Form 10-911 Recovery Action Program Grant Agreement

OMB Control Number 1024-0048
Expiration Date XX/XX/2016

UNITED STATES DEPARTMENT OF THE INTERIOR
NATIONAL PARK SERVICE
URBAN PARK AND RECREATION RECOVERY PROGRAM
RECOVERY ACTION PROGRAM GRANT AGREEMENT

_____________________________________________________________________________
Applicant Name

Grant Number

_____________________________________________________________________________
Grant Title

______________________________________________________________________________
Grant Performance Period

______________________________________________________________________________
Recovery Action Program Scope (Description of the work to be undertaken)

____________________________________________________________________________________________
Grant Cost:
The following are hereby incorporated
into this agreement:
Total Cost
$__________________
UPARR Share

__________________%

1. OMB Circular A-102 Assurances

UPARR Cost

$__________________

2. Grant application and attachments

_________________________________

3. 36 CFR Chapter I, Part 72

Amount State
Assistance

4. _________________________

$__________________

Percentage State __________________%
Assistance

FNP 10-911
Revised 08/13

5. _________________________

The United States of America, represented by the Director, National Park Service, United States
Department of the Interior, and the Grants Recipient above (hereinafter referred to as the Grantee),
mutually agree to perform this agreement in accordance with the Title X, Urban Park and Recreation
Recovery Program, 16 U.S.C. 2501, 92 Stat. 3538 (1978), and with the terms, promises, conditions, plans,
specifications, estimates, procedures, and assurances attached hereto and hereby made a part hereof.
The United States hereby promises, in consideration of the promises made by the Grantee herein, to
obligate to the Grantee the amount of money referred to above, and to tender to the Grantee that portion
of the obligation which is required to pay the United States’ share of the costs of the above Grant, based
upon the above percentage of assistance. The Grantee hereby promises, in consideration of the promises
made by the United States herein, to execute the Grant described above in accordance with the terms of
this agreement.
The Grantee agrees that no part of the money appropriated by an enactment of Congress shall, in the
absence of express authorization by Congress, be used directly or indirectly to pay for any personal
service, advertisement, telegram, telephone, letter, printed or written matter, or other device, intended or
designed to influence in any manner a Member of Congress, to favor or oppose, by vote or otherwise, any
legislation or appropriation by Congress, whether or after the introduction of any bill or resolution
proposing such legislation or appropriation; but this shall not prevent officers or employees of the United
States or of its department or agencies from communicating to Members or Congress, through the proper
official channels, request for legislation or appropriations which they deem necessary for the efficient
conduct of the public business.
Whoever, being an officer or employee of the United States or of any department or agency thereof,
violates or attempts to violate this section, shall be fined not more than $500 or imprisoned not more than
one year, or both; and after notice and hearing by the superior officer vested with the power of removing
him, shall be removed from office or employment.
The Grantee agrees to acknowledge this assistance in the resulting program documents by including the
following:
The preparation of this Recovery Action Program was financed in part
through a grant from the National Park Service, U.S. Department of the Interior,
under the provisions of the Urban Park and Recreation Recovery Act of 1978
(Title X, Public Law 95-625)”

FNP 10-911
Revised 08/13

The following special terms and conditions were added to this Recovery Action Plan grant agreement
before it was signed by the parties hereto:

In witness whereof, the parties hereto have executed this agreement as of the date entered below.
THE UNITED STATES OF AMERICA
Department of the Interior
National Park Service

GRANTEE
___________________________________
(Government Name)

BY_________________________________
(Signature)

BY_________________________________
(Signature)

____________________________________
(Name)

___________________________________
(Name)

____________________________________
(Title)

___________________________________
(Title)

Date_______________________________

______________________________________________________________________________________
Paperwork Reduction Act Statement: We collect this information under the authority of the Urban Park and Recreation
Recovery Act of 1978 (16 USC 2501 et seq.). We use this information to document the proposal scope and grant costs as well as
the legal obligations of each party. Your response is required to obtain or retain a benefit. We estimate that it will take you 1
hour to complete this form. The estimate includes time for reviewing the instructions, gathering and maintaining data, and
reviewing and completing the form.
You may send comments on the burden estimate or any aspect of this form to the Information Collection Clearance Officer,
National Park Service, 1849 C Street NW (2601), Washington, DC 20240. We may not collect or sponsor and you are not
required to respond to a collection of information unless it displays a currently valid OMB control number.

FNP 10-911
Revised 08/13