HomeMy WebLinkAboutWashington State Department of Commerce Amendment # C DocuSign Envelope ID:77A81D01-1774-43C9-89B0-FCE53123C67E rmendment
Contract Number: 21-4619C-117
Amendment Number: C
Washington State Department of Commerce
Housing Division
Homelessness Assistance Unit
Eviction Rent Assistance Program 2.0
1.Contractor 2.Contractor Doing Business As(optional)
Mason County Community Services
415N61hSt
Shelton,WA 98584
3.Contractor Representative 4.COMMERCE Representative
Haley Foelsch Henry Bennett PO Box 42525
Community Health Specialist 1 Commerce Specialist 11 1011 Plum St SE
360-427-9670 x704 (360)725-5053 Olympia,WA 98504-2525
haley@masoncountywa.gov henry.bennett@commerce.wa.gov
5.Original Contract Amount 6.Amendment Amount 7.New Contract Amount
(and any previous amendments)
$6,425,567.00 $165,000.00 $6,590,567.00
8.Amendment Funding Source 9.Amendment Start Date 10.Amendment End Date
Federal:X State: Other: N/A: 3/15/2023 6/30/2023
11.Federal Funds(as applicable): Federal Agency: CFDA Number: UEI#: Indirect
SNAXPBGW4VR4 Rate: 10%
$6,590,567.00 US Dept.of Treasury 21.027
12.Amendment Purpose:
To add additional 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 documents incorporated by reference: Contractor Terms and Conditions including Attachment
"A"-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".
e+ORLCONIERACTOR -FO&GQMMERCE os
Mtu
Signa ure, xeciitive Corma rigoras;Assistant Director
Housing Division
4/28/2023 1 9:53 AM PDT 4/28/2023 1 1:08 PM PDT
Date Date
APPROVED AS TO FORM ONLY
Sandra Adix
Assistant Attorney General
3/20/2014
Date
Department of Commerce
DocuSign Envelope ID:77A81 D01-1774-43C9-89B0-FCE53123C67E
Amendment
This Contract is amended as follows:
Attachment A Budget
Current Contract New Contract Total
Budget Category Total Amendment C
Administration $217,379.00 $5000.00 $222,379.00
Operations $400,486.25 $10,000.00 $410,486.25
Rent and Utility Assistance $5,514,681.75 $150,000.00 $5,664,681.75
By and For Sub grant/s $293,020.00 $0.00 $293,020.00
Total $6,425,567.00 $165,000.00 $6,590,567.00
ALL OTHER TERMS AND CONDITIONS OF THIS CONTRACT REMAIN IN FULL FORCE
AND EFFECT.
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