HomeMy WebLinkAboutAGREEMENT AMENDMENT REQUEST_ ASSOCIACION LATINA (ALAS) CDBG # 16051 GRANT AMOUNT $20,000 AGREEMENT AMENDMENT REQUEST
Sub-recipient: Associacion Latina(ALAS)CDBG#16051
TO BE COMPLETED BY AGENCY:
1. Type of Revision(check below Ai):
❑ Budget Amendment ❑ Performance Measures x Duration of Agreement
2. Explain Need for Amending Agreement:
Associacion Latina Inc. is requesting an amendment to extend the duration of our agreement to June 30,
2017.This will allow us to expend the funds remaining in our grant agreement.
3. For Budget Amendments, provide a Specific and Detailed Explanation for the Budget Amendment.
Generic and Broad Statements will not be accepted.
Current Amount Budget Changes New Proposed Budget
Budget Categories +or- Amounts
ARTICLE XVII: COUNTERPARTS
This Agreement is executed in two (2) counterparts-each of which shall be deemed an original and together shall
constitute one and the same Agreement with one counterpart being delivered to each party hereto.
IN WITNESS WHEREOF,the parties have set their hands and seals as of the date first written above.
ATTEST: AUGUSTA,GEORGIA
(Grantee)
By: Date:
j� Hardie Davis,Jr.
( 1 7 y As Its Mayor
By: 1A _A t- I �Au—AN (,`/ Date: 4(1
Janice Al - Jackso l
As Its Ad i istrator
B : _..l•� Date: I, ZD/17
a 44 orne Welcher J ' ector
Housin: : Community D- elo. ent Department
Approved As To Form:
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BY AE /, / Date: //z /
Andrew G. ac enzie i
General Counsel .. 64. k filir;Thi `g, {
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ATTEST: P sociacio ,atineele..seersos dej SRA Int.
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Dr 01 'am Salazar , ` Board President -7
By: . 1 // /1� /
, Date: / / [ " 1 7
Ro Cooks,As it i .rporate S etary
Bt.0.fitDate: \"k`1' VI
Witness
SEAL
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NO GARY PUBLIC,COLUMBIA COUNTY.GA
My Commission Expires on May 12,2018
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