HomeMy WebLinkAboutWashington State Department of Commerce Amendment # F DocuSign Envelope ID:7EA2AE46-BDC2-408E-ACAA-8783ED5023o0
-' .,rnendrnent
Contract Number:20.4613C-117
Amendment:F
Washington Slate Department of Commerce
Housing Division
Homelessness Assistance Unit
Emergency Solutions Grant—COVID 19
1. Grantee 2.Contractor Doing Business As(optional)
Mason County Health Services
415 N 6TH ST N/A
SHELTON, WA 98584
3. Grantee Representative 4. COMMERCE Representative
Todd Parker Kim Murillo 1011 Plum Sheet SE
Housing&Mental Health Program Coordinator Grant Manager Olympia,Washington,98504-
(360)427-9670 Ext 293 (360)725-2763 2525
tparkcr@co.nmson.wa.us
kim.murillo(acommerce.wa.gov
5. Original Grant Amount 6.Amendment Amount 7.New Grant Amount
(and any previous amendments)
$1,017,922 $185,000 $1,202,922
ft. Amendment FundhngSomce 9. Amendment Start Date 10,Amendment End Date
Federal: X State: Other: N/A: April I,2023 September 30,2023
11. Federal Funds(as applicable): Federal Agency: CFDA Number:
$1,202,922 HUD 14.231
12. Amendment Purpose:
Allocates additional funds and adjusts spending amongst categories per Attachment"A"—Budget
COMMERCE,defined as the Department of Commerce,and the Grantee,as defined above,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 other documents incorporated by reference: Grant Terms and Conditions including Attachment"A"—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 GRANTEE ^COMMERCE KK
aaveo.
Signature Cor na agoras,Assistant Director
Housing Division
J�aYnn� �tDs��r C�aIC 5/15/2023 1 7:04 AM PDT
Print Name and Title Date
Dat e•�1aU Dt APPROVED AS TO FORM ONLY
Sandra Adix
Assistant Attorney General
3/20/2014
Date
I `
Department of Commerce
DocuSign Envelope ID:7EA2AE46-BDC2-40BE-ACAA-8783ED502300
Amendment
This Grant is amended as follows:
Attachment A
Budget
Budget Categories Current Budget Amendment IF New Total
$1,017,922 $ 185,000 $1,202,922
Admin(7%max) $ 71,254.00 $ 71,254.00
HMIS $ 7,200.00 $ 7,200.00
Outreach $ 97,018.48 $ 97,018.48
Shelter Case Management $ 156,855.76 $ 15,000 $ 171,855.76
Shelter Operations $ 426,729.52 $ 25,000 $ 451,729.52
Rapid Rehousing Case Management $ 32,065.59 $ 10,000 $ 42,065.59
Rapid Rehousing Rental Assistance $ 141,494.65 $ 125,000 $ 266,494.65
Rapid Rehousing Other Financial $ 30,211.00 $ 10,000 $ 40,211.00
Assistance
Prevention Case Management $ - $ -
Prevention Rental Assistance $ 55,093.00 $ 55,093.00
Prevention Other Financial $ $
Assistance
Total $ 1,017,922.00 $ 185,000 $ 1,202,922.00
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