10-902 LWCF Project Agreement Form

Land and Water Conservation Fund State Assistance Program, 54 USC §200305

10-902 LWCF Project Agreement Form 09192016

Application

OMB: 1024-0031

Document [docx]
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NPS Form 10-902 (Rev. 09/2016) OMB Control No. 1024-0031

National Park Service Expiration Date XX/XX/XXXX


PROJECT AGREEMENT

Land and Water Conservation Fund





State

Project Number



Project Title


Period of Performance


Proposal Scope (Description of Project)


Total Project Cost

Shape1 $

The following are hereby incorporated into this agreement:

1. General Provisions

2. LWCF State Assistance Program Manual

3. Project Application and Attachments

4. 2 CFR 200

5. 43 CFR Part 12

6. 36 CFR Part 59

LWCF Amount

Shape2 $

(Fund amount not to exceed 50% of total)


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

Shape4 Shape3 By By

(Signature) (State)


Shape6 Shape5

(Title) (Signature)

National Park Service

Shape7

United States Department of the Interior

(Name)


Shape9 Shape8

Date

(entered by NPS) (Title)



RECORDS RETENTION - PERMANENT. Transfer all permanent records to NARA 15 years after closure. (NPS Records Schedule, Page 1 of 3

National Assistance Programs (Item 8.A.2) (N1-79-08-7))



File Typeapplication/vnd.openxmlformats-officedocument.wordprocessingml.document
AuthorBaucum, Madonna
File Modified0000-00-00
File Created2021-01-23

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