tele hone 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 OR 97440-2226 Eugene OR 97401 <br /> (541)520-2159 or (541)683-6450 Tele hone 541 682-5241 <br /> 8. PROGRAM STATUTORY AUTHORITY FLPMA, JITW,CCI, WYDEN, 9. STARTINGDATE Date set forth lIl block 17c. <br /> SRS, TPIA, NFP. <br /> 10. EFFECTIVE DATE Date set forth in block 17c. 11. COMPLETION DATE Se tember 30, 2008 <br /> 12. TYPE OF RECIPIENT (Check one) 13. FUNDING INFORMATION <br /> _ STATE <br /> X LOCAL GOVIIt1VMINT Recipient BLM <br /> _ IlVDIAN TRIBAL GOVERNMENT <br /> _ IDUCATIONAL INSTITU'ITON This obligation S 23 000 a $23.000 <br /> _ INDIVIDUAL Previous obligation S 0. S 0.0 <br /> _ FOR-PROFfr ORGANIZATION <br /> _NON-PROFIT ORGANIZATION <br /> _ OTHER (SPECIFY) Total obligation S S $23,000 ' <br /> Shaze Ratio <br /> 14. ACCOUNTING AND APPROPRIATION DATA <br /> OR095/6650PG/252Z = $23;000.00 <br /> 15. PROJECT TITLE AND BRIEF SUMMARY OF THE PURPOSE AND OBIECTPJES <br /> GEOTECH1vICAL AND SURVEY SERVICES FOR PHASE 1 OF THE WEST EUGENE WETLANDS EDUCATION <br /> CONSTRUCTION PROJECT (See attached Statement of Work). <br /> District contact for this Task Order is Patricia K Johnston, West Eugene Wetlands Project Manager, (541)520-2159, <br /> Eugene District Office, Bureau of Land Management, P.O. Boz 10226, Eugene, Oregon 97440-2226. <br /> 16a. NAME AND TITLE OF SIGNER (type orprint) 17a. NAME AND TITLE OF ASSLSTANCE ORDERING OFFICER (Type orprint) <br /> Pamella M. Schiele <br /> 16c. DATE SIGNED 17c. DATE SIGNED <br /> 16b. RECIPIENT 17b. D STATES OF AMERICA <br /> (Aatitonzed Sr ~ r e o Assisrmrce O cer <br /> <br />