Form 10-902A Amendment to Project Agreement

Land and Water Conservation Fund Project Agreement and Amendment

lwcf_amendment_form a.frm

Amendment to Project Agreement

OMB: 1024-0033

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OMB No. 1024-0033
Expires 08/31/2010
UNITED STATES
DEPARTMENT OF THE INTERIOR
NATIONAL PARK SERVICE

STATE
Project Amendment No.

AMENDMENT TO PROJECT AGREEMENT
THIS AMENDMENT To Project Agreement No.
is hereby made and agreed
upon by the United States of America, acting through the Director of the National Park
Service and by the State of
pursuant to the Land and Water
Conservation Fund Act of 1965, 78 Stat. 897 (1964).
The State and the United States, in mutual consideration of the promises made herein and
in the agreement of which this is an amendment, do promise as follows:
That the above mentioned agreement is amended by adding the following:

In all other respects the agreement of which this is an amendment, and the plans and
specifications relevant thereto, shall remain in full force and effect. In witness thereof the
parties hereto have executed this amendment as of the date entered below.
THE UNITED STATES OF AMERICA

STATE

By
(Signature)

(State)
By

(Title)
National Park Service
United States Department of the Interior

(Signature)
(Name)

Date
(Title)
____________________________________________________________________________________________________________________________________________________________
Paperwork Reduction Act Statement: This form is authorized by the Land and Water Conservation Act of 1965 (LWCF Act) (16 U.S.C. 4601-4 et seq.). Your response is required to obtain or retain a
benefit. We use this information to document changes made to original grant agreement. Your response is not required unless a valid OMB control number is displayed. We estimate that it will
take 3 hours to complete this form, including time necessary to review instructions, gather data, and review the form. You may direct comments regarding the burden estimate or any other aspect
of the form to State and Local Assistance Programs, National Park Service, 1849 C. Street N.W., Washington DC 20240

NPS 10-902A


File Typeapplication/pdf
File TitleUNITED STATES
AuthorBob Anderson
File Modified2010-08-11
File Created2003-08-22

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