A25-05200738_ATC.pdf

Agreement Tracking Checklist Complete this checklist when developing any type of Agreement between the Department and other Parties.

AZGFD Contact/Work Unit: Matthew Schwartzkopf Phone: 623-236-7395

Agreement Title: Shooting Range Development Grant Agreement Type: Grant

List All (aka 3rd) Parties to the Agreement: City of Buckeye

Funded by a granting or scoring process? Y [X ] N [ ] Grant ID Number: 26-07582-04

Agreement provides funds to AGFD?: Y [ ] N [ X ] Amount $: n/a

AZGFD is funding the agreement? Y [X ] N [ ] Amount: $ 48,500 Bureau/ Function: 07582

Is Match Required? Y [X ] N [ ] Is AZGFD Providing Match? Y [ ] N [X ]

AZGFD Match Amount $ n/a Bureau/ Function:n/a 3rd Party Match? Y [X ] N [ ] Amt: $48,500

3rd Party Match documented? Y [X ] N [ ] If Federally funded list EAC #: n/a

Is there an overarching agreement this falls under? Yes [ ] No [X ]

If yes, describe (entity, type, agreement title):n/a

AZGFD is receiving funds and information has been entered into eCivis? Y [ ] N [X ] Date:

*If AZGFD funding agreement with federal funds (function 06xxx or 60xxx, or any Y[ ] N[ X ] other federal funding source) complete and attach:

1. Agreement Risk Assessment

2. Subrecipient Determination

3. FFATA if agreement is passing $30,000 or greater

4. Insert Federal Award Information in agreement

Agreement includes Pre Agreement Costs? *If yes, include memo justification. Y [ ] N [X ] Work Unit POC is responsible for subrecipient monitoring and has a monitoring plan. Y [X ] N [ ]

Draft Agreement Review Process. Initials indicate that you have reviewed the content and intent of the agreement and approve of the Department continuing with its review & approval for execution.

Initial Date

Branch Chief or Regional Supervisor Approval:

Assistant Director Approval:

To be Completed by DOCS: Yes No Comments:

▪ Attorney General Review is Required?

▪ Commission Approval is Required?

▪ Executive Staff Review Required?

DOCS Chief Approval Initials: Date:

To be Completed by Requesting Work Unit: Initials Date

Legal Review Date:

Executive Staff Review Date:

Commission First Read Date:

Commission Approval Date:

No Agreement shall be signed, until the Agreement Tracking Checklist is fully completed.

*See page 2 for special requirements when funding an agreement with federal funds.

Revised 9/3/2024

5/9/2025 5/9/2025

5/19/2025Acting BC

Agreement #: A25-05200738

Commission Approval Required, Commission approval has already been received as of 5/09/2025

Agreement conforms to legal approved grant agreement template

6/19/2025

4/14/2025VB (email MS 6/19/25)

X X X

5/19/25 https://drive.google.com/file/d/10AAoUWVeKcUddojB1pO59XEp3a592ow4/view?usp=drive_link https://drive.google.com/file/d/1v7bZZeJAxtpD4PAupT9VlYcTnuv4Axx2/view?usp=drive_link https://drive.google.com/file/d/1UTDPpUUwF71JsQQLBnQGiWXsJbu5IFog/view?usp=drive_link https://sites.google.com/azgfd.gov/my-azgfd/directors-office/compliance-strategies-rr/wsfr-program-grants