Cost Share Agreement Template

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C
S
A
T
OST
HARE
GREEMENT
EMPLATE
COST SHARE AGREEMENT
Between the
XX AGENCY
And the
XX AGENCY
This   c ost   s hare   a greement   i s   b etween   t he   a gencies   i dentified   a bove,   a s   n egotiated   f or   t he   f ollowing   i ncident   i n   a ccordance   w ith  
the   S tatewide   C ooperative   F ire   P rotection   A greement   # xx-­‐xx   e xecuted   b etween   t he   p arties   o n   ( date).     T he   p urpose   o f   t his  
agreement   i s   t o   a llocate   f inancial   r esponsibility   a s   o utlined   i n   t he   X XX   F ire   D ecision   D ocument   a nd   t o   d escribe   t he   c ost   d ivision.  
General Incident Information:
Incident Name:
Incident Start Date and Time:
Origin:
Township:
Range:
Section:
Estimated Size:
Acres at the time of this agreement:
Incident Cause:
Incident Numbers by Protection Agency:
Agency
Incident #
Accounting Code
Cost Share Period: This agreement becomes effective on the date indicated below and will remain in effect until
amended or terminated.
State date/time:
End date/time:
Other conditions relative to this agreement:
1.
Costs incurred by cooperators not engaged with the host agency or IMT in the fire suppression activities will
not be included as a part of this cost share agreement.

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