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HomeMy WebLinkAboutAdden 2CAG -12 -024, Adden #2 -13 11(aawD Member Jurisdiction & WRIA Forum Grant Program KingConsemtion District Agreement Amendment Request Instructions: To request an amendment to your Grant Award, complete this form and submit it to the King Conservation District. You will receive a written response back from the District either approving or denying the request. Attach any supporting documents you think will aid the review of your request. WRIA Forum (if applicable): Grantee: City of Renton Project Title: Knotweed Control Along the Cedar River Agreement Year: 2012/2013 Request to Amend Grant Award in the following manner (check all applicable categories and provide details in space provided below or attachments where indicated): Change the Project Completion Date from 12/31/2013 to 2/28/2014 ❑ Extend project up to 90 days past original completion date ® Extend project in excess of 90 days past original completion date ❑ Extend project due to permit and /or construction delays ❑ Other (e.g., matching funds delayed) Change the Project Scope of Work (attach completed Scope of Work Revision Detail form) ❑ Increase scope of work at same funding level ❑ Increase scope of work and request additional funds ❑ Decrease scope of work at same funding level ❑ Decrease scope of work and request additional funds ❑ Decrease scope of work and return funds ❑ Other (describe and provide explanation below) Change the Project Budget (attach completed Budget Revision Detail Form) ❑ Reallocate funds among awarded budget item(s) within 10% of total grant award ❑ Reallocate funds to new budget item(s) within 10% of total award ❑ Revise budget in excess of 10 % of total grant award ❑ Other (e.g., request additional funding) Other Category of Revision ❑ Cancel project and return funds ❑ Cancel project and fund new grant proposal (attach Grant Application) ❑ Change applicant/principle partners without change in scope of work and funding level ❑ Other (describe and provide explanation below) Describe the proposed amendment, identify how the new proposal differs from the awarded grant, and provide the reason /justification for the request (attach additional pages if more space is needed). December 10, 2013 Authorized Signature, Funded Entity Date Authorized Signature, Forum (when applicable) Date Request approved ❑ Request denied (see attached for explanation) Additional information requested (see attached for requested information) Aut o�zed Signa , King Conservation District Date Member Jurisdiction & WRIA Forum Grant Program • Agreement Revision Request, Cover Sheet • v7 -18 -08