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Forrrr 1511.2 United States Department of the Interior PAGE 1 of 1 PAGES <br /> (February" 989) Bureau of Land Management 1. AMENDMENT/MODIFICATION NO. <br /> 1 <br /> AMENDMENT OF REQUEST FOR 2. EFFECTNE DATE <br /> APPLICATION/MODIFICATION OF See block 14.c. <br /> ASSISTANCE AGREEMENT 3. REQUISITION NO. <br /> N/A <br /> <br /> j 4. ISSUED BY 5. ADMINISTERED BY (If other than Item 4.) <br /> USDI -Bureau of Land Management <br /> Branch of Procurement Management (952) <br /> POBox 2965 <br /> Portland, OR 97208-2965 <br /> 7A. AMENDMENT OF REQUEST FOR APPLICATION NO <br /> 6. NAME & ADDRESS OF RECIPIENT (no., street, county, city, staze, and ZIP) <br /> ~ 7B. DATED <br /> City of Eugene <br /> _ <br /> Public Works Department 8A. MODIFICATION OF ASSISTANCE AGREEMENT NO <br /> 858 Pearl ® Task Order No. HAA031M03 <br /> Eugene, OR 97401 <br /> 8B. DATED 03/26;2004 <br /> 9 THIS ITEM ONLY APPLIES TO AMENDMENTS OF REQUEST FOR APPLICATION <br /> The above numbered Request is amended as set forth in Item 10. The hour and date specified for receipt of Applicazions ? is extended, ? is no[ extended. Applicants must acknowledge <br />receipt of this <br /> amendment prior to the hour and date specified in the Request or as amended, by one of the following-methods: a) By completing Items 6 and 13, and returning _ copies of the amendment; <br />b) By acknowledging receipt <br /> of this amendment on each copy of the Applicazion submitted; or c) By separate letter or telegram which includes a reference to the Request for Applicaion and amendment numbers. <br />FAILURE OF YOUR <br /> ACKNO WLEDGEMENT TO BE RECENED AT THE PLACE DESIGNATED FOR THE RECEIPT OF APPLICATIONS PRIOR TO THE HOUR AND DATE SPECIFIED MAY RESULT IN REJECTION OF YOUR <br /> APPLICATION. If by virtue of this amendment you delve to change and application already submitted, such change may be made by telegram or letter, provided each telegram or letter <br />makes reference to the Request for <br /> Application and this amendment and is received prior to the hour and date s-gecified <br /> 10. DESCRIPTION OF AMENDMENT/MODIFICATION (attach additional pages if needed) <br /> West Eugene Wetlands is hereby modified as follows: <br /> At no additional cost to the Government, and to continue weed control, the completion date is hereby extended to December 15, 2005. <br /> Except as provided herein, all terms and conditions of the document referenced in Item 7A or 8A above, as heretofore changed, remain unchanged and in full force and effect. <br /> 11. ACCOUNTING AND APPROPRIATION DATA (if required) <br /> N/A <br /> 12. IMPORTANT: Recipient ? is not ®is required to sign this document and return 1 copies to the issuing office. <br /> 13A. NAME AND TITLE OF SIGNER (Type or print) ( 14A. NAME AND TITLE OF ASSISTANCE OFFICER (Type or print) <br /> Johnny R. Medlin, Director MymaJungling <br /> Parks & Open Space Div. <br /> ~ 13B. REC ,APPLICANT 3C Date signe 14B. UNITED S ATE F AMERICA BY: ~ 14C Date signed <br /> r- <br /> (Authorized Signature) (Signatur As 'stance O <br /> <br />