HomeMy WebLinkAboutWashington State Department of Commerce Amendment # CAmendment
Washington State Department of Commerce
Community Services and Housing Division
Housing Assistance Unit
Consolidated Homeless Grant (CHG)
Grant Number: 17-46108-20
Amendment Number: C
1. Grantee
Mason County Community Services
415 N 6th St.
Shelton, \VA 98584
3. Grantee Representative (only if updated)
Todd Parker
Housing and Mental Health Program Coordinator
360-427-9670 x293
tparkcr ct co.mason.wa.us
5. Original Grant Amount
(and any previous amendments)
$1,465,429.00
2, Grantee Doing Business As (optional)
N/A
4. COMMERCE Representative
Kathryn Dodge
Program Manager
360-725-5072
kathryn.dodge a cominerce.wa.gov
PO Box 42525
1011 Plum St SE
Olympia, WA 98504-2525
6. Amendment Amount
$43,690.00
8. Amendment Funding Source
Federal: State: X Other: N/A:
11. Federal Funds (ns applicable):
NIA
7. New Grant Amount
9. Amendment Start Date
July 1, 2018
Federal Agency:
N/A
12. Amendment Purpose:
Add additional CHG funding from the SFY 2019 supplemental operating budget.
$ 1,509,119.00
10. Amendment End Date
June 30, 2019
CFDA Nu fiber:
N/A
COMMERCE, defined as the Department of Commerce, and the Grantee 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 othet documents incorporated by reference: 2017-2019 Homeless Housing Funding Application, CHG Guidelines (as
they may be revised from time to time), and 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 in the original Grant to the "Grant" shall mean the "Grant As Amended".
FOR GRANTJ, E
// fir
Signature
con It-f
Print Name, Title
r
V
Date
FOR CONIMERC
1
Dane Klontz, A)sistitnt Director
Community Services and Housing Division
Date
APPROVED AS TO FORM ONLY
Sandra Mix
Assistant Attorney General
3/20/20 1 4
Date
Department of Commerce
This Grant is amended as follows:
Amendment
Budget
Attachment B
Budget
Categories
Original
Amendment
C
New Total
CHG
Base
Adrnin
$44,252.00
$0.00
$44,252.00
Fac Support:
For -Profit
Lease
$0.00
$0.00
$0.00
Fac Support:
Other
Lease and Fac Costs
$67,202,00
$28,015.00
$95,217.00
Rent: For
-Profit
Rent
$77,418.00
$15,675.00
$93,093.00
Rent: Other
Rent
and Housing Costs
$0.00
$0.00
$0.00
Operations
$90,944.00
$0.00
$90,944.00
TANF
TANF: For -Profit
Rent
$44,771.00
$0.00
$44,771.00
TANF: Other
Rent and Housing Costs
$0.00
$0.00
$0.00
TANF: Operations
$14,674.00
$0.00
$14,674.00
HEN
SFY 2018 (July
2017-June
2018)
HEN:
Adrnin
2018
$41,038.00
$0.00
$41,038.00
HEN:
Rent
and
Housing
Costs 2018
$406,678.00
$0.00
$406,678.00
HEN: Operations 2018
$142,868.00
$0.00
$142,868.00
HEN
SFY 2019
(July
2018-June 2019)
HEN:
Adrnin
2019
•
, $35,038.00
$2,452.00
$37,490.00
HEN:
Rent
and
Housing Costs 2019
$391,678.00
-$28,281.00
$363,397,00
HEN:
Facility
Support
2019 t , --
- $0.00
$0.00
$0.00
HEN:
Operations
2019
$108,868.00
-
$25,829.00
$134,697.00
Total
Total
$1,465,429.00
$43,690.00
$1,509,119.00
STATE OF WASHINGTON
DEPARTMENT OF COMMERCE 725-4000
1011 Plum Street SE • PO Box 42525 • Olympia,
Washington 98504 2525 • (360)
www.comme 9
July 31, 2018
Mr. Todd Parker
Mason County Community Services
415 N. 6th Street
Shelton, Washington 98584
Re: CHG Contract Number 17-46108-20 Amendment C
Dear Mr. Parker:
Enclosed please fin
d one executed copy of the above referenced CHG contract face sheet. If you
have any que
stions or concerns, please call Kathryn Dodge at 360-725-5072 or email to
Kathryn.Dodge@commerce.wa.gov.
Sincerely,
Kathryn Stayrook
Housing Assistance Unit
Enclosure