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WSP Contract No. <br /> WASHINGTON STATE PATROL C040454GSC <br /> National Fire Incident Reporting System Other Contract No. <br /> Grant Agreement <br /> This Agreement is between the State of Washington, Washington State Patrol and the Grantee identified <br /> below. <br /> GRANTEE NAME Federal Employer Identification Number(mandatory, <br /> for tax purposes) <br /> Everett Fire Department <br /> Grantee Location Address Grantee Mailing Address (if different from location address) <br /> 2811 Oakes Avenue <br /> Everett WA 98201 <br /> Contact Name Contact Telephone <br /> Mr. Warren Burns (425) 257-8121 <br /> Contact Fax Contact E-mail Address <br /> (425) 257-8139 wburns@ci.everett.wa.us <br /> WSP Contact Information <br /> WSP Project Manager Name and Title WSP Project Manager Address <br /> Ms. Anjela Foster PO Box 42600 <br /> Chief Deputy State Fire Marshal Olympia, WA 98504-2600 <br /> Telephone Fax E-mail Address <br /> (360) 753-0493 (360) 753-0395 anjela.foster@wsp.wa.gov <br /> WSP Administrative Contact Name and Title WSP Administrative Contact Address <br /> Mr. Jeff Hugdahl PO Box 42602 <br /> Grants and Contracts Manager Olympia, WA 98504-2602 <br /> Telephone Fax E-mail Address <br /> (360) 753-0602 (360) 664-0657 jeffrey.hugdahl@wsp.wa.gov <br /> Federal Assistance Information <br /> Is the Grantee a subrecipient of federal assistance for the purposes of this I CFDA Number(s) <br /> agreement? ❑ Yes ® No N/A <br /> Federal Grant Award Name Federal Grant Award Number <br /> N/A N/A <br /> Is this agreement funded by a federal award for research and development? Federal Award Year <br /> ❑Yes ® No N/A <br /> Agreement Start Date Agreement End Date Maximum Agreement Amount <br /> July 1, 2003 June 30, 2004 $8,688 <br /> This Agreement,including the attached Terms and Conditions and any other documents incorporated by reference,contains all of the <br /> terms and conditions agreed upon by the parties. No other understandings or representations, oral or otherwise, regarding the <br /> subject matter of this Agreement shall be deemed to exist or bind the parties. The parties signing below warrant that they have read <br /> and understand this Agreement and have the authority to enter into this Agreement. <br /> FOR THE WASHINGTON STATE PATROL: FOR THE GRANTEE: <br /> WSP Signature Date Signature Date <br /> Printed Name and Title Printed Name and Title <br /> Ronal W. Serpas, Ph.D., Chief <br /> Approved As To Form: Date <br /> Assistant Attorney General <br /> WSP Budget and Fiscal Services: Date <br /> NFIRS Grant Agreement 133 Page 1 <br /> 8/29/01 <br />