<table>
<colgroup>
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<col style="width: 4%" />
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<col style="width: 2%" />
<col style="width: 4%" />
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</colgroup>
<tbody>
<tr class="odd">
<td colspan="7"><strong>Award/Modification of Interagency Agreement
(IAA)</strong></td>
<td colspan="5"></td>
<td colspan="7"><strong>U.S. Department of Housing and Urban
Development</strong></td>
<td colspan="7"></td>
</tr>
<tr class="even">
<td colspan="5">1. Type of Action</td>
<td colspan="5">2.. Control Number</td>
<td colspan="9">3. IAA Number</td>
<td colspan="3"><p>4. Modification</p>
<p>Number</p></td>
<td colspan="4">5. Effective Date</td>
</tr>
<tr class="odd">
<td colspan="5"> Award Modification</td>
<td colspan="5">–––––</td>
<td></td>
<td colspan="3">a. HUD</td>
<td colspan="5">–––––</td>
<td colspan="3"></td>
<td colspan="4"></td>
</tr>
<tr class="even">
<td colspan="5"></td>
<td colspan="5"></td>
<td></td>
<td colspan="3">b. Other Agency</td>
<td colspan="5">–––––</td>
<td colspan="3"></td>
<td colspan="4"></td>
</tr>
<tr class="odd">
<td colspan="13">6. Name and Address of Other Agency</td>
<td colspan="13">7a. HUD Administering Office</td>
</tr>
<tr class="even">
<td></td>
<td colspan="12">–––––</td>
<td></td>
<td colspan="12">–––––</td>
</tr>
<tr class="odd">
<td></td>
<td colspan="12">–––––</td>
<td></td>
<td colspan="12">–––––</td>
</tr>
<tr class="even">
<td></td>
<td colspan="12">–––––</td>
<td></td>
<td colspan="12">–––––</td>
</tr>
<tr class="odd">
<td></td>
<td colspan="12">–––––</td>
<td></td>
<td colspan="12">–––––</td>
</tr>
<tr class="even">
<td></td>
<td colspan="12">–––––</td>
<td colspan="9">7b. Name of Administrator</td>
<td colspan="4">7c. Phone No.</td>
</tr>
<tr class="odd">
<td></td>
<td colspan="12">–––––</td>
<td></td>
<td colspan="8">–––––</td>
<td colspan="4">–––––</td>
</tr>
<tr class="even">
<td colspan="13">8. Name and Phone No. of Other Agency’s Project
Monitor</td>
<td colspan="13">9. Name and Phone No. of HUD Government Technical
Representative</td>
</tr>
<tr class="odd">
<td></td>
<td colspan="12">–––––</td>
<td></td>
<td colspan="12">–––––</td>
</tr>
<tr class="even">
<td></td>
<td colspan="12">–––––</td>
<td></td>
<td colspan="12">–––––</td>
</tr>
<tr class="odd">
<td colspan="3">10. IAA Amount</td>
<td></td>
<td colspan="5">Incoming to HUD</td>
<td></td>
<td colspan="16">Outgoing from HUD</td>
</tr>
<tr class="even">
<td colspan="13">11. Other Agency Accounting and Appropriation Data</td>
<td colspan="13">12. HUD Accounting and Appropriation Data</td>
</tr>
<tr class="odd">
<td colspan="4">a. Appropriation Symbol</td>
<td colspan="5">b. Reservation No.</td>
<td colspan="4">c. Agency Locator Code</td>
<td colspan="4">a. Appropriation Symbol</td>
<td colspan="5">b. Reservation No.</td>
<td colspan="4">c. Agency Locator Code</td>
</tr>
<tr class="even">
<td colspan="4">–––––</td>
<td colspan="5"></td>
<td colspan="4">–––––</td>
<td colspan="4">–––––</td>
<td colspan="5">–––––</td>
<td colspan="4">–––––</td>
</tr>
<tr class="odd">
<td colspan="13">13. IAA Amount</td>
<td colspan="13">14. Obligated Amount</td>
</tr>
<tr class="even">
<td></td>
<td colspan="5">Previous Amount</td>
<td colspan="7">$ –––––</td>
<td></td>
<td colspan="5">Amount Previously Obligated</td>
<td colspan="7">$ –––––</td>
</tr>
<tr class="odd">
<td></td>
<td colspan="5"><p>Amount this Action</p>
<p>Increase (Decrease)</p></td>
<td colspan="7">$ –––––</td>
<td></td>
<td colspan="5"><p>Obligation by then Action</p>
<p>Increase (Decrease)</p></td>
<td colspan="7">$ –––––</td>
</tr>
<tr class="even">
<td></td>
<td colspan="5">Total Amount</td>
<td colspan="7">$ –––––</td>
<td></td>
<td colspan="5">Total Obligation</td>
<td colspan="7">$ –––––</td>
</tr>
<tr class="odd">
<td colspan="26">15. Payment. HUD Agrees to advance/reimburse funds up
to the dollar amount obligated by this agreement, upon receipt of a
properly executed Standard Form 1080 or 1081. The appropriate form must
be executed in original and three carbon copies, be identified with
agreement number and accounting data as shown in blocks 11 and 12 above,
and transmitted to the office indicated below for payment. Any funds not
utilized for the performance of the work described in this agreement
must be returned to HUD.</td>
</tr>
<tr class="even">
<td colspan="2"></td>
<td colspan="21">–––––</td>
<td colspan="3"></td>
</tr>
<tr class="odd">
<td colspan="2"></td>
<td colspan="21">–––––</td>
<td colspan="3"></td>
</tr>
<tr class="even">
<td colspan="2"></td>
<td colspan="21">–––––</td>
<td colspan="3"></td>
</tr>
<tr class="odd">
<td colspan="2"></td>
<td colspan="21">–––––</td>
<td colspan="3"></td>
</tr>
<tr class="even">
<td colspan="2"></td>
<td colspan="21">–––––</td>
<td colspan="3"></td>
</tr>
<tr class="odd">
<td colspan="2"></td>
<td colspan="21">–––––</td>
<td colspan="3"></td>
</tr>
<tr class="even">
<td colspan="26">16. Project Objective/Description of Modification</td>
</tr>
<tr class="odd">
<td colspan="26"></td>
</tr>
<tr class="even">
<td></td>
<td colspan="25">–––––</td>
</tr>
<tr class="odd">
<td colspan="26"></td>
</tr>
<tr class="even">
<td></td>
<td colspan="2">See Page(s)</td>
<td colspan="3">–––––</td>
<td colspan="20">for project/modification description</td>
</tr>
<tr class="odd">
<td colspan="26">17. Period of Performance of IAA/Modification</td>
</tr>
<tr class="even">
<td colspan="26"></td>
</tr>
<tr class="odd">
<td></td>
<td colspan="25">–––––</td>
</tr>
<tr class="even">
<td colspan="26"></td>
</tr>
<tr class="odd">
<td colspan="26">18. Pursuant to the Authority of:</td>
</tr>
<tr class="even">
<td colspan="26"></td>
</tr>
<tr class="odd">
<td></td>
<td></td>
<td colspan="5"><p>Agency Agreements</p>
<p>(31 USC 1535)</p></td>
<td></td>
<td></td>
<td colspan="5"><p>Basic Agreement</p>
<p>(for modifications)</p></td>
<td></td>
<td></td>
<td colspan="3">Other (specify)</td>
<td colspan="7"></td>
</tr>
<tr class="even">
<td colspan="9">19a. Authorized Signature (Other Agency)</td>
<td colspan="4">Date</td>
<td colspan="9">20a. Authorized Signature (HUD)</td>
<td colspan="4">Date</td>
</tr>
<tr class="odd">
<td colspan="9"></td>
<td colspan="4"></td>
<td colspan="9"></td>
<td colspan="4"></td>
</tr>
<tr class="even">
<td colspan="9"></td>
<td colspan="4">–––––</td>
<td colspan="9"></td>
<td colspan="4">–––––</td>
</tr>
<tr class="odd">
<td colspan="9"></td>
<td colspan="4"></td>
<td colspan="9"></td>
<td colspan="4"></td>
</tr>
<tr class="even">
<td colspan="13">b. Name and Title (Other Agency)</td>
<td colspan="13">b. Name and Title (HUD)</td>
</tr>
<tr class="odd">
<td colspan="13">–––––</td>
<td colspan="13">–––––</td>
</tr>
<tr class="even">
<td colspan="13">–––––</td>
<td colspan="13">–––––</td>
</tr>
<tr class="odd">
<td colspan="26"><p><strong>HUD - 730</strong> (12/86)</p>
<p>HUDAR 48 CFR 2543.217-70</p></td>
</tr>
<tr class="even">
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
</tr>
</tbody>
</table>