Sample Memorandum Of Agreement Template Page 4

[insert Agency name]

Date

[insert agency official name and title]

[insert name of State or Tribe] ["State" or "Tribal"] Historic Preservation Officer

Date

[insert name and title]

INVITED SIGNATORIES:

[insert invited signatory name]

Date

[insert name and title]

CONCURRING PARTIES:

[insert name of concurring party]

Date

[insert name and title]

Notes:

* This document assumes that the term "signatory" has been defined in the agreement to include

both signatories and invited signatories.

** Remember that the agency must submit a copy of the executed MOA, along with the

documentation specified in Sec. 800.11(f), to the ACHP prior to approving the undertaking in

order to meet the requirements of section 106. 36 CFR § 800.6(b)(1)(iv).

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