10-902 Land and Water Conservation Fund Project Agreement

OMB Control No. 1024-0031
Expires: XX/XX/2016

UNITED STATES DEPARTMENT OF THE INTERIOR
NATIONAL PARK SERVICE
LAND AND WATER CONSERVATION FUND
PROJECT AGREEMENT
_______________________________________________________________________________________
State:
Project Number:
_______________________________________________________________________________________
Project Title:
_______________________________________________________________________________________
Project Period:
_______________________________________________________________________________________
Proposal Scope (Description of Project):

________________________________________________________________________________________
The following are hereby
incorporated into this agreement:
Total Project Cost

$_____________________

LWCF Amount
$ _____________________
(Fund amount not to exceed 50% of total)

NPS 10-902 (October 2008)

1. General Provisions
2. LWCF State Assistance Program Manual
3. Project Application and Attachments
4. OMB Circular A-102
5. 43 CFR Part 12
6. 36 CFR Part 59

The United States of America, represented by the Director, National Park Service, United States
Department of the Interior, and the State named above (hereinafter referred to as the State),
mutually agree to perform this agreement in accordance with the Land and Water Conservation
Fund Act of 1965, 78 Stat. 897 (1964), the provisions and conditions of the Land and Water
Conservation Fund State Assistance Program Manual, and with the terms, promises, conditions,
plans, specifications, estimates, procedures, project proposals, maps, assurances, and certificates
attached hereto or retained by the State and hereby made a part hereof.
The United States hereby promises, in consideration of the promises made by the State herein, to
obligate to the State the amount of money referred to above, and to tender to the State that portion of
the obligation which is required to pay the United States’ share of the costs of the above project,
based upon the above percentage of assistance. The State hereby promises, in consideration of the
promises made by the United States herein, to execute the project described above in accordance
with the terms of this agreement.
The following special project terms and conditions were added to this agreement before it was signed
by the parties hereto:

In witness whereof, the parties hereto have executed this agreement as of the date entered below.
THE UNITED STATES OF AMERICA

STATE

By: _____________________________________
(Signature)

_______ ____________________________
(State)

National Park Service
Department of the Interior

___________________________________
(Signature)
___________________________________
(Name)

Date: ___________________________________
(entered by NPS)

___________________________________
(Title)

______________________________________________________________________________________
Paperwork Reduction Act Statement: This information collection is authorized by the Land and Water Conservation Fund Act
of 1965 (16 U.S.C. 4601-4 et seq.). Your response is required to obtain or retain a benefit. We use this information to provide
data input into an NPS project database which provides timely data on projects funded over the life of the program. We estimate
that it will take 3 hours to complete this form, including the time necessary to review instructions gather data and review the
form.
You may send comments on the burden estimate or any aspect of this form to the Information Collection Clearance Officer,
National Park Service, 1849 C Street, NW. (2601), Washington, DC 20240. We may not collect or sponsor and you are not
required to respond to a collection of information unless it displays a currently valid OMB control number.
NPS 10-902 (October 2008)