HomeMy WebLinkAboutWashington State Department of Commerce Amendment # B Contract Number : 31646108 -20
Amendment Number: B
Washington State Department of Commerce
Community Services and Housing Division ,�� eon�rack 20 - 030
Housing Assistance Unit
COVID-19 Outbreak Emergency Housing Grant
1 . Grantee 2. Contractor Doing Business As (optional)
Mason County Health Services
415 N 6TH ST
SHELTON, WA 98584
3 . Grantee Representative 4. COMMERCE Representative
Casey Bingham Kathryn Dodge PO Box 42525
Fiscal Manager Grant Manager 1011 Plum St SE
360427-9670 ext 562 (360) 764-9682 Olympia, WA 98504-2525
caseyb@co.mason .wa.us katluyn. dodge@commerce.wa.gov
5. Original Grant Amount 6. Amendment Amount 7. New Grant Amount
(and any previous amendments)
$5055405 . 00 $0 $505 ,405 . 00
8. Amendment Funding Source 9. Amendment Start Date 10, Amendment End Date
Federal : State : X Other : N/A : December 31 , 2020 June 30, 2021
11 . Federal Funds (as applicable) : Federal Agency : CFDA Number :
N/A
12. Amendment Purpose :
Extend grant end date to June 30, 2021
COMMERCE, defined as the Department of Commerce, and the Grantee, as defined above, acknowledge and accept the terms of
this Grant As Amended and attachments and have executed this Grant Amendment on the date below to start as of the date and year
referenced above. The rights and obligations of both parties to this Grant As Amended are governed by this Grant Amendment and
the followhig other documents incorporated by reference: Grant Terms and Conditions including Attachment "A" — Scope of
Work, Attaclnnent "B" — Budget, Attachment "C" — Washington State COVID- 19 Emergency Housing Grant Guidelines, and
Attachment D , Grantee' s Plan . A copy of this Grant Amendment shall be attached to and made a part of the original Grant between
COMMERCE and the Grantee. Any reference in the original Grant to the " Grant" shall mean the " Grant as Amended" .
FOR GRANTEE FOR COMMERCE
Signature Dianeklontz,`Asskstalt Director
Community Services and Housing Division
Sharon �T6u, ��r, akr 1' -emi i rs U70
Print Name and Title Date `
\ 10 9 . 2020 APPROVED AS TO FORM ONLY
Date
Sandra Adix
Assistant Attorney General
3/20/2014
Date
I
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