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DocuSign Envelope ID: 16BD651 F-0A3A-4A13-8F3D-53DF28BF8FEF
Amendment Face Sheet Contract Number: 22-62210-005
Amendment Number: A
Washington State Department of Commerce
Local Government Division
Community Development Block Grant Program
Public Services Grant K23-141
1. Grantee
2. Grantee Doing Business As (optional)
Grant County
35 C Street NW
N/A
Ephrata, WA 98823
3. Grantee Representative
4. COMMERCE Representative
Janice Flynn
Jeff Hinckle, Project Manager
Administrative Services Coordinator
PO Box 42525/1011 Plum Street SE, Olympia, WA 98504
(509) 754-2011
(360) 605-2402
jflynn@grantcountywa.gov
jeff.hinckle@commerce.wa.gov
5. Original Grant Amount
6. Amendment Amount
7. New Grant Amount Amount
$128,000
$122,000
$250,000
8. Amendment Funding Source
9. Amendment Start Date
10. Amendment End Date
Federal: 0 State: ❑ Other: ❑
July 01, 2023
June 30, 2024
9. Federal Funds
Federal Agency:
CFDA Number
$250,000
U.S. Department of Housing and Urban Development (HUD)
14.228
12. Amendment Purpose:
Public Services through Opportunities Industrialization Center of Washington to low- and moderate -income persons in
Adams and Grant counties for the 2023 program year.
COMMERCE, defined as the Department of Commerce, and the Grantee, as defined above, acknowledge and accept
the terms of this Grant As Amended 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
Mark K. Barkley, Assistant Director
The Honorable ob Jones, Chair
Board of County Commissioners
Local Government Division
—C> 0'. ,
Date
Date
APPROVED AS TO FORM ONLY
Sandra Adix, Assistant Attorney General
3/20/2014
Date
I
DocuSign Envelope ID: 16BD651 F-OA3A-4A1 3-8F3D-53DF28BF8FEF
Washngton State
Local Government Division
Department of
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Contract/Amendment Routing
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Section Manager
Jon Galow
DS
6/8/2023 1 2:25 PM PDT
Budget Manager
Jodi Barnes
DS
6/8/202.3 1 2:31 Pm PDT
Managing Director
Missy Lipparelli
Deputy Asst. Director
Tony Hanson