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Amendment Face Sheet 7
Contract Number: 19-62210-005
Amendment Number: A
Washington State Department of Commerce
Local Government Division
Community Development Block Grant Program K20 -055 -
Public Services Grant
1. Contractor
2. Contractor Doing Business As (optional)
Grant County
N/A
PO Box 37
Ephrata, WA 98823
3. Contractor Representative (only if updated)
4. COMMERCE Representative (only if updated)
Brittany Rang, Administrative Services
Jeff Hinckle, Project Manager PO Box 42525
Coordinator
Phone: (360) 725-3060 1011 Plum St SE
Phone: (509) 754-2011f
Fax: (360) 586-8440 Olympia, WA 98504-2525
Email: brang@grantcountywa.gov
jeff.hinckleacommerce.wa.gov
5. Original Contract Amount
6. Amendment Amount
7. New Contract Amount
(and any previous amendments)
$121,058
$145,270
$266,328
8. Amendment Funding Source
9. Amendment Start Date
10. Amendment End Date
Federal: X State: Other: N/A:
Date of Execution
February 28, 2021
11. Federal Funds (as applicable):
Federal Agency:
CFDA Number:
$266,328
U.S. Department of Housing
14.228
and Urban Development
12. Amendment Purpose:
Increase the contract amount from $121,058 to $266,328 with CDBG Economic Opportunity Grant funding. Expand the scope of
work to include urgent, CDBG eligible COVID-19 response service activities. Extend the contract end date from 6/30/2020 to
2/28/2021.
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
"N'— Scope of Work, Attachment "B" — 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".
FOR CONTRACTOR
r
FOR COMMERCE
The Honorable Tom aylor, Commissioner
Mark K. Barkley, Assistant Director
Grant County
Local Government Division
Date
Date 4,
APPROVED AS TO FORM ONLY
Sandra Adix
Assistant Attorney General
3/20/2014
Date
Amendment Face Sheet
Contract Number: 19-62210-005
Amendment Number: A
Washington State Department of Commerce
Local Government Division
Community Development Block Grant Program
Public Services Grant
1. Contractor
2. Contractor Doing Business As (optional)
Grant County
N/A
PO Box 37
Ephrata, WA 98823
3. Contractor Representative (only if updated)
4. COMMERCE Representative (only if updated)
Brittany Rang, Administrative Services
Jeff Hinckle, Project Manager PO Box 42525
Coordinator
Phone: (360) 725-3060 1011 Plum St SE
Phone: (509) 754-2011 f
Email: brang@grantcountywa.gov
Fax: (360) 586-8440 Olympia, WA 98504-2525
jeff.hincklencommerce.wa.gov
5. Original Contract Amount
6. Amendment Amount
7. New Contract Amount
(and any previous amendments)
$121,058
$145,270
$266,328
8. Amendment Funding Source
9. Amendment Start Date
10. Amendment End Date
Federal: X State: Other: N/A:
Date of Execution
February 28, 2021
11. Federal Funds (as applicable): Federal Agency:
CFDA Number:
$266,328 U.S. Department of Housing
14.228
and Urban Development
12. Amendment Purpose:
Increase the contract amount from $121,058 to 5266,328 with CDBG Economic Opportunity Grant funding. Expand the scope of
work to include urgent, CDBG eligible COVID-19 response service activities. Extend the contract end date from 6/30/2020 to
2/28/2021.
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" — Scope of Work, Attachment `B" — 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".
FOR CONTRACTOR
FOR COMMERCE
The Honorable Tom 14hylor,. Commissioner
Mark K. arkley, AssistInt Director
Grant County
Local GovernmentZDivision
1Ltn�
Date
Date Li ,
APPROVED AS TO FORM ONLY
Sandra Adix
Assistant Attorney General
3/20!2014
Date