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HomeMy WebLinkAboutAdden 4 CAG-12-024, Adden #4-15 Member Jurisdiction & WRIA Forum Grant Program KingCanservatinn 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, Washington Project Title: Landowner Collaboration for Knotweed Control Along the Cedar River Agreement Year: 2012 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 to ❑ 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). The budget spreadsheet has been amended from that of Addendum #3 which showed in-kind amounts for the City of Renton and the Friends of the Cedar River Watershed. The City of Renton and the Friends of the Cedar River Watershed intend to provide in-kind services as outlined in the grant application. but the value of those in-kind services cannot be reasonably estimated at this time therefore we are requesting that they be removed from the grant budget. Authorized Signatu , Funded Entity .Denis Law, Mayos Dat $ L , Attest: Jas A. Set City Clerk ���'�i�iin� Request approved ❑ Request denied (see attached for explanation) ❑ 'tional information requested (see attached for requested information) 1 Author' a ignature, King ons rvation District Date Member Jurisdiction&WRIA Forum Grant Program • Agreement Revision Request,Cover Sheet • v7-18-08 . •k ` ( / . E ; k i } $ . � 2 - - § �(\ ; E - - - CD 8 + � ) E _0 7 7 z . - 2 § ■2 - � »" £ - ■ \}{ !!! , (}! -ji ! ! &! 'A _ . _- \\ /�$f)�ƒ k . 25 k{; J!