HomeMy WebLinkAboutWashington State Department of Commerce Amendment AAmendment
Department of Commerce
Contract Number: 21-4616C-117
Amendment Number: A
Washington State Department of Commerce
Community Services and Housing Division
Housing Assistance Unity
Treasury Rent Assistance Program
1. Contractor 2. Contractor Doing Business As (optional)
Mason County Community Services
415 N 6th St
Shelton, WA 98584
3. Contractor Representative (only if updated) 4. COMMERCE Representative (only if updated)
Todd Parker
Community Health Specialist III
360-427-9670 x293
tparker@masoncountywa.gov
Mika Semrow
Grant Coordinator
Mika.semrow@commerce.wa.gov
360-791-3409
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
$3,459,027.00 -$1,288,028.20 $2,170,998.80
8. Amendment Funding Source 9. Amendment Start Date 10. Amendment End Date
Federal: x State: Other: N/A: 10/1/2021 10/15/2021
11. Federal Funds (as applicable):
$2,170,998.80
Federal Agency:
US Dept. of the Treasury
CFDA Number:
21.023
12. Amendment Purpose:
To de-obligate unspent funds and update contract end date.
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 this C ontract As Amended are governed by this Contract
Amendment and the following other documents incorporated by reference: Contractor 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 CONTRACTOR FOR COMMERCE
Randy Neatherlin, County Commissioner
Date
Name, Title
Date
APPROVED AS TO FORM ONLY
Sandra Adix
Assistant Attorney General
3/20/2014
Date
DocuSign Envelope ID: 6600B29C-6997-4B95-B1B5-894F6F6CFF2B
1/3/2022 | 4:47 PM PST
1/3/2022 | 7:53 PM PST
2
This Contract is amended as follows:
Attachment B Budget
Budget Category
Current Contract
Total Amendment A
New Contract Total
Admin and Operations $439,194.00 -$236,020.36 $203,173.64
Rent and Utility Assistance $2,854,774 -$994,236.84 $1,860,537.16
By and For Sub grant/s $165,059 -$57,771.00 $107,288.00
Total $3,459,027 -$1,288,028.20 $2,170,998.80
ALL OTHER TERMS AND CONDITIONS OF THIS CONTRACT REMAIN IN FULL FORCE
AND EFFECT.
DocuSign Envelope ID: 6600B29C-6997-4B95-B1B5-894F6F6CFF2B