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Contract Number: 22-46108-10
Amendment Number: C
Washington State Department of Commerce
Community Services and Housing Division
Homelessness Assistance Unit (HAU)
Consolidated Homeless Grant (CHG)
1. Contractor
2. Contractor Doing Business As (optional)
Grant County
PO Box 3 7 3 5 C Street NW
Ephrata, WA 98823
3. Contractor Representative
4. COMMERCE Representative
Janice Flynn
Esmeralda Zavala-Montalvo PO Box 42525
Admin Services Coordinator
Grant Manager 1011 Plum St SE
jflynn@grantcounty.wa.gov
360-725-2816 Olympia, WA 98504-2525
esmeralda.zavala-
montalvo@commerce.wa.gov
5. Original Contract Amount
6. Amendment Amount
7. New Contract Amount
(and any previous amendments)
$1973506.00
$499412.00
$1,7859018.00
S. Amendment Funding Source
9. Amendment Start Date
10. Amendment End Date
Federal: State: X Other: N/A:
July 1, 2022
June 30, 2023
11. Federal Funds (as applicable):
Federal Agency:
CFDANumber:
N/A
N/A
N/A
12. Amendment Purpose: Additional funding to support grantees who had increased costs due to the pandemic.
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 bothparties to this Contract As Amended are governed by this Contract
Amendment and the following other documents incorporatedby reference: CHG Guidelines (as they may be revised from time to
time), and Contract 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 GRANTEE
Danny Sto /Executive
Print Name, itle
1& 4�+�! X0.2 Z
Date
Department of Commerce
FOR COMMERCE
Corina Grigoras, Assistant Director, Housing Division
Date
APPROVED AS TO FORM ONLY
Sandra Adix
Assistant Attorney General
3/20/2014
Date
Amendment
This Contract is amended as follows:
Special Terms and Conditions
Adds the following language:
8. FRAUD AND OTHER LOSS REPORTING
Contractor/Grantee shall report in writing all known or suspected fraud or other loss of any funds or
other property furnished under this Contract immediately or as soon as practicable to the Commerce
Representative identified on the Face Sheet.
Attachment B
Budget
Budget Categories
Current Contract
Amount
(and any previous
amendments and
revisions)
Amendment
C
New Total
CHG Standard
Admin
$697950.00
$69)950.00
Rent/Fac Support Lease
$311,539.00
$311,539.00
Other Rent/Fac Support Lease and
Housi ng Costs
$10)000.00
$10,000.00
—Operations
$195,060.00
$195)060.00
HEN SFY 2022 (July 2021 -June 2022)
.HEN Admin 2022
$25)000.00
$25,000.00
HEN Rent/Fac Support and Housing
Costs 2022
$2613953.00
$261,953.00
—HEN Operations 2022
$74,000.00
$74,000.00
HEN SFY 2023 (July 2022 -June 2023)
HEN Admin 2023
$25,000.00
$251000.00
HEN Rent/Fac Support and Housing
Costs 2023
$261,953.00
$261,953.00
HEN Operations 2023
$74)000.00
$74)000.00
Hotel Leasing and Rapid Re -Housing
—Admin for Hotel Leasing/RRH
$53,322.00
$53,322.00
—Hotel Leasing/RRFI/Operations
$373,829.00
$373)829.00
Additional CHG
—Additional CHG Funding
$49,412.00
$49,412.00
—Total
$1)7351606.00
$49,412.00
$1,785,018.00
ALL OTHER TERMS AND CONDITIONS OF THIS CONTRACT REMAIN IN FULL FORCE
AND EFFECT.
6