HomeMy WebLinkAboutWashington State Department of Commerce Amendment # A ft MWXA. 14 7-0 - 0U
Amendment
Contract Number; 20= 4613C-117
Amendments A
Washington State Department of Commerce
Community Services and Housing Division
Housing Assistance Unit
Emergency Solutions Grant — COVID 19
1, Grantee 2. Contractor Doing Business As (optional)
Mason County Health Services
415 N 6TH ST N/A
SHELTON, WA 98584
3. Grantee Representative 4. COMMERCE Representative y
l
Todd Parker KimMurillo 1011 Plum Street SE
Housing & Mental Health Program Coordinator Grant Manager Olympla,Washington,98504-
(360) 427-9670 Ext 293 (360) 725 -2763 2525
tparker&o .mason .wa .us
kiui.niw•illo@commerce.wa.gov
5. Original Grant Amount 6, Amendment Amount 7, New Grant Amount
(and any previous amendments)
$ 165,874 $8520049 $ 11017,922 I
8. Amendment Funding Source 9. Amendment Start Date 10 , Amendment End Date
Federal: X State : Other ,, N/A: October 1 , 2020 September 30, 2022
11 , Federal Funds (as applicable) : Federal Agency : CFDA Number:
$11017,922 HUD 14.231
12, Amendment Purpose:
Adds additional ESG-CV funds, extends contract end date, and revises Scope of Work to include youth and young adult
uerformance measurement requirement, ands end down requirements ,
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: 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 and the Grantee. Any reference h the original Grant to the "Grant" shall mean the "Grant as Amended" .
FOR GRANTEE FOR COMMERCE
Signature Diane Klontz, A 'sl ri Director
Community Services and Housing Division
��r,aran �raSk �' hair U Z�
Print Name and Title Date
A � 1� 12020 APPROVED AS TO FORM ONLY
Date
,Sandra Adix
Assistant Attorney General
3/20/2014
Date
Department of Commerce
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