HomeMy WebLinkAboutWashington State Department of Commerce Amendment # FAmendment
Department of Commerce
Contract Number: 22-46108-20
Amendment Number: F
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
$4,367,387 $52,000 $4,419,387
8. Amendment Funding Source 9. Amendment Start Date 10. Amendment End Date
Federal: State: X Other: N/A: April 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 SFY 23 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 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 , 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
Sharon Trask, Chair, BOCC
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: 15AC7332-0035-4063-8DC9-D81B115DAD02
4/25/2023 | 10:44 AM PDT 4/25/2023 | 4:59 PM PDT
Amendment
2
This Contract is amended as follows:
Attachment B
Budget
Budget Categories Current Contract
Amount
(and any previous
amendments and
revisions)
Amendment F 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 $1,886.00 $88,967.00
HEN Rent/Fac Support and Housing
Costs 2023
$867,722.00 $37,586.00 $905,308.00
HEN Operations 2023 $289,240.00 $12,528.00 $301,768.00
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
DocuSign Envelope ID: 15AC7332-0035-4063-8DC9-D81B115DAD02
Amendment
3
EP Admin $133,312.00 $0 $133,312.00
EP Rent $422,135.00 $0 $422,135.00
EP Operations $206,160.00 $0 $206,160.00
HEN FCS Bridge
HEN FCS Bridge Admin $5,385.00 $0 $5,385.00
HEN FCS Bridge Rent $59,548.00 $0 $59,548.00
HEN FCS Bridge Operations $12,000.00 $0 $12,000.00
Total $4,367,387.00 $52,000.00 $4,419,387.00
ALL OTHER TERMS AND CONDITIONS OF THIS CONTRACT REMAIN IN FULL FORCE
AND EFFECT
DocuSign Envelope ID: 15AC7332-0035-4063-8DC9-D81B115DAD02