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Assistance ID No. X994260-92-1Pace 1 of 3 U.S. ENVIRONMENTAL PROTECTION AGENCY 1. ASSISTANCE ID NO. 2. LOG NUMBER X 994260-92-1 04-X - EPA ASSISTANCE AGREEMENT / AMENDMENT 3. DATE OF AWARD 4. MAILING DATE PART I - ASSISTANCE NOTIFICATION INFORMATION MAY 0 2 1994 5. AGREEMENT TYPE 6. PAYMENT METHOD ❑ Advance 0 Reimbursement ACH Number Cooperative Agreement Grant Ayreem.M send Payment Request to: Financial Management Section 7. TYPE OF ACTION DECREASE AUGMENT Assistance Amendment X S. RECIPIENT 9. PAYEE R MONROE COUNTY, FLORIDA SAME AS RECIPIENT E c 5100 COLLEGE ROAD, WING III I KEY WEST, FL 33040 P I E N EIN NO. CONGRESSIONAL DISTRICT 10. RECIPIENT TYPE T 596-000-749 19 INTERSTATE AGENCY, COMMISSION 0 11. PROJECT MANAGER AND TELEPHONE NO. 12. CONSULTANT WwT Construction Grants only) R GEORGE GARRETT G PROJECT OFFICER N/A (305) 292-4407 E 13. ISSUING OFFICE (CITY / STATE) 14. EPA PROJECT / STATE OFFICER AND TELEPHONE NO. P US ENVIRONMENTAL PROTECTION AGENCY FRED MCMANUS, PROJECT OFFICER A US Environmental Protection 345 COURTLAND STREET c Grants and IAG Operations Unit ATLANTA, GA 30365 (404) 347-1740 0 N 345 Courtland Street STEPHANIE LANKFORD T Atlanta„ GA 30365 GRANTS SPECIALIST (404) 347-2200 A 15. EPA CONGRESSIONAL LIAISON & PHONE 16. STATE APPL ID (Clearinghouse) 17. SCIENCE FIELD 18. PROJECT STEP T BARBARA BROOKS, (202) 260-5660 (wwT Constr An Grants Only) 19. STATUTORY AUTHORITY 20. REGULATORY AUTHORITY 21. STEP 2 + 3 & STEP 3 (WWTConstruction Grants Only) CLEAN WATER ACT: SEC. 104 40 CFR PART 31 a. Treatment Level b. Project Typs e. Treatment Proesss 22. PROJECT TITLE AND DESCRIPTION NEAR COASTAL WATER - WASTEWATER TREATMENT DEMO PROJECT This action TERMINATES the Grant Agreement. (Funded Application Withdrawn). Refer to Mr. George Garrett's letter dated 12/7/93. 23. PROJECT LOCATION(Areas Impacted by Project) City / Place County State Congressional Distrkt KEY WEST MONROE FL 19 24. ASSISTANCE PROGRAM (CFDA Program No. & Title) 66.464: 25. PROJECT PERIOD 26. BUDGET PERIOD Near Coastal Waters Program 09/25/92 - 09/30/93 09/25/92 - 09/30/93 27. COMMUNITY POPULATION 28. TOTAL BUDGET PERIOD COST 29. TOTAL PROJECT PERIOD COST WT (W Construction Grants Only) N/A $0 N/A FUNDS FORMER AWARD THIS ACTION AMENDED TOTAL 30. EPA Amount This Action $37, 500 $ 37, 500 $0 31. EPA In -Kind Amount 0 0 0 32. Unexpended Prior Year Balance 0 0 0 33. Other Federal Funds 0 0 0 34. ReclpisMContribution 5,394 5,394 0 35. State contribution 0 0 0 3& Local Contriladion 0 0 0 37. Other contribution 0 0 0 3& Allowable ProjactCost $42,894 $(42,894 $0 39. Program Element FY Appropriation Doe. Control No. Account Number Object Clap Obligation / Deobligation F 01) BMLB2F 92 682/30108 TE0095 2BML04TORR 41.83 $(37,500) S C A L EPA Form 5700.20A (Rev. 544. Replaces previous editions and EPA Forms 5700.1A,8,C, and D, all of which are obsolete. PART II - APPROVED BUDGET ASSISTANCE IDENTIFICATION: X 994260-92-1 Paste 2 of 3 TABLE A - OBJECT CLASS CATEGORY (Non -construction) TOTAL APPROVED ALLOWABLE BUDGET PERIOD COST I.PERSONNEL $3,758 2. FRINGE BENEFITS 1,492 3. TRAVEL 144 4. EQUIPMENT 0 5. SUPPLIES 0 6. CONTRACTUAL 0 7. CONSTRUCTION 0 8. OTHER 37,500 9. TOTAL DIRECT CHARGES $42,894 10. INDIRECT COSTS: RATE 0.00 % BASE 0 11.TOTAL (Share: Recipient 13.00% Federal 87.00%) $42,894 12. TOTAL APPROVED ASSISTANCE AMOUNT $37,500 TABLE B - PROGRAM ELEMENT CLASSIFICATION (Non-consruction) 1. 2. 3. 4. S. 6. 7. S. 9. 10. 11. 12. TOTAL (Share: Recipient % Federal 13. TOTAL APPROVED ASSISTANCE AMOUNT TABLE C - PROGRAM ELEMENT CLASSIFICATION (construction) 1. ADMINISTRATION EXPENSE 2. PRELIMINARY EXPENSE 3. LAND STRUCTURES RIGHT-OF-WAY 4. ARCHITECTURAL ENGINEERING BASIC FEES 5.OTHER ARCHITECTURAL ENGINEERING FEES 6. PROJECT INSPECTION FEES 7. LAND DEVELOPMENT S. RELOCATION EXPENSE 9. RELOCATION PAYMENTS TO INDIVIDUALS AND BUSINESS 10. DEMOLITION AND REMOVAL 11. CONSTRUCTION AND PROJECT IMPROVEMENT 12. EQUIPMENT 13. MISCELLANEOUS 14. TOTAL (Lines t thru 13) 15. ESTIMATED INCOME (itoppiicabis) 16. NET PROJECT AMOUNT (Line 14 minus 15) 17. LESS: INELIGIBLE EXCLUSIONS 18. ADD: CONTINGENCIES 19. TOTAL (Share: Recipient % Federal 20. TOTAL APPROVED ASSISTANCE AMOUNT EPA Form 700(Rev ASSISTANCE IDENTIFICATION: X 994260-92-1 Page 3 of 3 'SPECIAL CONDITIONS (oonunuoo TERMS AND CONDITIONS Conditions as set forth on the prior award(s) remain in effect. PART IV NOTE: The Agreement must be completed in duplicate and the Original returned to the Grants Administration Division for Headquarters awards and to the appropriate Grants Administration Office for State and local awards within 3 calendar weeks after receipt or within any extension of time as may be granted by EPA. Receipt of a written refusal or failure to return the properly executed document within the prescribed time, may result in the withdrawal of the offer by the Agency. Any change to the Agreement by the recipient subsequent to the document being signed by the EPA Award Official, which the Award Official determines to materially alter the Agreement, shall void the Agreement. OFFER AND ACCEPTANCE The United States of America, acting by and through the U.S. Environmental Protection Agency (EPA), hereby offers assistance/amendment to the MONROE COUNTY FLORIDA for 87.00 % of all approved costs Incurred up to and not exceeding $ 37,500 for the support of approved budget period effort described ASSISTANCE AMOUNT In application (including all application modifications) cited in Item 22 of this Agreement 7/28/92 NEAR COASTAL WATER - WASTEWATER TREATMENT DEM , included herein by reference. DAT AND TI L ISSUING OFFICE Grants Administration Office AWARD APPROVAL OFFICE ORGANIZATION / ADDRESS ORGANIZATION / ADDRESS US Environmental Protection Regional Administrator Grants and IAG Operations Unit U.S. E.P.A., Region IV 345 Courtland Street 345 Courtland Street, S.W. Atlanta„ GA 30365 Atlanta„ GA 30365 THE UNITED STATES OF AMERICA BY THE U.S ENVIRONMENTAL PROTECTION AGENCY SIG �MAVM_0IC1AiL TYPED NAME AND TITLE John H. Hankinson, Jr.IAAT R1A 0 ��v+ Regional Administrator 2 jM' This agreement is subject to applicable U.S. Environmental Protection Agency statutory provisions and assistance regulations. In accepting this award or amendment and any payments made pursuant thereto, (1) the undersigned represents that he is duly authorized to act on behalf of the recipient organization, and (2) the recipient agrees (a) that the award Is subject to the applicable provisions of 40 CFR Chapter I, Subchapter B and of the provisions of this agreement (Parts I thru IV), and (b) that acceptance of any payments constitutes an agreement by the payee that the amounts, if any found by EPA to have been overpaid will be refunded or credited In full to EPA. BY AND ON BEHALF OF THE DESIGNATED RECIPIENT ORGANIZATION SIGNATURE TYPED NAME AND TITLE ADMINISTRATIVE ACTION DATE NO SIGNATURE REQUIRED EPA Form $700-20A (Rev. 54M Page 1 of 3 U.S. ENVIRONMENTAL PROTECTION AGENCY 1. ASSISTANCE ID NO. 2. LOG NUMBER X 994260-92-1 04-X - EPA ASSISTANCE AGREEMENT / AMENDMENT 3. DATE OF AWARD 4. MAILING DATE PART I - AS !STANCE NOTIFICATION INFORMATION MAY Q 2 1994 MAY 0 5. AGREEMENT TYPE 6. PAYMENT METHOD ❑ ❑X ❑ Cooperative Agreement Advance Reimbursement ACH Number Grant Agreement Send Payment Request to: Financial Management Section 7. TYPE OF ACTION DECREASE AUGMENT Assistance Amendment X 8. RECIPIENT 9. PAYEE R MONROE COUNTY, FLORIDA SAME AS RECIPIENT C 5100 COLLEGE ROAD, WING III I KEY WEST, FL 33040 P I E N EIN NO. CONGRESSIONAL DISTRICT 10. RECIPIENT TYPE T 596-000-749 19 INTERSTATE AGENCY, COMMISSION 0 11. PROJECT MANAGER AND TELEPHONE NO. 12. CONSULTANT (WWTConstruction Grants only) R GEORGE GARRETT G PROJECT OFFICER N/A (305) 292-4407 E 13. ISSUING OFFICE (CITY / STATE) 14. EPA PROJECT / STATE OFFICER AND TELEPHONE NO. P US ENVIRONMENTAL PROTECTION AGENCY FRED MCMANUS, PROJECT OFFICER A US Environmental Protection 345 COURTLAND STREET C Grants and IAG Operations Unit ATLANTA, GA 30365 (404) 347-1740 N 345 Courtland Street STEPHANIE LANKFORD T Atlanta„ GA 30365 GRANTS SPECIALIST (404) 347-2200 A 15. EPA CONGRESSIONAL LIAISON & PHONE 16. STATE APPL ID (Clearinghouse) 17. SCIENCE FIELD 18. PROJECT STEP C BARBARA BROOKS, (202) 260-5660 (WWT Construction Grants Only) N/A T 19. STATUTORY AUTHORITY 20. REGULATORY AUTHORITY 21. STEP 2 + 3 & STEP 3 (WWrConstruction Grants Only) CLEAN WATER ACT: SEC. 104 40 CFR PART 31 a. Treatment Level b. Project Type c Treatment Process 22. PROJECT TITLE AND DESCRIPTION NEAR COASTAL WATER - WASTEWATER TREATMENT DEMO PROJECT This action TERMINATES the Grant Agreement. (Funded Application Withdrawn). Refer to Mr. George Garrett's letter dated 12/7/93. 23. PROJECT LOCATION Areas Impacted by Project) City / Piece County State District KEY WEST MONROE FL19 Tressional 24. ASSISTANCE PROGRAM (CFDA Program No. & me) 66.464: 25. PROJECT PERIOD 26. BUDGET PERIOD Near Coastal Waters Program 09/25/92 - 09/30/93 09/25/92 - 09/30/93 27. COMMUNITY POPULATION 28. TOTAL BUDGET PERIOD COST 29. TOTAL PROJECT PERIOD COST wi (wConstruction Grants Only) N/A $0 N/A FUNDS FORMER AWARD THIS ACTION AMENDED TOTAL 30. EPA Amount This Action $37, 500 $ 37, 500 $0 31. EPA In -Kind Amount 0 0 0 32- Unexpended Prior Year Balance 0 0 0 3& Other Federal Funds 0 0 0 3k Recipient Contribution 5,394 5,394 0 35. Stab Contribution 0 0 0 36. Local Contribution 0 0 0 37. Other Contribution 0 0 0 3& Allowable Project Cost $42,894 $(42,894 $0 39. Program Element FY Appropriation Doc Control No. Account Number Object Class Obligation / Deobligation F 1 01) BML62F 92 682/30108 TE0095 2BML04TORR 41.83 $(37,500) S C A L EPA Form 5700-20A (Rev. 5 tt2). Replaces previous editions and EPA Forms 5700-1A,B,C, and D, allot which are obsolete. PART 11 - APPROVED BUDGET ASSISTANCE IDENTIFICATION: X 994260-92-1 Page 2 of 3 TABLE A - OBJECT CLASS CATEGORY (Non oonseruction) TOTAL APPROVED ALLOWABLE BUDGET PERIOD COST I.PERSONNEL $3,758 2. FRINGE BENEFITS 1,492 3. TRAVEL 144 4. EQUIPMENT 0 5. SUPPLIES 0 6. CONTRACTUAL 0 7. CONSTRUCTION 0 S. OTHER 37,500 9. TOTAL DIRECT CHARGES $42,894 10. INDIRECT COSTS: RATE 0.00 % BASE 0 11. TOTAL (Share: Recipient 13.00% Federal 87.00 %.) $42,894 12. TOTAL APPROVED ASSISTANCE AMOUNT $37,500 TABLE B - PROGRAM ELEMENT CLASSIFICATION (Non-eonauuauon) 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. TOTAL (Share: Recipient % Federal 13. TOTAL APPROVED ASSISTANCE AMOUNT TABLE C - PROGRAM ELEMENT CLASSIFICATION (conabued-) 1. ADMINISTRATION EXPENSE 2. PRELIMINARY EXPENSE 3. LAND STRUCTURES RIGHT-OF-WAY 4. ARCHITECTURAL ENGINEERING BASIC FEES 5. OTHER ARCHITECTURAL ENGINEERING FEES 6. PROJECT INSPECTION FEES 7. LAND DEVELOPMENT S. RELOCATION EXPENSE 9. RELOCATION PAYMENTS TO INDIVIDUALS AND BUSINESS 10. DEMOLITION AND REMOVAL 11. CONSTRUCTION AND PROJECT IMPROVEMENT 12. EQUIPMENT 13. MISCELLANEOUS 14. TOTAL gin= i anu 13) 15. ESTIMATED INCOME (mappueabla) 16. NET PROJECT AMOUNT (Una 14 min=15) 17. LESS: INELIGIBLE EXCLUSIONS 18. ADD: CONTINGENCIES 19. TOTAL (Share: Recipient % Federal 20. TOTAL APPROVED ASSISTANCE AMOUNT EPA Form 5700-(Rev 5-8 • I ASSISTANCE IDENTIFICATION: X 994260-92-1 Page 3 of 3 SPECIAL CONDITIONS (.Deemed TERMS AND CONDITIONS Conditions as set forth on the prior award(s) remain in effect. PART IV NOTE: The Agreement must be completed in duplicate and the Original returned to the Grants Administration Division for Headquarters awards and to the appropriate Grants Administration Office for State and local awards within 3 calendar weeks after receipt or within any extension of time as may be granted by EPA. Receipt of a written refusal or failure to return the properly executed document within the prescribed time, may result In the withdrawal of the offer by the Agency. Any change to the Agreement by the recipient subsequent to the document being signed by the EPA Award Official, which the Award Official determines to materially alter the Agreement, shall void the Agreement. OFFER AND ACCEPTANCE The United States of America, acting by and through the U.S. Environmental Protection Agency (EPA), hereby offers assistance/amendment to the MONROE COUNTY FLORIDA for 87.00 % of all approved costs HLEAPIENT ORGANIZATION Incurred up to and not exceeding $ 37,500 for the support of approved budget period effort described ASSISTANCE AMOUNT In application (Including all application modifications) cited In Item 22 of this Agreement 7/28/92 NEAR COASTAL WATER - WASTEWATER TREATMENT DEM , Included herein by reference. DATEANDTITLE ISSUING OFFICE Grants Administration Office AWARD APPROVAL OFFICE ORGANIZATION / ADDRESS ORGANIZATION / ADDRESS US Environmental Protection Regional Administrator Grants and IAG Operations Unit U.S. E.P.A., Region IV 345 Courtland Street 345 Courtland Street, S.W. Atlanta„ GA 30365 Atlanta„ GA 30365 THE UNITED STATES OF AMERICA BY THE U.S ENVIRONMENTAL PROTECTION AGENCY SIGN E OF AWARD TYPED NAME AND TITLE John H. Hankinson, Jr. DATE M J� Regional Administrator MAY 0 2 1994 This agreement Is subject to applicable U.S. Environmental Protection Agency statutory provisions and assistance regulations. Id accepting this award or amendment and any payments made pursuant thereto, (1) the undersigned represents that he is duly authorized to act on behalf of the recipient organization, and (2) the recipient agrees (a) that the award Is subject to the applicable provisions of 40 CFR Chapter 1, Subchapter B and of the provisions of this agreement (Parts I thru IV), and (b) that acceptance of any payments constitutes an agreement by the payee that the amounts, If any found by EPA to have been overpaid will be refunded or credited In full to EPA. BY AND ON BEHALF OF THE DESIGNATED RECIPIENT ORGANIZATION SIGNATURE TYPED NAME AND TITLE ADMINISTRATIVE ACTION DATE NO SIGNATURE REQUIRED EPA Form 5700-20A (Rev. 5-84