HomeMy WebLinkAboutWashington State Department of Commerce Amendment # CAmendment
Department of Commerce
Contract Number: 22-46108-20
Amendment Number: C
Washington State Department of Commerce
Housing Division
Ho melessness Assistance Unit (HAU)
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
Megan Kendig
Grant Manager
360-401-5149
Megan.kendig@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
$3,430,749.00 $98,098.00 $3,528,847.00
8. Amendment Funding Source 9. Amendment Start Date 10. Amendment End Date
Federal: State: X Other: N/A: July 1, 2022 June 30, 2023
11. Federal Funds (as applicable):
N/A
Federal Agency:
N/A
CFDA Number:
N/A
12. Amendment Purpose: Additional funding to support grantees who had increased costs due to the pandemic.
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 Contract As Amended are governed by this Contract
Amendment and the following other docume nts 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
Signature
Print Name, Title
___________________________________________
Date
Corina Grigoras, Assistant Director, Housing Division
Date
APPROVED AS TO FORM ONLY
Sandra Adix
Assistant Attorney General
3/20/2014
Date
DocuSign Envelope ID: 0BC2E10D-BDAB-445D-96F8-6C68616E6935
Chair, BoCCKevin Shutty
9/12/2022 | 1:06 PM PDT
9/12/2022 | 1:19 PM PDT
Amendment
2
This Contract is amended as follows:
Special Terms and Conditions
Adds the following language:
8. FRAUD AND OTHER LOSS REPORTING
Contractor/Grantee shall report in writing all known or suspected fraud or other loss of any funds or
other property furnished under this Contract immediately or as soon as practicable to the Commerce
Representative identified on the Face Sheet.
Attachment B
Budget
Budget Categories Current Contract
Amount
(and any previous
amendments and
revisions)
Amendment New Total
CHG Standard
Admin $58,488.00 $0 $58,488.00
Rent/Fac Support Lease $150,628.00 $0 $150,628.00
Other Rent/Fac Support Lease and
Housing Costs
$90,101.00 $0 $90,101.00
Operations $124,000.00 $0 $124,000.00
PSH CHF
PSH CHF Rent/Fac Support Lease $39,000.00 $0 $39,000.00
PSH CHF Other Rent/Fac Support
Lease and Housing Costs
$1,000.00 $0 $1,000.00
PSH CHF Operations $10,000.00 $0 $10,000.00
HEN SFY 2022 (July 2021-June 2022)
HEN Admin 2022 $87,081.00 $0 $87,081.00
HEN Rent/Fac Support and Housing
Costs 2022
$867,722.00 $0 $867,722.00
HEN Operations 2022 $289,240.00 $0 $289,240.00
HEN SFY 2023 (July 2022-June 2023)
HEN Admin 2023 $87,081.00 $0 $87,081.00
HEN Rent/Fac Support and Housing
Costs 2023
$867,722.00 $0 $867,722.00
HEN Operations 2023 $289,240.00 $0 $289,240.00
DocuSign Envelope ID: 0BC2E10D-BDAB-445D-96F8-6C68616E6935
Amendment
3
Hotel Leasing and Rapid Re -Housing
Admin for Hotel Leasing/RRH $70,000.00 $0 $70,000.00
Hotel Leasing/RRH/Operations $399,446.00 $0 $399,446.00
Additional CHG
Additional CHG Funding $0 $98,098.00 $98,098.00
Total $3,430,749.00 $98,098.00 $3,528,847.00
ALL OTHER TERMS AND CONDITIONS OF THIS CONTRACT REMAIN IN FULL FORCE
AND EFFECT.
DocuSign Envelope ID: 0BC2E10D-BDAB-445D-96F8-6C68616E6935