Form AMS-20-3 Amendment Request

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Agreement No.

AMENDMENT TO

COOPERATIVE AGREEMENT

between the

AGRICULTURAL MARKETING SERVICE

UNITED STATES DEPARTMENT OF AGRICULTURE

WASHINGTON, D. C. 20250

(hereinafter called the Federal Agency)

and the

(cooperator organization)

(hereinafter called the Cooperator)

1. Provision for Amendment: It is agreed that the Cooperative Agreement providing for (Title of project) in the State of (State), effective (date), is amended as follows:

2. Effective date of Amendment:

3. Approvals: This Amendment is hereby approved for the Cooperator.

Done at ___________________on_____________

(City and State) (Date)

___________________________________

Signature and Title

This Amendment is hereby approved for the Federal Agency.

Done at Washington, D. C. on ____________

(Date)

__________________________________________

Associate Administrator

Agricultural Marketing Service

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Form AMS-20-3 (2/21)