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.