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2023-10-10 Liability Release South ByPass ProjectWASHINGTON COUNTY NEBRASKA Filed for record on October 10, 2023 at 09:15 AM Instrument No. 2023-02542 2 Ps) Lrolyn M todola, Register of Deeds Recorded V General Numer)cal _ Photo,;taty Proofed � Scanned -- _ Prepared by and after Recording Return to: Brenda Wheeler, City Clerk, City of Blair, 218 S. 16th Street, Blair, rT 68008 (402)426-6694 DATE OF INSTRUMENT: October 6, 2023 LIABILITY RELEASE Please file this release against the following property: Kevin R. Lytle Living Trust 10394 Co. Rd P35 Blair NE 68008 Parcel #: 890019439 Legal: Tax Lot 184 in Section 13, Township 18 North, Range 11 East of the 6t" P.M., Washington County, Nebraska 2.71 AC 2023-02542 AALLFAB OSP October 5, 2023 JEO Consulting Attn: Tim Fasel RE: Maple tree @ 10394 county rd. P35 To Whom it may concern, I Kevin Lytle the owner of said property located at 10394 county rd. P35 Blair, NE. 68008 hereby relieve any potential responsibilities/ liability from the City of Blair, NDOT, and JEO for any current/ or future damages that may happen as a result of pouring concrete for my new driveway that is to be located approx. 6' away from said tree that is on my property. I understand that there may be a chance that some trimming may need to be made of said tree, any trimming required shall be communicated and handled by myself. Should you have any questions regarding this matter please feel free to contact me at your convenience 402-510-2379. Sincerely, B � r" Kevin R Lytle Trustee of the Kevin R Lytle Living Trust STATE OF NEBRASKA ) ) ss WASHINGTON COUNTY ) The foregoing instrument was acknowledged before me on October 5, 2023, by Kevin R. Lytle, Trustee of the Kevin R. Lytle Living Trust. GENERAL NOTARY - State of Nebraska BRENDA R WHEELER j My Comm. Up, June 20, 2024 NOTARY NOTARY PUBLIC 2023-02542 FORM CD-451 U.S. DEPARTMENT OF COMMERCE (REV. 11/18) ® GRANT ❑ COOPERATIVE AGREEMENT AMENDMENT TO FEDERAL AWARD ID NUMBER FINANCIAL ASSISTANCE AWARD 05-79-06258; URI: 119762 CFDA NO. AND NAME 11.307 Economic Adjustment Assistance - FY20 PWEAA NOFO including CARES and NCC: Nuclear Closure Communities (NCC) Designated Funding PROJECT TITLE City of Blair Water Transmission Main Construction RECIPIENT NAME AMENDMENT NUMBER City of Blair 1 STREET ADDRESS EFFECTIVE DATE 218 South 16th Street 08/30/23 CITY, STATE, ZIP CODE EXTEND PERIOD OF PERFORMANCE TO Blair, Nebraska, 68008 (IF APPLICABLE) N/A COSTS ARE REVISED PREVIOUS TOTAL AS FOLLOWS: ESTIMATED COST ADD DEDUCT ESTIMATED COST FEDERAL SHARE OF COST $ 1 ,521,739.00 $ $ $ 1,521,739.00 RECIPIENT SHARE OF COST $ 1,970,656.00 $ 505,303.00 $ $ 2,475,959.00 TOTAL ESTIMATED COST $ 3,492,395.00 $ $ $ 3,997,698.00 REASON(S) FOR AMENDMENT. The amendment revises the total project cost to include additional recipient funds to cover construction cost overruns in the project bid. The total project cost is increased by $505,303 and EDA funding remains the same, resulting in a revised grant rate of 38%. All other terms and conditions of the award remain in full force and effect. This Amendment Document (Form CD451) signed by the Grants Officer constitutes an Amendment of the above-referenced Award, which may include an obligation of Federal funding. By signing this Form CD-451, the Recipient agrees to comply with the Amendment provisions checked below and attached, as well as previous provisions incorporated into the Award. If not signed and returned without modification by the Recipient within 30 days of receipt, the Grants Officer may unilaterally withdraw this Amendment offer and de-obligate any associated funds. ® SPECIFIC AWARD CONDITION(S) ® LINE ITEM BUDGET ❑ OTHER(S): SIGN URE DIITME O RCE G4NNTS OFFICER DATE PRINT S F AUTHORIZED RECIPIENT OFFICIAL NAME, PRINTED , A A E OaWj4- DAT ML M linda R. Rump,