Interagency Agreement (Iaa) Sample Contracts

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Interagency Agreement (Iaa) • September 16th, 2016

United StateS government interagency agreement (iaa) agreement Between Federal agencies general terms & conditions (gt&c) Section

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Interagency Agreement (IAA) Instructions
Interagency Agreement (Iaa) • December 21st, 2020

The standard Interagency Agreement (IAA) form is comprised of two sections, the General Terms and Conditions (GT&C) Section and Order Requirements and Funding Information (Order) Section. It is the standard form to be used Governmentwide for all reimbursable agreements at the trading partner level, including, but not limited to: agreements between agencies, agreements within agencies, grant-related agreements1, and assisted acquisitions.2

United StateS government interagency agreement (iaa)
Interagency Agreement (Iaa) • September 16th, 2016

PRIMARY ORGANIZATION /OFFICE INFORMATION 24. Requesting Agency Servicing Agency Primary Organization / Office Name U.S. Office of Personnel Management PMF Program Office Responsible Organization / Office Address 1900 E St NW, Rm 2469Washington, DC 20415 ORDER REQUIREMENTS INFORMATION 25. Order Action (Check One)New Modification (Mod) - List affected Order blocks being changed and explain the changes being made.For Example: for a performance period mod, state the new performance period for this Order in Block 27. Fill out the Funding Modification Summary by Line (Block 26) if the mod involves adding, deleting, or changing Funding for an Order Line. Cancellation - Provide a brief explanation for Order cancellation and fill in the Performance Period End Date for the effective cancellation date. 26. Funding Modification Summary by Line Line # Line # Line # Total of All Other Lines (attach funding details) Total Original Line Funding $0.00 Cumulative Funding Changes From Prior M

UNITED STATES GOVERNMENT INTERAGENCY AGREEMENT (IAA)
Interagency Agreement (Iaa) • October 24th, 2016

DEPARTMENT AND/OR AGENCY 1. Requesting Agency of Products / Services Servicing Agency Providing Products / Sevices Name Office of Personnel Management (OPM)National Background Investigations Bureau (NBIB) Address 1900 E Street NW, Room 6H31 Washington, DC 20415 2. Servicing Agency Tracking Number (Optional) : 150017PRA 3. Assisted Acquisition Agreement Yes No 4. GT&C Action (Check action being taken)New Amendment - Complete only the GT&C blocks being changed and explain the changes being made. Cancellation - Provide a brief explanation for the IAA cancellation and complete the effective End Date. 5. Agreement Period Start Date 02/01/2017 End Date 09/30/2017 of IAA or effective cancellation dateMM-DD-YYYY MM-DD-YYYY 6. Recurring Agreement (Check One) A Recurring Agreement will continue, unless a notice to discontinue is received Yes If Yes, this is an: Annual RenewalOther Renewal State the other renewal period: No 7. Agreement Type (Check One) Single Order IAA Multiple Order IAA 8

Interagency Agreement (IAA) – Agreement Between Federal Agencies
Interagency Agreement (Iaa) • July 8th, 2010

DEPARTMENT AND/OR AGENCY 1. Requesting Agency of Products/Services Servicing Agency Providing Products/Services Name Office of Personnel ManagementNational Background Investigation Bureau Address 1900 E Street NW, Room 6H31Washington, DC 20415 2. Servicing Agency Agreement Tracking Number (Optional)_150018PRA 3. Assisted Acquisition Agreement Yes No ✔ 4. GT&C Action (Check action being taken) New Amendment – Complete only the GT&C blocks being changed and explain the changes being made. Cancellation – Provide a brief explanation for the IAA cancellation and complete the effective End Date. 5. Agreement Period Start Date 10-01-2017 End Date 09-30-2018 of IAA or effective cancellation date MM-DD-YYYY MM-DD-YYYY 6. Recurring Agreement (Check One) A Recurring Agreement will continue, unless a notice to discontinue is received. Yes If Yes, is this an: Annual Renewal Other Renewal State the other renewal period: No ✔ 7. Agreement Type (Check One) Single Order IAA ✔ Multiple Order IAA

Interagency Agreement (IAA) – Agreement Between Federal Agencies
Interagency Agreement (Iaa) • April 12th, 2012

DEPARTMENT AND/OR AGENCY 1. Requesting Agency of Products/Services Servicing Agency Providing Products/Services Name U.S. Office of Personnel Management (OPM),Presidential Management Fellows (PMF) Program Address 1900 E Street NW, Room 6500Washington, DC 20415 2. Servicing Agency Agreement Tracking Number (Optional) 3. Assisted Acquisition Agreement Yes No ✔ 4. GT&C Action (Check action being taken)✔ New Amendment – Complete only the GT&C blocks being changed and explain the changes being made. Cancellation – Provide a brief explanation for the IAA cancellation and complete the effective End Date. 5. Agreement Period Start Date 10-01-2015 End Date 09-30-2016 of IAA or effective cancellation date MM-DD-YYYY MM-DD-YYYY 6. Recurring Agreement (Check One) A Recurring Agreement will continue, unless a notice to discontinue is received. Yes If Yes, is this an: Annual Renewal Other Renewal State the other renewal period: No 7. Agreement Type (Check One) ✔ Single Order IAA Multiple Orde

Interagency Agreement (IAA) – Agreement Between Federal Agencies Order Requirements and Funding Information (Order) Section
Interagency Agreement (Iaa) • July 9th, 2010

PRIMARY ORGANIZATION/OFFICE INFORMATION 24. Requesting Agency Servicing Agency Primary Organization/Office Name Responsible Organization/Office Address ORDER/REQUIREMENTS INFORMATION 25. Order Action (Check One) New Modification (Mod) – List affected Order blocks being changed and explain the changes being made. For Example: for a performance period mod, state new performance period for this Order in Block 27. Fill out the Funding Modification Summary by Line (Block 26) if the mod involves adding, deleting or changing Funding for an Order Line. Cancellation – Provide a brief explanation for Order cancellation and fill in the Performance Period End Date for the effective cancellation date. 26. Funding Modification Summary by Line Line # Line # Line # Total of All Other Lines (attach funding details) Total Original Line Funding $ $ $ $ $ 0.00 Cumulative Funding Changes From Prior Mods [addition (+) or reduction (-)] $ $ $ $ $ 0.00 Funding Change for This Mod $ $ $ $ $ 0.

UNITED STATES GOVERNMENT INTERAGENCY AGREEMENT (IAA)
Interagency Agreement (Iaa) • September 16th, 2016

PRIMARY ORGANIZATION /OFFICE INFORMATION 24. Requesting Agency Servicing Agency Primary Organization / Office Name Responsible Organization / Office Address ORDER REQUIREMENTS INFORMATION 25. Order Action (Check One)New Modification (Mod) - List affected Order blocks being changed and explain the changes being made.For Example: for a performance period mod, state the new performance period for this Order in Block 27. Fill out the Funding Modification Summary by Line (Block 26) if the mod involves adding, deleting, or changing Funding for an Order Line. Cancellation - Provide a brief explanation for Order cancellation and fill in the Performance Period End Date for the effective cancellation date. 26. Funding Modification Summary by Line Line # Line # Line # Total of All Other Lines (attach funding details) Total Original Line Funding $0.00 Cumulative Funding Changes From Prior Mods [addition (+) or reduction (-)] $0.00 Funding Change for This Mod $0.00

Migration Phase Interagency Agreement (IAA) Terms and Conditions Overview
Interagency Agreement (Iaa) • August 29th, 2018

This document should be signed by the Program Executive Sponsor and should be reviewed and approved by both the Provider and the Customer Program Manager.

Interagency Agreement (IAA) – Agreement Between Federal Agencies
Interagency Agreement (Iaa) • July 8th, 2010

DEPARTMENT AND/OR AGENCY 1. Requesting Agency of Products/Services Servicing Agency Providing Products/Services Name Address 2. Servicing Agency Agreement Tracking Number (Optional) 3. Assisted Acquisition Agreement Yes No 4. GT&C Action (Check action being taken) New Amendment – Complete only the GT&C blocks being changed and explain the changes being made. Cancellation – Provide a brief explanation for the IAA cancellation and complete the effective End Date. 5. Agreement Period Start Date End Date of IAA or effective cancellation date MM-DD-YYYY MM-DD-YYYY 6. Recurring Agreement (Check One) A Recurring Agreement will continue, unless a notice to discontinue is received. Yes If Yes, is this an: Annual Renewal Other Renewal State the other renewal period: No 7. Agreement Type (Check One) Single Order IAA Multiple Order IAA 8. Are Advance Payments Allowed for this IAA (Check One) Yes No If Yes is checked, enter Requesting Agency’s Statutory Authority Title and Citation Note:

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Interagency Agreement (Iaa) • September 16th, 2016

PRIMARY ORGANIZATION /OFFICE INFORMATION 24. Requesting Agency Servicing Agency Primary Organization / Office Name Responsible Organization / Office Address ORDER REQUIREMENTS INFORMATION 25. Order Action (Check One)New Modification (Mod) - List affected Order blocks being changed and explain the changes being made.For Example: for a performance period mod, state the new performance period for this Order in Block 27. Fill out the Funding Modification Summary by Line (Block 26) if the mod involves adding, deleting, or changing Funding for an Order Line. Cancellation - Provide a brief explanation for Order cancellation and fill in the Performance Period End Date for the effective cancellation date. 26. Funding Modification Summary by Line Line # Line # Line # Total of All Other Lines (attach funding details) Total Original Line Funding $0.00 Cumulative Funding Changes From Prior Mods[addition (+) or reduction (-)] $0.00 Funding Change for This Mod $0.00 T

Interagency Agreement (IAA) – Agreement Between Federal Agencies Order Requirements and Funding Information (Order) Section
Interagency Agreement (Iaa) • July 9th, 2010

PRIMARY ORGANIZATION/OFFICE INFORMATION 24. Requesting Agency Servicing Agency Primary Organization/Office Name Responsible Organization/Office Address ORDER/REQUIREMENTS INFORMATION 25. Order Action (Check One) New Modification (Mod) – List affected Order blocks being changed and explain the changes being made. For Example: for a performance period mod, state new performance period for this Order in Block 27. Fill out the Funding Modification Summary by Line (Block 26) if the mod involves adding, deleting or changing Funding for an Order Line. Cancellation – Provide a brief explanation for Order cancellation and fill in the Performance Period End Date for the effective cancellation date. 26. Funding Modification Summary by Line Line # Line # Line # Total of All Other Lines (attach funding details) Total Original Line Funding $ $ $ $ $ 0.00 Cumulative Funding Changes From Prior Mods [addition (+) or reduction (-)] $ $ $ $ $ 0.00 Funding Change for This Mod $ $ $ $ $ 0.

UNITED STATES GOVERNMENT INTERAGENCY AGREEMENT (IAA)
Interagency Agreement (Iaa) • September 16th, 2016

PRIMARY ORGANIZATION /OFFICE INFORMATION 24. Requesting Agency Servicing Agency Primary Organization / Office Name Office of Personnel Management National Background Investigations Responsible Organization / Office Address 1900 E Street NW, Room 6H31 Washington, DC 20415 ORDER REQUIREMENTS INFORMATION 25. Order Action (Check One)New Modification (Mod) - List affected Order blocks being changed and explain the changes being made.For Example: for a performance period mod, state the new performance period for this Order in Block 27. Fill out the Funding Modification Summary by Line (Block 26) if the mod involves adding, deleting, or changing Funding for an Order Line. Cancellation - Provide a brief explanation for Order cancellation and fill in the Performance Period End Date for the effective cancellation date. 26. Funding Modification Summary by Line Line # Line # Line # Total of All Other Lines (attach funding details) Total Original Line Funding $0.00 Cumulative Funding Ch

AMENDMENT #1
Interagency Agreement (Iaa) • October 21st, 2019

This Amendment is made to the Interagency Agreement (IAA) between United Way of Salt Lake and Utah State Board of Education with effective date of October 31, 2017

AMENDMENT NO. 1
Interagency Agreement (Iaa) • October 28th, 2019

PURPOSE: To amend the Agreement between the state of Washington, Department of Ecology, hereinafter referred to as “ECOLOGY” and CITY OF OLYMPIA, hereinafter referred to as “CITY,” or “CONTRACTOR”.

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Interagency Agreement (Iaa) • December 2nd, 2005

The NIH will provide NRC equipment disposal services. These services will include, but are not limited to excess equipment utilization and disposal services, to comply with policy contained in the Federal Property Management Regulations (FPMR) and the NIH Personal Property Management Guide and NRC internal policies and procedures, disposal of excess equipment from various NRC offices and facilities in the Washington, D.C. metropolitan area; screening and re-utilization of NRC excess equipment within NRC and NIH; and reporting of excess equipment to the General Services Administration on behalf of NIH. NIH will ensure that all applicable Federal Property Management Regulations (FPMR) will be followed during performance of these services.

Interagency Agreement (IAA) – Agreement Between Federal Agencies
Interagency Agreement (Iaa) • April 17th, 2015

DEPARTMENT AND/OR AGENCY 1. Requesting Agency of Products/Services Servicing Agency Providing Products/Services Name Department of the Interior, Bureau of Safety and Environmental Enforcement NASA Johnson Space Center Address 45600 Woodland Road, VAE-AMDSterling, VA 20166 NASA Johnson Space Center, 2101 NASA ParkwayHouston, TX 77058 2. Servicing Agency Agreement Tracking Number (Optional) 3. Assisted Acquisition Agreement Yes No ✔ 4. GT&C Action (Check action being taken)✔ New Amendment – Complete only the GT&C blocks being changed and explain the changes being made. Cancellation – Provide a brief explanation for the IAA cancellation and complete the effective End Date. 5. Agreement Period Start Date 01-28-2016 End Date 01-27-2021 of IAA or effective cancellation date MM-DD-YYYY MM-DD-YYYY 6. Recurring Agreement (Check One) A Recurring Agreement will continue, unless a notice to discontinue is received. Yes If Yes, is this an: Annual Renewal Other Renewal State the other renewal per

AMENDMENT NO. 4
Interagency Agreement (Iaa) • November 5th, 2019

PURPOSE: To amend the Agreement between the state of Washington, Department of Ecology, hereinafter referred to as “ECOLOGY” and CITY OF REDMOND, hereinafter referred to as “CITY,” or “CONTRACTOR”.

Interagency Agreement (IAA) – Agreement Between Federal Agencies
Interagency Agreement (Iaa) • July 8th, 2010

DEPARTMENT AND/OR AGENCY 1. Requesting Agency of Products/Services Servicing Agency Providing Products/Services Name Gulf Coast Ecosystem Restoration Council Address 500 Poydras St., Suite 1117, New Orleans, LA70130 2. Servicing Agency Agreement Tracking Number (Optional) 3. Assisted Acquisition Agreement Yes No ✔ 4. GT&C Action (Check action being taken)✔ New Amendment – Complete only the GT&C blocks being changed and explain the changes being made. Cancellation – Provide a brief explanation for the IAA cancellation and complete the effective End Date. 5. Agreement Period Start Date End Date of IAA or effective cancellation date MM-DD-YYYY MM-DD-YYYY 6. Recurring Agreement (Check One) A Recurring Agreement will continue, unless a notice to discontinue is received. Yes If Yes, is this an: Annual Renewal Other Renewal State the other renewal period: No ✔ 7. Agreement Type (Check One) ✔ Single Order IAA Multiple Order IAA 8. Are Advance Payments Allowed for this IAA (Check One) Ye

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Interagency Agreement (Iaa) • September 16th, 2016

United StateS government interagency agreement (iaa) agreement Between Federal agencies general terms & conditions (gt&c) Section

Interagency Agreement (IAA) – Agreement Between Federal Agencies
Interagency Agreement (Iaa) • July 8th, 2010

DEPARTMENT AND/OR AGENCY 1. Requesting Agency of Products/Services Servicing Agency Providing Products/Services Name Gulf Coast Ecosystem Restoration Council Address 500 Poydras St., Suite 1117, New Orleans, LA70130 2. Servicing Agency Agreement Tracking Number (Optional) 3. Assisted Acquisition Agreement Yes No ✔ 4. GT&C Action (Check action being taken)✔ New Amendment – Complete only the GT&C blocks being changed and explain the changes being made. Cancellation – Provide a brief explanation for the IAA cancellation and complete the effective End Date. 5. Agreement Period Start Date End Date of IAA or effective cancellation date MM-DD-YYYY MM-DD-YYYY 6. Recurring Agreement (Check One) A Recurring Agreement will continue, unless a notice to discontinue is received. Yes If Yes, is this an: Annual Renewal Other Renewal State the other renewal period: No ✔ 7. Agreement Type (Check One) ✔ Single Order IAA Multiple Order IAA 8. Are Advance Payments Allowed for this IAA (Check One) Ye

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Interagency Agreement (IAA) – Agreement Between Federal Agencies Order Requirements and Funding Information (Order) Section
Interagency Agreement (Iaa) • April 24th, 2012

PRIMARY ORGANIZATION/OFFICE INFORMATION 24. Requesting Agency Servicing Agency Primary Organization/Office Name Office of Personnel Management (OPM) Federal Investigative Services (FIS) Responsible Organization/Office Address 1900 E Street NW, Room 6H31 Washington, DC 20415 ORDER/REQUIREMENTS INFORMATION 25. Order Action (Check One)✔ NewModification (Mod) – List affected Order blocks being changed and explains the changes being made. For Example: for a performance period mod, state new performance period for this Order in Block 27. Fill out the Funding Modification Summary by Line (Block 26) if the mod involves adding, deleting or changing Funding for an Order Line. Cancellation – Provide a brief explanation for Order cancellation and fill in the Performance Period End Date for the effective cancellation date. 26. Funding Modification Summary by Line Line # _ Line # Line # _ Total of All Other Lines (attach funding details) Total Original Line Funding $ $ $ $ $0.00 Cumulative F

Interagency Agreement (IAA) – Agreement Between Federal Agencies
Interagency Agreement (Iaa) • July 8th, 2010

DEPARTMENT AND/OR AGENCY 1. Requesting Agency of Products/Services Servicing Agency Providing Products/Services Name GSA Address 1800 F St. NW Washignton, DC 20401 2. Servicing Agency Agreement Tracking Number (Optional) 3. Assisted Acquisition Agreement Yes No ✔ 4. GT&C Action (Check action being taken) New Amendment – Complete only the GT&C blocks being changed and explain the changes being made. Cancellation – Provide a brief explanation for the IAA cancellation and complete the effective End Date. 5. Agreement Period Start Date End Date of IAA or effective cancellation date MM-DD-YYYY MM-DD-YYYY 6. Recurring Agreement (Check One) A Recurring Agreement will continue, unless a notice to discontinue is received. Yes ✔ If Yes, is this an: Annual Renewal ✔Other Renewal State the other renewal period: No 7. Agreement Type (Check One) Single Order IAA ✔ Multiple Order IAA 8. Are Advance Payments Allowed for this IAA (Check One) Yes ✔ No If Yes is checked, enter Requesting Agency’s

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Interagency Agreement (Iaa) • September 16th, 2016

PRIMARY ORGANIZATION /OFFICE INFORMATION 24. Requesting Agency Servicing Agency Primary Organization / Office Name NASA/Johnson Space Center/Center of Excellence for Collaborative Innovation Responsible Organization / Office Address 2101 NASA ParkwayHouston, TX 77058 ORDER REQUIREMENTS INFORMATION 25. Order Action (Check One)✔ NewModification (Mod) - List affected Order blocks being changed and explain the changes being made.For Example: for a performance period mod, state the new performance period for this Order in Block 27. Fill out the Funding Modification Summary by Line (Block 26) if the mod involves adding, deleting, or changing Funding for an Order Line. Cancellation - Provide a brief explanation for Order cancellation and fill in the Performance Period End Date for the effective cancellation date. 26. Funding Modification Summary by Line Line # Line # Line # Total of All Other Lines (attach funding details) Total Original Line Funding $0.00 Cumulative Funding Chang

AMENDMENT NO. 3
Interagency Agreement (Iaa) • October 8th, 2018

PURPOSE: To amend the Agreement between the state of Washington, Department of Ecology, hereinafter referred to as “ECOLOGY” and CITY OF REDMOND, hereinafter referred to as “CITY,” or “CONTRACTOR”.

Interagency Agreement (IAA) – Agreement Between Federal Agencies Order Requirements and Funding Information (Order) Section
Interagency Agreement (Iaa) • April 24th, 2012

PRIMARY ORGANIZATION/OFFICE INFORMATION 24. Requesting Agency Servicing Agency Primary Organization/Office Name U.S. Office of Personnel Management PMF Program Responsible Organization/Office Address 1900 E St NW, Room 6500Washington, DC 20415 ORDER/REQUIREMENTS INFORMATION 25. Order Action (Check One)✔ NewModification (Mod) – List affected Order blocks being changed and explains the changes being made. For Example: for a performance period mod, state new performance period for this Order in Block 27. Fill out the Funding Modification Summary by Line (Block 26) if the mod involves adding, deleting or changing Funding for an Order Line. Cancellation – Provide a brief explanation for Order cancellation and fill in the Performance Period End Date for the effective cancellation date. 26. Funding Modification Summary by Line Line # _ Line # Line # _ Total of All Other Lines (attach funding details) Total Original Line Funding $ $ $ $ $0.00 Cumulative Funding Changes From Prior Mods

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Interagency Agreement (Iaa) • September 16th, 2016

United StateS government interagency agreement (iaa) agreement Between Federal agencies general terms & conditions (gt&c) Section

RESET FORM
Interagency Agreement (Iaa) • September 16th, 2016

PRIMARY ORGANIZATION /OFFICE INFORMATION 24. Requesting Agency Servicing Agency Primary Organization / Office Name Responsible Organization / Office Address ORDER REQUIREMENTS INFORMATION 25. Order Action (Check One)New Modification (Mod) - List affected Order blocks being changed and explain the changes being made.For Example: for a performance period mod, state the new performance period for this Order in Block 27. Fill out the Funding Modification Summary by Line (Block 26) if the mod involves adding, deleting, or changing Funding for an Order Line. Cancellation - Provide a brief explanation for Order cancellation and fill in the Performance Period End Date for the effective cancellation date. 26. Funding Modification Summary by Line Line # Line # Line # Total of All Other Lines (attach funding details) Total Original Line Funding Cumulative Funding Changes From Prior Mods[addition (+) or reduction (-)] Funding Change for This Mod TOTAL Modified

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Interagency Agreement (Iaa) • September 16th, 2016

PRIMARY ORGANIZATION /OFFICE INFORMATION 24. Requesting Agency Servicing Agency Primary Organization / Office Name Office of Personnel Management National Background Investigations Responsible Organization / Office Address 1900 E Street NW, Room 6H31 Washington, DC 20415 ORDER REQUIREMENTS INFORMATION 25. Order Action (Check One)New Modification (Mod) - List affected Order blocks being changed and explain the changes being made.For Example: for a performance period mod, state the new performance period for this Order in Block 27. Fill out the Funding Modification Summary by Line (Block 26) if the mod involves adding, deleting, or changing Funding for an Order Line. Cancellation - Provide a brief explanation for Order cancellation and fill in the Performance Period End Date for the effective cancellation date. 26. Funding Modification Summary by Line Line # Line # Line # Total of All Other Lines (attach funding details) Total Original Line Funding $0.00 Cumulative Funding Ch

Interagency Agreement (IAA) – Agreement Between Federal Agencies
Interagency Agreement (Iaa) • September 28th, 2017

DEPARTMENT AND/OR AGENCY 1. Requesting Agency of Products/Services Servicing Agency Providing Products/Services Name Address 2. Servicing Agency Agreement Tracking Number (Optional) 3. Assisted Acquisition Agreement Yes No 4. GT&C Action (Check action being taken) New Amendment – Complete only the GT&C blocks being changed and explain the changes being made. Cancellation – Provide a brief explanation for the IAA cancellation and complete the effective End Date. 5. Agreement Period Start Date End Date of IAA or effective cancellation date MM-DD-YYYY MM-DD-YYYY 6. Recurring Agreement (Check One) A Recurring Agreement will continue, unless a notice to discontinue is received. Yes If Yes, is this an: Annual Renewal Other Renewal State the other renewal period: No 7. Agreement Type (Check One) Single Order IAA Multiple Order IAA 8. Are Advance Payments Allowed for this IAA (Check One) Yes No If Yes is checked, enter Requesting Agency’s Statutory Authority Title and Citation Note:

AMENDMENT NO. 2
Interagency Agreement (Iaa) • March 2nd, 2016

PURPOSE: To amend the Agreement between the state of Washington, Department of Ecology, hereinafter referred to as “ECOLOGY” and CITY OF REDMOND, hereinafter referred to as “CITY,” or “CONTRACTOR”.

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