HomeMy WebLinkAboutWashington State Department of Commerce E-RAP Amendment # A Amendment ZDY\ f�,c� t. 'A To - O0-1'1
Grant Number : 21-4614C417
Amendment Number: A
Washington State Department of Commerce
Community Services and Housing Division
Housing Assistance Unit
Eviction Rent Assistance Program ERAP
1 . Grantee 2. Grantee Doing Business As (optional)
Mason County Health Services
415 N 6TH ST
SHELTON, WA 98584
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3. Grantee Representative 4. COMMERCE Representative r
Casey Bingham Kathryn Dodge P . O . Box 42525
Fiscal Manager Grant Manager 1011 Plum Street SE
360427-9670 ext 562 (360) 764-9682 Olympia, WA 98504-2525
caseyb cr co .mason.wa.us kathiyn.dodge@commerce .wa.gov
S. Original Grant Amount 6. Amendment Amount 7. New Grant Amount
(and any previous amendments)
$5000876600 $0 .00 $ 50%876 . 00
8 . Amendment Funding Source 9. Amendment Start Date 10. Amendment End Date
Federal : X State : Other: N/A : December 31 , 2020 June 30, 2021
11 . Federal Funds (as applicable) : Federal Agency : CFDA Number :
$50%876.00 US Dept, of the Treasury 21 . 019
12, Amendment Purpose :
Extends 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 following other documents incorporated by reference; Grant Terms and Conditions including Attachment "A" — Scope of
Work, Attachment "B" — Budget, and Attachment "C" - Grant Guidelines . 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 Diane Klontz, Asslyan# Director
Community Services and Housing Division
Sharon � ca,><_� C vnrny '. Q Ai ,i( \j Ne,, ( \wr ) I ��• 7 pZ1
Print Name, Title G v w Date_
VC • 2o2\ APPROVED AS TO FORM ONLY
Date
Sandra Adix
Assistant Attorney General
3/20/2014
Date
Department of Commerce