OR/WA Bureau of Land Management FINANCIAL ASSISTANCE

PERFORMANCE REPORT
(Suggested Format)

Date of Report: 1. ". '. ,. /. Assistan e Agreement num!er: Re ipient:

#eriod of #erforman e o$ered !% t&is report: to (ota) Agreement funding amount (*n )uding a)) Modifi ations): + Funding dra-n.do-n to date: +
Des ription of pro0e t a omp)is&ments to date: Block will expand as text is entered
Include accomplishments, significant developments (i.e., problems, delays, or favorable developments):

1.

Are t&e pro0e t a omp)is&ments )isted a!o$e onsistent -it& t&e pro0e t des ription and o!0e ti$es in )uded in t&e assistan e agreement and an% su!se2uent modifi ations3 *f so4 p)ease e5p)ain &o- a omp)is&ments ompare -it& agreement o!0e ti$es. 67S 8O ouble click in box to select
If yes,please explain how accomplishments compare with or meet agreement ob!ectives. If no, please describe any changes, explanation for slippage, why goals were not met, etc.

9.

Did t&e pro0e t remain -it&in t&e !udget identified in t&e origina) assistan e agreement and an% su!se2uent modifi ations3 67S 8O ouble click in box to select
If not, please identify any budget changes and"or cost overruns and the reason(s) for them:

:.

Did a)) identified partners fu)fi)) t&eir o!)igations as identified in t&e origina) assistan e agreement and an% su!se2uent modifi ations3 67S 8O ouble click in box to select
If not, please explain any changes:

;.

<as t&e pro0e t !een omp)eted3 67S *f not4 -&at is t&e pro0e ted omp)etion date3

8O

ouble click in box to select

W&at is t&e e5piration date of t&e agreement3

1=.

#)ease atta & an% ot&er pertinent information (in )uding p&otos of t&e pro0e t a ti$ities/a omp)is&ments) and return t&e omp)eted report to %our BLM #rogram Offi er. Street Address: >it%4 State4 ? @ip: 7mai):

Report prepared !%: 8ame: (it)e: (e)ep&one:

#evised $arch %&'(