Revised 1/13/2025

LRP Agreement Tracking Checklist Complete this checklist when developing non-federally funded Habitat Stewardship and Access Agreements between the Department and other Parties using a standard approved template.

AZGFD Contact/Work Unit: Jake Jaeger Phone: 623-236-7357 Agreement Title: Skutumpah Enterprises LLC – Juan Tank Allotment Dirt Tank Cleanouts Cooperative Stewardship Agreement For Habitat Agreement Type: Habitat List All (aka 3rd) Parties to the Agreement: Quincy Robinson

Funded by a granting or scoring process? Y [ x ] N [ ] Grant ID Number: LRHEP FY2026

AZGFD is funding the agreement? Y [ x ] N [ ] Amount: $12,500 Bureau/ Function: XH01/17361

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

AZGFD Match Amount $ N/A Bureau/ Function: 3rd Party Match? Y [ ] N [ x ] Amt: $

3rd Party Match documented? Y [ ] N [ ] EAC #: M15-0706045845

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

If yes, describe (entity, type, agreement title):

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. Agreement number will be assigned by the WMTW Grants/Agreements Program Project Specialist.

Assigned Agreement Number: L25-10061025

Initial Date

WMTW Grants/Agreements Program Project Specialist: DC 10/6/25

Branch Chief or Regional Supervisor Approval:

Assistant Director Review and Approval to Sign:

To be Completed by Requesting Work Unit: Initials Date

Legal Review Date:

Fully executed agreements must be sent to the WMTW Grants/Agreements Program Project Specialist (Debbie Carter), within 5 days of being received, for submission to

DOCS.

EB abc 10/06/25 does not require legal review-CC

10/9/25