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- <br /> PAGE 1 OF 4 PAGES <br /> Form 15ll-1 <br /> (Fehruazy 1989) United States Department of the htterior r 1. AGREEMENT NO. <br /> Bureau of Land Management " HAA031 <br /> M00 <br /> ASSISTANCE AGREEMENT tc WQ~r 2. TASK ORDER NO. <br /> HAF 1M08 <br /> NOTE: By signing this document, the recipiem accepts this agreement and agnxs to perform in accordance with all the enclosed terms, conditions, and 3. TYPE OF AGREEMENT (Check <br />one) <br /> documents attached hereto. ? GRANT . <br /> ® COOPERATtVEAGREEMENT <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, 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 Tel hone: 541 682-4888 <br /> 6. NAME, ADDRESS AND PHONE NO.OF ASSISTANCE REPRESENTATIVE 7. NAME, ADDRESS AND PHONE NO.OF RECIPIENT'S PROTECT MANAGER <br /> Sally Villegas & Sally Sovey Jean Jancaitis <br /> Bureau. of Land Management Wetlands Ecologist ' <br /> . Eugene District Office City of Eugene <br /> P.O. Box 10226 1820 Roosevelt Blvd <br /> Eugene OR 97440-2226 Eugene, OR 97402 <br /> 541 683-6790 or S 1 683-6246 Tel hone: 541 682-4927 <br /> 8: PROGRAM STATUTORY AUTHORITY F1,PMA, JITW, CCI, 9. STARTING DATE Ddte set forth in Block 17c <br /> WY'DEN, SRS, TPIA, NFP , <br /> 10. EFFECI7VE DATE Date Set forth in Block 17C i 1. COMPLETION DATE November 30, 2007 <br /> 12. TYPE OF RECIPIENT (Check one) 13. FUNDING INFORMATION <br /> STATE Rerapieat Ay.~y <br /> ® LOCAL GOVERNMENT . ~ ~ ThisobGgation S 43 900.00 <br /> ? INDlAN TRIBAL GOVERNMENT <br /> EDUCATIONAL INSTIT[7170N pis ~ <br /> ? INDIVIDUAL ligation. S S <br /> ? F0R-PROFIT ORGANIZATION Total obligation a 43 900.00 <br /> ? NON-PROFrT ORGANIZATION <br /> ? OTHER (SPECIFY) <br /> Share RaBo 0% 100% <br /> 14. ACCOUNTING AND APPROPRIATION DATA . <br /> 2006 OR095 6333 JA 2522 = $20,000.00 <br /> 2006 OR095 2881 JA NPAX 2522 = $23,900.00 (Ref. Requisition No. HER060181) • (ASAP) <br /> I5. PROTECT TITLE AND BRIEF SUMMARY OF THE PURPOSE AND OBIECTIVES <br /> NATIVE PLANT PROCUREMENT FOR WEST EUGENE WETLANDS PROGRAM, as .specified. in the <br /> attached Statement of Work. <br /> l 16a. NAME AND TITLE OF SIGNER (Type or print) 17a. NAME AND TITLE OF ASSISTANCE ORDERING OFFICt:R (Type or print) <br /> <br /> ' Kurt A. Corey, Public Works Director <br /> Pamella M. Schiele, Assistance. Officer <br /> 16b. RECIPIENT 16c. DATE SIGNED 17b. UNITED STATES OF AMERICA 17c. DATE SIGNED <br /> (Auth SSgnature) ~ <br /> (SrgnatureojAssistance~cer) (O <br /> _ _ <br /> <br />