AGREEMENT OFFICERS. Officer for the U.S. Fish & Wildlife Service, [INSERT SITE/PROGRAM NAME]: [INSERT OFFICIAL REPRESENTATIVE] [NAME], [TITLE] [SERVICE SITE/PROGRAM NAME] [STREET ADDRESS] [CITY, STATE ZIP] [PHONE] [EMAIL] Officer for [INSERT FRIENDS ORGANIZATION NAME]: [INSERT OFFICIAL REPRESENTATIVE] [NAME], [TITLE] [SERVICE SITE/PROGRAM NAME] [STREET ADDRESS] [CITY, STATE ZIP] [PHONE] [EMAIL] The parties below have caused this Agreement to be executed by their respective duly authorized representatives. Sign: ___ Date: __________________ Regional Director [or INSERT designee] U.S. Fish and Wildlife Service Sign: ___ Date: __________________ Project Leader/Refuge Manager [INSERT Service Site/Program] U.S. Fish and Wildlife Service Sign: ___ Date: __________________ President [INSERT Friends organization name] REQUIRED ATTACHMENTS CHECKLIST 633 FW 2 Exhibit 2 – Supplemental Partnership Agreement, Use of Service Property (if applicable) Attachment A – Articles of Incorporation Attachment B – IRS Determination Letter (or a copy of the letter from the IRS confirming an application has been filed) Attachment C – Proof of Insurance policies Attachment D – Fundraising Agreement (if applicable) Attachment E – Bylaws Attachment F – Current IRS form 990 (if applicable, for renewing agreements). Supersedes Exhibit 1, 633 FW 3, 04/04/14, amended 3/11/2016 FRIENDS ORGANIZATIONS
AGREEMENT OFFICERS. Officer for the U.S. Fish & Wildlife Service, [INSERT SITE/PROGRAM NAME]: [INSERT OFFICIAL REPRESENTATIVE] [NAME], [TITLE] [SERVICE SITE/PROGRAM NAME] [STREET ADDRESS] [CITY, STATE ZIP] [PHONE] [EMAIL] Officer for [INSERT FRIENDS ORGANIZATION NAME]: [INSERT OFFICIAL REPRESENTATIVE] [NAME], [TITLE] [SERVICE SITE/PROGRAM NAME] [STREET ADDRESS] [CITY, STATE ZIP] [PHONE] [EMAIL] The parties below have caused this Agreement to be executed by their respective duly authorized representatives. Sign: Regional Director [or INSERT designee] U.S. Fish and Wildlife Service Sign: Project Leader/Refuge Manager [INSERT Service Site/Program] U.S. Fish and Wildlife Service Sign: President [INSERT Friends organization name] Date: Date: Date:
AGREEMENT OFFICERS. REPRESENTATIVE (AOR) The AO may designate an AOR to assist in monitoring the work under this Agreement. The AOR will oversee the technical administration of this Agreement and act as technical liaison with the performing organization. The AOR is not authorized to change the scope of work or specifications as stated in the Agreement, to make any commitments or otherwise obligate the FHWA or authorize any changes which affect the Agreement funding, delivery schedule, period of performance or other terms or conditions. The AO is the only individual who can legally commit or obligate the FHWA for the expenditure of public funds. The technical administration of this Agreement will not be construed to authorize the revision of the terms and conditions of performance. The AO will authorize any such revision in writing.
AGREEMENT OFFICERS. Officer for the U.S. Fish & Wildlife Service: Xxxxx Habitat, Project Leader Best Habitat National Wildlife Refuge 000 Xxxxxx Xxxxxx Xxxxxx River, NY 00000 Phone: 000-000-0000 Fax: 000-000-0000 Email: Xxxxx_Xxxxxxx@xxx.xxx
AGREEMENT OFFICERS. Officer for the U.S. Fish & Wildlife Service [INSERT SITE/PROGRAM NAME]: [INSERT OFFICIAL REPRESENTATIVE] Xxxxx Habitat, Project Leader Service Site/Program 000 Xxxxxx Xxxxxx Xxxxxx River, NY 00000 Phone: 000-000-0000 Fax: 000-000-0000 Email: Xxxxx_Xxxxxxx@xxx.xxx Officer for the Friends of Name [INSERT NAME]: [INSERT OFFICIAL REPRESENTATIVE] Xxxxxx Species, President Friends of Name 000 Xxxxxx Xxxxxxxxx Xxxxxx River, NY 00000 Phone: 000-000-0000 Fax: 000-000-0000 Email: XxxxxxXxxxxxx@xxxxxxx.xxx The parties below have caused this supplemental agreement to be executed by their respective duly authorized representatives. Sign: ___ Date: __________________ Regional Director [or insert designee] U.S. Fish and Wildlife Service Sign: ___ ______ Date: __________________ Project Leader/Refuge Manager [INSERT Service Site/Program] U.S. Fish and Wildlife Service Sign: ___ ______ Date: __________________ President/Executive Director [INSERT Friends of Name] ATTACHMENTS Check if included at the time of execution of this supplemental agreement. Attachment A2 – Friends Organization Insurance Policies (related to use of Service property) [__] 04/04/14 FRIENDS ORGANIZATIONS
AGREEMENT OFFICERS. Officer for the U.S. Fish & Wildlife Service: Xxxxx Habitat, Project Leader Best Habitat National Wildlife Refuge 000 Xxxxxx Xxxxxx Xxxxxx River, NY 00000 Phone: 000-000-0000 Fax: 000-000-0000 Email: Xxxxx_Xxxxxxx@xxx.xxx Officer for the Friends of Best Habitat National Wildlife Refuge Xxxxxx Species, President Friends of Best Habitat National Wildlife Refuge 000 Xxxxxx Xxxxxxxxx Xxxxxx River, NY 00000 Phone: 000-000-0000 Fax: 000-000-0000 Email: XxxxxxXxxxxxx@xxxxxxx.xxx By signing below, the following parties are executing this Agreement on the 20th day of July, 2020. By: President Friends of Best Habitat National Wildlife Refuge By: Regional Director [or designee] U.S. Fish and Wildlife Service By: ____________________________ Project Leader Best Habitat National Wildlife Refuge U.S. Fish and Wildlife Service EXHIBIT A DESCRIPTION OF DESIGNATED FACILITIES AND EQUIPMENT WITHIN Best Habitat National Wildlife Refuge FOR USE BY THE Friends of Best Habitat National Wildlife Refuge
