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PAGE 1 of 3 <br /> Fotm 1511-1 <br /> (February 19a9)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 /> j documenu attached hereto <br /> 1. AGREEMENT NO. <br /> HAA031M00 <br /> 2. TASK ORDER NO. <br /> HEFO51 M 10 <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 RECII'IENT <br /> Arlene Stone Eric Wold <br /> Bureau of Land Management City of Eugene <br /> Eugene District Office Parks and Open Space Division <br /> P.O. Box 10226 1820 Roosevelt Blvd. <br /> Eugene, OR 97440-2226 Eugene, OR 97402 <br /> (541)683-6970 Tele hone 541 682-4888 <br /> 6. NAME, ADDRESS AND PHONE NO. OF ASSISTANCE REPRESENTATIVES 7. NAME, ADDRESS AND PHONE NO. OF RECIPIENT'S OPERATIONS MANAG <br /> Pat Johnston /Sally Villegas Eric Wold <br /> Bureau of Land Management Wetlands Program Supervisor <br /> 751 S. Danebo City of Eugene <br /> Eugene, OR 97402-9358 1820 Roosevelt Blvd. <br /> (541)520-2159 Eugene, OR 97402 <br /> Tele hone (541 682-4888 <br /> 8. PROGRAM STATUTORY AUTHORITY FLPMA, JITW,CCI, WYDEN, 9. STARTING DATE Date set forth in block 17c. <br /> SRS, TPIA, NFP. <br /> 10. EFFECTIVE DATE Date Set forth m B10Ck 17C. 11. COMPLETION DATE Se tember 30, -2006 <br /> 1 Z. TYPE OF RECIPIENT (Check one) 13. FUNDING INFORMATION <br /> STATE <br /> X LOCAL GOVERNMENT Recipient BLM <br /> _ INDIAN TRIBAL GOVERNMENT This obligation $ $14.500 <br /> _ EDUCATIONAL INSTITUTION <br /> INDIVIDUAL Previous obligation $ 0.0 $ 0.0 <br /> _FOR-PROFIT ORGANIZATION <br /> _NON-PROFIT ORGANIZATION <br /> _ OTHER (SPECIFY) Total obligation $ $14,500 <br /> Share Ratio <br /> 14. ACCOUNTING AND APPROPRIATION DATA <br /> OR095/6334MQ/252Z = $14,500.00 ASAP DUNS# 931267301 <br /> 15. PROJECT TITLE AND BRIEF SUMMARY OF THE PURPOSE AND OBJECTIVES <br /> BOTANICAL ASSISTANCE FOR THE WEST EUGENE WETLANDS PROJECT (See attached Statement of Work). <br /> **Sally Villegas, West Eugene Wetland Natural Resource specialist, (541) 683-6790 will be the District's contact <br /> for this Task Order. <br /> 16a. NAME AND TITLE OF SIGNER (Type or print) 17a. NAME AND TITLE OF ASSISTANCE ORDERING OFFICER (Type or print) <br /> Johnny R. Medlin, Director, Parks & O en S aces Arlene A. Stone <br /> 16c. DATE SIGNED 17c. DATE SIGNE: <br /> l G6. RECIPIENT ~~7 ~ / ~ ~ Z/d~ 176. UNITED STATES OF AMERI A <br /> BY /~'j G , f~ f~,t f /iL! G!`l. ~ ` BY j~~,,.~~ ~ ~ /1 <br /> (Authorized Si nnture) (Signature of Assistance Officer) <br /> <br /> i <br /> k <br /> <br />