HomeMy WebLinkAboutDept. of Commerce Amendment # ADocuSign Envelope ID: 1CA8A318-3EE4-4AB1-8666-044F95F21236
DocuSign Envelope ID:Ot32CAE29.14FF-465D.A44o-89I31A7D02SFC r,lnondmeltt
V4t-:2 (N11111(414,
HOUSING DIVISION
IIOM1;1.ESSNESS ASSISTANCE UNIT
EMERGENCY HOUSING FUND
1. Contractor
Mason County Public Health and Human Services
415 N. 611i SI.
Shelton, WA 98584
3. Contractor Representative (only If npdnlcd)
Molissa Casey
Community Health Manager
(360) 427-9670
mcasey@masoncountywa.gov
5. Original Contract Amount
(and any previous amendments)
$884,950.00
8. Amendment handing Source
Federnt: x Sink: Other:
I I. Federal hinds (as applicable):
$884,950.00
Contract Number: 24-4619D-11S
Amendment Number: A
fy\C Con\-raol- st 2.3 -042.
2. Contractor Doing Iluslncss As (optional)
4. COMMERCE Representative (only If updated)
Henry Bennett PO Box 42525
Commerce Specialist II 1011 Plum St S1?
360-725-5053 Olympia, WA 98504-2525
Henry,bennett@commerce.wa.gov
6. Amendment Amount
N/A:
SO
7. New Contract Amount
$$884,950,00
9, Amendment Start 1)nte
12/ 1 /2.023
Federal Agency:
U.S. Department of Treasury
12. Amendment Purpose:
To complete a budget revision that is more then 10% of contract total.
10. Amendment Bad Date
6/30/2024
ALN:
21.027
SWV 11:
SNAXPBOW4VR4
COMM RRCfi, (Ictine(I 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 dale below to start as of the dale
and year referenced above. The rights and obligations of both parties to this Contract As Amended are governed by this Contract
Amendment and the loIlnwing other documents incorporated by reference: Contractor Terms and Conditions including Attachment
"A" - Scope of Work, Attachment "13" -• 13udgcl. A copy of This Contract Amendment shall be attached to and made a part of the
original Contract between COM1vII RCE and the Contractor. Any reference in the original Contract to the "Contract" shall mean
the "Contract as Amen(ted".
hOlt CON'I'RAC'I'OR
Sharon Trask, Chair, Board of County Commissioners
Date
1't91rekliVIMERCE Ds
aovdwa osc o•
—Covia ungorras; Assistant Director, Housing Division
1/5/2024 1 10:04 AM PST
Date
APPROVED AS `1'O FORM ONLY
Sandra Mix
Assistant Attorney General
3/20/2014
Date
Ft,
DocuSign Envelope ID: 1CA8A318-3EE4-4AB1-8666-044F95F21236
DocuSign Envelope ID: 062CAE29.14FF•465D•A440.89E31A7DD26FC
Amendment
This Contract is amended as follows:
Attachment A: Budget
July 1, 2023 -- June 30, 2024
Budget Category
Current Contract Total
Amendment A
New Contract
Total
Adrnin
$132,742.00
$0
$132 742.00
Operations
$283,360.00
491,360.00
$192,000.00
Facility Support
$195,848.00
$0
$195,846,00
Rent
$273,000.00
$91,360.00
$364,360.00
Total
$884,950.00
$0
$084,950.00
AU_ OTHER TERMS AND CONDITIONS OF THIS CONTRACT REMAIN IN FULL FORCE
AND EFFECT.
2