HomeMy WebLinkAboutWashington State Department of Commerce Amendment # ADocuSign Envelope ID: 95D2A6A2-B9DC-4856-91 31 E5A8E32200
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Amendment Face Sheet
Contract Number: 22-62210-010
Amendment Number: A
Washington State Department of Commerce
Local Government Division
Community Development and Assistance Unit
CDBG Public Services Grant
1. Grantee
Mason County
411 North 5th Street
Shelton, WA 98584
2. Grantee Doing Business As (optional)
N/A
3. Grantee Representative
Toni Monnier, Financial Analyst
(360) 427-9670 Ext 644
tmonnier@masoncountywa.gov
4. COMMERCE Representative
Roberta Golden, Project Manager
PO Box 42525/1011 Plum St SE, Olympia, WA 98504-2525
(360) 725-5020 I Roberta.golden@commerce.wa.gov
5. Original Grant Amount
(and any previous amendments)
$102,000
6. Amendment Amount
$103,000
7. New Grant Amount
$205,000
8. Amendment Funding Source
Federal: ✓ State: Other:
9. Amendment Start Date
July 1, 2023
10. Amendment End Date
June 30, 2024
11. Federal Funds (as applicable): Federal Agency: ALN (CFDA#):
$205,000 U.S. Department of Housing 14.228
and Urban Development
12. Amendment Purpose:
Public Services through Community Action Council of Lewis, Mason and Thurston counties to low- and moderate -
income persons in Lewis and Mason County for program year 2023.
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. 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". The Amendment Amount is contingent on obligation of funds from the
U.S. Department of Housing and Urban Development for program year 2023.
FOR GRANTEE
FOR COMMERCE
Signed by::j I. (
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11
Sharon Trask, Chair
Board of Mason County Commissioners
0)1 l 3/2.023
00012004005C450...
Mark K. Barkley, Assistant Director
Local Government Division
6/16/2023 1 2:05 PM PDT
Date
APPROVED AS TO FORM ONLY
Sandra Adix
Date
Assistant Attorney General
3/20/2014
Date