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HomeMy WebLinkAboutC96-023 Colorado Surplus Property AgencyColorado Surplus Property Agency
4200 Garfield Street
Denver, CO 80216-6517
AUTHORIZED REPRESENTATIVES
1. LEGAL NAME b MAILING ADDRESS OF APPLICANT ORGANIZATION:
Eagle County Government
(Name of Organization)
P.O. Bog 850 Eagle, Colorado 81631
(Maung Address)
500 Broadway Eagle, Colorado 81631
(Street Address4-ocadon - d ddferent from malting address) (zip)
Eagle 19701328-8605
(County) (Telephone)
Il. THE FOLLOWING REPRESENTATIVES ARE DESIGNATEDTO:
IV
A. Acquire Federal Surplus -Property;
B. Obfiigate necessary funds for this purpose; and
C. Execute Distnbution.Documents agreeing to terms, conddions, reservations and restrictions aPPVM to Property
obtained through the agency. `
Z NEW DESIGNATIONS ADDITIONAL- DESIGNATIONS ONLY
(Delete all previous authorkations) (Add to previous authorizations)
REPRESENTATIVES:
(Please Print or D=
Name
James R. Hartmann
A.J. Johnson
Capt. Tom Early
Mike Bradley
Don Fessler
Bill Smith
Jack Johnson
James Elwood
V. CERTIFICATION:
(0ale)
" nq conA v,... 7-U7
TWO
County Administrator
County Sheriff
Gi4 PT
40-
Buildings
ti
Buildings and Grounds
Road and Bridge Super
Motor Pool Supervisor
Emergency Management
Airport Manager
Signature
(Signature of Cei#"g Officer)
Critle)
January 11, 1996
f
%..jLORADO SURPLUS PROPERTY AI:._, 4CY
4200 GARFIELD STREET
DENVER, COLORADO 80216-6517
(303) 321-4012
MR. JAMES FRITZE"
COUNTY OF EAGLE
P.O. BOX 850
EAGLE CO 81631
Dear MR. FRITZE:
RENEWAL OF ELIGIBILITY
PUBLIC AGENCY
o(� tE Tn�
AN1219*�1
EAGI F COUNTY AT T ORNEY
Federal regulations require a periodic update of eligibility to
participate in the surplus property program.
Renewal of eligibility may be accomplished by completing and
returning the enclosed form(s) to the Colorado Surplus Property
Agency. If a response is not received by this Agency within TWENTY
(20) days of the above date, eligibility will be suspended until
completion.
(1) Have there been any changes in the legal name, official
mailing ddress or telephone number of the organization?
Yes No
If YES, please provide changes:
(2) Have there been any changes in the status as a Public
age nc since the date of eligibility was established?
YES NO k"
If YES, please explain:
(3) Is the listing of designated representatives accurate and
current ( see -&iae-losed) ? YES NO ✓
If NO, the form F-22, is provided for your use. Please
complete and return.
Complete and sign the enclosed Nondiscrimination Assurance (Form
F-21 SPA) and return to this office.
It is my understanding that unless I receive notice to the contrary
from the State Agency within TEN (10) days from the below date, I
am to consider this agencies eligibility updated and valid.
SIGN TURETIT D E
' Colorado Surplus Property Agen
4200 Garfield St.
Denver, CO 80216-6517
NONDISCRIMINATION ASSURANCE
LEGAL NAME & MAILING ADDRESS OF APPLICANT ORGANIZATION:
Eagle County Government
(Name of Organization)
P.O. Bos 850 Eagle, CO 81631
(Mailing Address)
500 Broadway Eagle. CO 81631
(Street Address/Location - if different from mailing address) (Zip)
Eagle
(County)
F.aale County Government
970) 328-8605
(Telephone)
, the donee,
(Name of Organization)
assures compliance with all requirements imposed by or pursuant to the regulations of the General
Services Administration (41 CFR 101-6.2 and 101-8) issued under provisions of the Title VI of the Civil
Rights Act of 1964, as amended; Title VI of the Federal Property and Administrative Services Act of
1949, as amended; Section 504 of the Rehabilitation Act of 1973, as amended; Section 303 of the Age
Discrimination Act of 1975, as amended; and Title IX of the Education Amendments of 1972.
No person will be excluded from program participation or denied program benefits on the basis of race,
color, national origin, sex, education or handicap.
Further, the donee agrees that this agreement obligates the donee for the period during which it retains
ownership or possession of property; that the United States shall have the right to seek judicial
enforcement of this agreement; and that this agreement is binding upon the donee and its successors,
�'ktransferees, nd assignees. WM44.44-e;�
.X
Q
(D Ste) "(Signatureoof President/Chairman o the Board or
mparable Authorized Official)
F-21 SPA Rev. 2-92
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