EOEEA-DCR

Section I: General Project Information

1.1 Primary Contact Name(s)(Required)

1.2 Primary Contact Email:(Required)

1.3 Primary Contact Phone Number(s)(Required)

1.4 Agency/Organization:(Required)

1.5 Grant Project Title:(Required)

As written in contract.

1.6 Project Number:(Required)

As written in contract.

1.7 Award Amount:(Required)

1.8 Requested Updated Award Amount:(Required)

If applicable

1.9 Match Amount:(Required)

1.10 Updated Match Amount:(Required)

1.11 Amendment Request: Provide a description of the requested change to your grant project. Include the original scope as listed in your Grant Initiation Form (or the most recent approved scope since then) and indicate the nature of your amendment request (task, budget, or time-associated) and why the change is needed. If changes to the budget are involved, upload an updated budget form and highlight where changes will take place from the original, or most recently approved, budget. If the amended scope involves a change in location for the project (not recommended), a new Grant Initiation Form must be completed, understanding that all state and/or federal compliance steps will need to be taken to approve and finalize the change.(Required)

Section II: Required Documents

Upload Budget (if applicable):

Drop files here or

Max. file size: 50 MB.

Upload Additional Supporting Documentation (i.e.: contractor quotes, plans, specifications, photos, written communication, etc.)

Drop files here or

Max. file size: 50 MB.

Upload Signed Grant Amendment Contract Documents (if the grant amendment involves a request for a time extension or increased grant amount that has been previously discussed with the MassTrails Grant Administrator.)

Drop files here or

Max. file size: 50 MB.

Section III: Signatures

As a MassTrails Grantee, I understand that a request to extend the grant contract or increase the grant amount must be accompanied by grant contract amendment paperwork. A time extension or increased grant amount IS NOT FINAL until the grant amendment contract is signed by the grantee and DCR. I may not proceed with additional grant activities related to this type of grant amendment until I receive a Notification to Proceed letter from DCR. If I do not have a fully executed contract amendment AND the Notification to Proceed letter in my files, the amendment request is not approved. This paperwork is not required for other amendment activities such as budget changes that do not change the dollar amount on the project and adjustments in project activities that are consistent with the original scope and intent of the project. However, such changes can only be implemented once this Grant Amendment Request is signed by the MassTrails Grant Administrator.

Grantee - Electronic Signature:(Required)

Date:(Required)

Time:(Required)

MassTrails Grant Administrator Approval of Amendment - Electronic Signature:

Date:

Time: