Form 10-915 Amendment to UPARR Grant Agreement

UNITED STATES DEPARTMENT OF THE INTERIOR
NATIONAL PARK SERVICE
-URBAN PARK AND RECREATION RECOVERY PROGRAM GRANT(OMB No. 1024-0089, expires XX/XX/XXXX)

AMENDMENT TO UPARR GRANT AGREEMENT (FNP 10-915)
Jurisdiction:
Grant Agreement No.:

Amendment No.:

State:

Project Title:
THIS AMENDMENT TO GRANT Agreement No. _____________________ is hereby made and agreed
upon by the United States of America, acting through the Director of the National Park Service pursuant to
Title X, Urban Park and Recreation Recovery Program, 16 USC 2501, 92 Stat. 3538 (1978).
The GRANTEE 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 whereof the parties hereto have executed this amendment
as of the date entered below:
UNITED STATES OF AMERICA

GRANTEE

BY
(Signature)

(Government Name)
BY

(Title)
National Park Service

(Signature)

(Date)

(Name)

(Title)
PAPERWORK REDUCTION ACT STATEMENT: This information collection is authorized by the Urban Park and Recreation Recovery Act (16 U.S.C. 2501 et seq.). Your response is required to obtain or retain a benefit.
We use this information to document changes made to the original grant agreement. Your response is not required unless a currently valid OMB control number is displayed. We estimate that it will take 1 hour to complete this form,
including the 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, NW., Washington, DC 20240.