HomeMy WebLinkAboutWashington State Department of Commerce Amendment # AAmendment
Department of Commerce
Contract Number: 22-46108-20
Amendment Number: A
Washington State Department of Commerce
Community Services and Housing Division
Housing Assistance Unit
Consolidated Homeless Grant (CHG)
1. Contractor 2. Contractor Doing Business As (optional)
Mason County Public Health
415 N. 6th St
Shelton, WA 98584
3. Contractor Representative 4. COMMERCE Representative
Casey Bingham
Fiscal Manager
360-427-9670 ext 562
caseyb@co.mason.wa.us
Jessica Simon
Grant Manager
(360) 972-4143
jessica.simon@commerce.wa.gov
PO Box 42525
1011 Plum St SE
Olympia, WA 98504-2525
5. Original Contract Amount
(and any previous amendments)
6. Amendment Amount 7. New Contract Amount
$2,874,675 $469,446 $3,344,121
8. Amendment Funding Source 9. Amendment Start Date 10. Amendment End Date
Federal: State: X Other: N/A: October 1, 2021 June 30, 2023
11. Federal Funds (as applicable):
N/A
Federal Agency:
N/A
CFDA Number:
N/A
12. Amendment Purpose: Adds Hotel Leasing and Rapid Re-Housing funds.
COMMERCE, defined as the Department of Commerce, and the Contractor, as defined above, acknowledge and accept the terms
of this Contract As Amended and attachments and have executed this Contract Amendment on the date below to start as of the date
and year referenced above. The rights and obligations of both parties to t his Contract As Amended are governed by this Contract
Amendment and the following other documents incorporated by reference: CHG Guidelines (as they may be revised from time to
time), and Contract Terms and Conditions including Attachment “A” – Scope of Work, Attachment “B” – Budget. A copy of this
Contract Amendment shall be attached to and made a part of the original Contract between COMMERCE and the Contractor. Any
reference in the original Contract to the “Contract” shall mean the “Contract as Amended”.
FOR GRANTEE FOR COMMERCE
Randy Neatherlin, BOCC Chair
Date
Diane Klontz, Assistant Director
Community Services and Housing Division
Date
APPROVED AS TO FORM ONLY
Sandra Adix
Assistant Attorney General
3/20/2014
Date
DocuSign Envelope ID: 0AAD4EF9-BD4F-4904-9383-0AA26C5EC40A
11/9/2021 | 12:45 PM PST 11/9/2021 | 1:17 PM PST
Amendment
2
This Contract is amended as follows:
Attachment A
Scope of Work is hereby revised to include additional activities:
1. Hotel Leasing and Rapid Re-Housing funding will be used for:
a. Hotel Leasing/Emergency Shelter for 4 hotel rooms/units
b. Rapid Re-Housing for 1 household per month, 25 households in total
c. Case Management and Outreach to assist households
2. Activities this funding is supporting will be operationalized by January 2022.
DocuSign Envelope ID: 0AAD4EF9-BD4F-4904-9383-0AA26C5EC40A
Amendment
3
Attachment B
Budget
Budget Categories Current Contract
Amount
(and any previous
amendments)
Amendment A New Total
CHG Standard
Admin $50,488 $0 $50,488
Rent/Fac Support Lease $116,000 $0 $116,000
Other Rent/Fac Support Lease and
Housing Costs
$66,101 $0 $66,101
Operations $104,000 $0 $104,000
PSH CHF
PSH CHF Rent/Fac Support Lease $39,000 $0 $39,000
PSH CHF Other Rent/Fac Support
Lease and Housing Costs
$1,000 $0 $1,000
PSH CHF Operations $10,000 $0 $10,000
HEN SFY 2022 (July 2021-June 2022)
HEN Admin 2022 $87,081 $0 $87,081
HEN Rent/Fac Support and Housing
Costs 2022
$867,722 $0 $867,722
HEN Operations 2022 $289,240 $0 $289,240
HEN SFY 2023 (July 2022-June 2023)
HEN Admin 2023 $87,081 $0 $87,081
HEN Rent/Fac Support and Housing
Costs 2023
$867,722 $0 $867,722
HEN Operations 2023 $289,240 $0 $289,240
Hotel Leasing and Rapid Re-Housing
Admin for Hotel Leasing/RRH $0 $70,000 $70,000
Hotel Leasing/RRH/Operations $0 $399,446 $399,446
Total $2,874,675 $469,446 $3,344,121
ALL OTHER TERMS AND CONDITIONS OF THIS CONTRACT REMAIN IN FULL FORCE
AND EFFECT.
DocuSign Envelope ID: 0AAD4EF9-BD4F-4904-9383-0AA26C5EC40A