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HomeMy WebLinkAboutWashington State Department of Commerce Amendment # EAmendment Department of Commerce Contract Number: 22-46108-20 Amendment Number: E Washington State Department of Commerce Housing Division Homelessness 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 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 $4,290,454 $76,933 $4,367,387 8. Amendment Funding Source 9. Amendment Start Date 10. Amendment End Date Federal: State: X Other: N/A: February 1, 2023 June 30, 2023 11. Federal Funds (as applicable): N/A Federal Agency: N/A CFDA Number: N/A 12. Amendment Purpose: Adds HEN FCS Bridge funding to be granted to Community Action Council of LMT . 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, Attachmen t “B” – Budget , and Attachment “C”- CHG Guidelines Addendum for the HEN FCS Bridge funding . 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: D700D1FD-B59D-44F9-8D90-42BD60A53864 Kevin Shutty Chair, BoCC 2/17/2023 | 11:10 AM PST 2/17/2023 | 11:40 AM PST Amendment 2 This Contract is amended as follows: Attachment A CHG Guidelines Addendum for the HEN FCS Bridge funding It’s estimated that over one third of Foundational Community Support (FCS) enrollees are eligible for Housing and Essential Needs (HEN). This new funding creates a bridge period of rent assistance for households enrolled in FCS, prioritizing households enr olled in Supportive Employment, who no longer have a HEN Referral from Department of Social and Health Services (DSHS) due to increased income or other changes in eligibility. The CHG guidelines apply to this funding, with the following additions: Eligible Households  HEN households who no longer have a HEN Referral from DSHS. This includes: o Households who:  Are currently receiving HEN rent assistance. o Homeless and at-risk households who:  Received a HEN Referral within the last six months, but were not able to identify permanent housing. OR  Received rent assistance in the past, but exited the program within the last six months. AND  Households enrolled in FCS. FCS households enrolled in the Supportive Employment should be prioritized. AND  Household income is at or below 80% Area Median Income. Allowable Expenses  Allowable expenses include Admin (7%), Rent, and Operations.  Rent assistance, including arrears, is not to exceed nine (9) months in total. Housing Stability Plan  The housing provider must work with the household on a housing stability plan to secure affordable permanent housing with the knowledge that this funding expires June 30, 2023. HMIS  New HMIS projects must be set up for this funding and data entered accurately. DocuSign Envelope ID: D700D1FD-B59D-44F9-8D90-42BD60A53864 Amendment 3 Attachment B Budget Budget Categories Current Contract Amount (and any previous amendments and revisions) Amendment E 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 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 $98,098.00 $0 $98,098.00 Eviction Prevention EP Admin $133,312.00 $133,312.00 DocuSign Envelope ID: D700D1FD-B59D-44F9-8D90-42BD60A53864 Amendment 4 EP Rent $422,135.00 $422,135.00 EP Operations $206,160.00 $206,160.00 HEN FCS Bridge HEN FCS Bridge Admin $0 $5,385.00 $5,385.00 HEN FCS Bridge Rent $0 $59,548.00 $59,548.00 HEN FCS Bridge Operations $0 $12,000.00 $12,000.00 Total $4,290,454 $76,933.00 $4,367,387 ALL OTHER TERMS AND CONDITIONS OF THIS CONTRACT REMAIN IN FULL FORCE AND EFFECT DocuSign Envelope ID: D700D1FD-B59D-44F9-8D90-42BD60A53864 Certificate Of Completion Envelope Id: D700D1FDB59D44F98D9042BD60A53864 Status: Completed Subject: Complete with DocuSign: 21-23 CHG_Mason_Amendment E_HEN FCS Bridge.pdf Division: Community Services and Housing Program: CHG ContractNumber: 22-46108-20 DocumentType: Contract Amendment Source Envelope: Document Pages: 4 Signatures: 2 Envelope Originator: Certificate Pages: 6 Initials: 1 Megan Kendig AutoNav: Enabled EnvelopeId Stamping: Enabled Time Zone: (UTC-08:00) Pacific Time (US & Canada) 1011 Plum Street SE MS 42525 Olympia, WA 98504-2525 megan.kendig@commerce.wa.gov IP Address: 198.239.106.143 Record Tracking Status: Original 2/5/2023 7:48:04 AM Holder: Megan Kendig megan.kendig@commerce.wa.gov Location: DocuSign Security Appliance Status: Connected Pool: StateLocal Storage Appliance Status: Connected Pool: Washington State Department of Commerce Location: DocuSign Signer Events Signature Timestamp Kathy Kinard Kathy.Kinard@commerce.wa.gov Security Level: Email, Account Authentication (None) Signature Adoption: Pre-selected Style Using IP Address: 198.239.10.176 Sent: 2/6/2023 6:29:24 AM Viewed: 2/6/2023 6:41:31 AM Signed: 2/6/2023 6:41:37 AM Electronic Record and Signature Disclosure: Not Offered via DocuSign Kevin Shutty kshutty@masoncountywa.gov Chair, BoCC Security Level: Email, Account Authentication (None)Signature Adoption: Pre-selected Style Using IP Address: 216.235.103.241 Sent: 2/13/2023 3:40:28 PM Viewed: 2/17/2023 10:46:57 AM Signed: 2/17/2023 11:10:48 AM Electronic Record and Signature Disclosure: Accepted: 2/17/2023 10:46:57 AM ID: 2427c902-4fd5-4812-af05-70e33d31fb8d Corina Grigoras corina.grigoras@commerce.wa.gov Assist. Director Security Level: Email, Account Authentication (None)Signature Adoption: Pre-selected Style Using IP Address: 147.55.149.231 Sent: 2/17/2023 11:10:53 AM Viewed: 2/17/2023 11:40:00 AM Signed: 2/17/2023 11:40:08 AM Electronic Record and Signature Disclosure: Not Offered via DocuSign In Person Signer Events Signature Timestamp Editor Delivery Events Status Timestamp Agent Delivery Events Status Timestamp Intermediary Delivery Events Status Timestamp Certified Delivery Events Status Timestamp Jessica Simon jessica.simon@commerce.wa.gov Security Level: Email, Account Authentication (None)Using IP Address: 198.239.106.238 Sent: 2/5/2023 7:55:11 AM Viewed: 2/6/2023 6:29:24 AM Electronic Record and Signature Disclosure: Not Offered via DocuSign Todd Parker tparker@masoncountywa.gov Security Level: Email, Account Authentication (None)Using IP Address: 216.235.103.241 Sent: 2/6/2023 6:29:24 AM Viewed: 2/6/2023 8:45:25 AM Electronic Record and Signature Disclosure: Accepted: 2/6/2023 8:45:25 AM ID: 18ca2e78-695f-4026-89d5-e26b785ef6ab Melissa Casey mcasey@masoncountywa.gov Security Level: Email, Account Authentication (None)Using IP Address: 216.235.103.241 Sent: 2/6/2023 8:45:25 AM Resent: 2/10/2023 4:45:54 PM Viewed: 2/13/2023 3:39:35 PM Electronic Record and Signature Disclosure: Accepted: 2/13/2023 3:39:35 PM ID: 9f24da6f-919e-485f-abe3-415419d287c4 McKenzie Smith msmith@masoncountywa.gov Chair Security Level: Email, Account Authentication (None) Using IP Address: 216.235.103.241 Sent: 2/13/2023 3:39:35 PM Viewed: 2/13/2023 3:40:27 PM Electronic Record and Signature Disclosure: Accepted: 2/13/2023 3:40:27 PM ID: ffa7bb75-cc3b-4b82-95d4-6252639db419 Carbon Copy Events Status Timestamp Todd Parker tparker@masoncountywa.gov Security Level: Email, Account Authentication (None) Sent: 2/17/2023 11:40:13 AM Electronic Record and Signature Disclosure: Accepted: 2/6/2023 8:45:25 AM ID: 18ca2e78-695f-4026-89d5-e26b785ef6ab Witness Events Signature Timestamp Notary Events Signature Timestamp Envelope Summary Events Status Timestamps Envelope Sent Hashed/Encrypted 2/5/2023 7:55:11 AM Envelope Updated Security Checked 2/10/2023 4:45:54 PM Certified Delivered Security Checked 2/17/2023 11:40:00 AM Envelope Summary Events Status Timestamps Signing Complete Security Checked 2/17/2023 11:40:08 AM Completed Security Checked 2/17/2023 11:40:13 AM Payment Events Status Timestamps Electronic Record and Signature Disclosure ELECTRONIC RECORD AND SIGNATURE DISCLOSURE From time to time, Washington State Department of Commerce (we, us or Company) may be required by law to provide to you certain written notices or disclosures. Described below are the terms and conditions for providing to you such notices and disclosures electronically through the DocuSign system. Please read the information below carefully and thoroughly, and if you can access this information electronically to your satisfaction and agree to this Electronic Record and Signature Disclosure (ERSD), please confirm your agreement by selecting the check-box next to ‘I agree to use electronic records and signatures’ before clicking ‘CONTINUE’ within the DocuSign system. Getting paper copies At any time, you may request from us a paper copy of any record provided or made available electronically to you by us. You will have the ability to download and print documents we send to you through the DocuSign system during and immediately after the signing session and, if you elect to create a DocuSign account, you may access the documents for a limited period of time (usually 30 days) after such documents are first sent to you. 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