HomeMy WebLinkAboutConsolidated Homeless Grant Amendment # A t
Amendment
Grant Number:20-46108-20
Amendment Number:A
r ,
Washington State Department of Commerce MC Contract#20-064
Community Services and Housing Division
Housing Assistance Unit
Consolidated Homeless Grant(CHG)
i
1. Grantee 2.Grantee Doing Business As(optional)
Mason County Health Services N/A
415N6THST
SHELTON,WA 98584 t.
3.Grantee Representative 4.COMMERCE Representative
Casey Bingham Kathryn Dodge 1011 Plum Street SE
Fiscal Manager Grant Manager Olympia,Washington,98504-
360-427-9670 ext 562 (360)725-5072 2525.
caseyb@co.mason.wa.us kathryn.dodge@commerce,wa.gov
5.Original Grant Amount 6.Amendment Amount 7.New Grant Amount 4:
(and any previous amendments)
$1,847,722.00 $299,275.00 $2,146,997.00
I:
8.Amendment Funding Source. 9.Amendment Start Date 10.Amendment End Date U.
Federal; State:X Other; N/A: July 1,2020 June 30,2021 d
11.Federal Funds(as applicable): Federal Agency: CFDA Number: 1
N/A N/A N/A
12.Amendment Purpose:
Adds HEN SFY 2021 additional funds.
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 following other documents incorporated by reference: 2019-2021 Homeless Housing Funding Application,CHG Guidelines(as
they may be revised from tune to time),and Grant Terms and Conditions including Attachment"A"-Scope of Work,Attachment
"B"—Budget.A copy of this Grant Amendment shall be attached to and made a part of the original Grant between.COMMERCE i
and the Grantee. Any reference in the original Grant to the"Grant"shall mean the"Grant As Amended".
FOR GRANTEE FOR.COMMERCE.
Signature lane Klontz,Assistant Director
Community Services and Housing Division
.
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9u>er Writ k CB --� /1...�'/
1 S 1.Ct � j
Print Name,Title l Date
—1, 4' APPROVED AS TO FORM,ONLY k
i
Date
Sandra Adix
Assistant Attorney General
3/20/2014 4
Date .
Department of Commerce
Amendment
This Grant is amended as follows:
Attachment B
Budget
Budget Categories Original Grant Amendment A New Total
Amount
(and any previous
amendments
CHG Standard
Admin $67,230 $0 $67,230
Rent/Fac Support Lease $110,790 $0 $110,790
Other Rent/Fac Support Lease and $102,624 $0 $102,624
Housing Costs
Operations $100,422 $0 $100,422
PSH CHF
PSH CHF Rent/Fac Support Lease $50,562 $0 $50,562
PSH CHF Operations $16,572 $0 $16,572
HEN SFY 2020 (July 2019-June 2020
HEN Admin 2020 $48,900 $0 $48,900
HEN Rent/Fac Support and Housing $484,253 $0 $484,253
Costs 2020
HEN Operations 2020 1 $166,608 $0 $166,608
HEN SFY 2021 (July 2020-June 2021
HEN Admin 2021 $48,900 $10,475 $59,375
HEN Rent/Fac Support and Housing $484,253 $191,536 $675,789
Costs 2021
HEN Operations 2021 $166,608 $97,264 $263,872
Total
Total $1,847,722 $299,275 $2,146,997