HomeMy WebLinkAboutConsolidated Homeless Grant Amendment # BAmendment
Washington State Department of Commerce
Community Services and Housing Division
Housing Assistance Unit
Consolidated Homeless Grant (CHG)
Grant Number: 20-46108-20
Amendment: B
The) M"\-Va 91) (ICA
1. Grantee
Mason County Health Services
415N6THST
SHELTON, WA 98584
2. Grantee Doing Business As (optional)
N/A
1
3. Grantee Representative
Casey Bingham
Fiscal Manager
360-427-9670 ext 562
caseyb@coanason.wa.us
co.mason.wa,us
5. Original Grant Amount
(and any previous aInendments)
$2,146,997.00
8. Amendment Funding Source
Federal: State: X Other: N/A:
11, Federal Funds (as applicable):
N/A
4. COMMERCE Representative
Kathryn Dodge
Grant Manager
(360) 725-5072
kathryn.dodge@commerce.wa.gov
commerce.wa.gov
6. Amendment Amount
-$50,000.00
1011 Plum Street SE
Olyrnpia,Washington,98504-
2525
7. New Grant Amount
9. Amendment Start Date
July 1, 2020
Federal Agency:
N/A
$2,096,997.00
10, Amendment End Date
June 30, 2021
CFDA Number:
N/A
12. Amendment Purpose:
De -obligate HEN funds. No additional funding.
COMMERCE, defined as the Department of Commerce, and the Grantee, as defined above, acknowledge and accept the terns 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 time to tine), and Grant Terms and Conditions including Attachment "A" - Scope of Work, Attachment
"B" — Budget. A copy of this Grant Arnendrnent 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
//.., 7
Signature
Q:ev��� \\\ P \ � \e
Print Name, Title
A- V-2) - _Or) A
Date
FOR COMMERCE
Die`lontz, Assihta!it Director
Community services and, Housing Division
frit
Date
APPROVED AS TO FORM ONLY
Sandra Adix
Assistant Attorney General
3/20/2014
Date
Department of Commerce