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ABOVEGROUND PETROLEUM STORAGE ACT PROGRAM <br />GRANT AGREEMENT <br />BETWEEN THE <br />CALIFORNIA ENVIRONMENTAL PROTECTION AGENCY <br />AND <br />NAME OF CERTIFIED UNIFIED PROGRAM AGENCY <br />AGREEMENT NO. C <br />State and Grantee hereby agree as follows: <br />PROVISIONS. The following statute authorizes the State to enter into this Grant Agreement: <br />A. California Health and Safety Code, division 20, chapter 6.67, section 25270.11 <br />2. PURPOSE. The State shall provide a grant to and for the benefit of the Grantee for the purpose of allocating <br />moneys from the Environmental Protection Trust Fund (EPTF) to the Certified Unified Program <br />Agencies (CUPAs), in accordance with the formula and process determined by;fhe Secretary for <br />Environmental Protection (Secretary) in consultation with the CUPAs. Up to 80%`of he grant is <br />authorized by statute to be paid in advance and will be paid-.upon approval of the grant. The CUPAs <br />shall expend those funds for the purpose of implementing the Aboveground Petroleum Storage Act <br />(APSA). <br />3.G RANT AMOUNT. [Insert Exact Grant Amount-for CUPA] <br />4. TERM of AGREEMENT. The term of the Agreemeht shall begin on January 1, 2008, and end on March 1, 2010. <br />The grant is for the implementation of the APSA Program from January 1, 2008, through <br />December 31, 2009. ABSOLUTELY NO FUNDS MAY BE REQUESTED AFTER June 1; <br />2011. <br />5. REPRESENTATIVES. Either party may- change its Represeritative(s) Capon written notice to the other party. The <br />Representatives during-the term of this Agreement will be: <br />California Environmental Protection Agency <br />GRANT MANAGER <br />John Paine, Staff Environmental Scientist <br />1001 "I" Street, 4 Floor - <br />Sacramento, California 95814 <br />Phone 916.327-5092 <br />Fax 916 322-6555 <br />aine cale a.ca. ov <br />Name of Certified Unified Program Agency <br />GRANTEE GRANT CONTACT <br />if different from Pro'ect Director <br />Name of Project Director, Tltle: Name: <br />Street Address: Street Address: <br />Cit , Zi Cit , Zi <br />Phone: Phone: <br />Fax: Fax: <br />e-mail: a-mail: <br />6. STANDARD AND SPECIAL PROVISIONS. The following exhibits are attached and made a part of this Agreement by this reference: <br />Exhibit A REPORTING AND INVOICING PROVISIONS <br />Exhibit B SPECIAL AND GENERAL PROVISIONS <br />Exhibit C APSA GRANT APPLICATION <br />