The URL can be used to link to this page

Home My WebLink AboutGrant Related - BOCC (003)DocuSign Envelope ID: 8B5FCCB6-19CF-4886-87C6-B6E1 F503C9A7 P►mendrnent Contract Number: 22-46108-10 Amendment Number: D Washington State Department of Commerce Housing Division Homelessness Assistance Unit (HAU) Consolidated Homeless Grant (CHG) 1. Contractor 2. Contractor Doing Business As (optional) Grant County PO Box 37 35 C Street NW Ephrata, WA 98823 3. Contractor Representative 4. COMMERCE Representative Janice Flynn Candace Jenkins PO Box 42525 Admin Services Coordinator Grant Manager 1011 Plum St SE jflynn@grantcounty.wa.gov 206-256-6119 Olympia, WA 98504-2525 candace. j enkins @commerce.wa. gov 5. Original Contract Amount 6. Amendment Amount 7. New Contract Amount (and any previous amendments) $1,785,018.00 $812,281.00 $2,597,299.00 8. Amendment Funding Source 9. Amendment Start Date 10. Amendment End Date Federal: State: X Other: N/A: February 1, 2023 June 30, 2023 11. Federal Funds (as applicable): Federal Agency: CFDA Number: N/A N/A N/A 12. Amendment Purpose: Adds CHG eviction prevention funds 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: 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". Rob Jones, Chair 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 a DocuSign Envelope ID: 8B5FCCB6-19CF-488B-87C6-B6E1 F503C9A7 Amendment This Contract is amended as follows: Attachment B Budget Categories Current Contract Amount (and any previous amendments and revisions) Amendment D New Total CHG Standard Admin $69,950.00 $69,950.00 Rent/Fac SuC%dne pport Leas $3117539.00 $3117539.00 Other Rent/Fac Support Lease and —Housing Costs $10,000.00 $107000.00 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 $261,953.00 $261,953.00 —HEN Operations 2022 $74,000.00 $74,000.00 HEN SFY 2023 (July 2022 -June 2023) —HEN Admin 2023 $257000.00 $25,000.00 HEN Rent/Fac Support and Housing Costs 2023 $261,953.00 $261,953.00 —HEN Operations 2023 $74,000.00 $747000.00 Hotel Leasing and Rapid Re -Housing Admin for Hotel Leasing/RRH $53,322.00 $537322.00 Hotel Leasing/RRH/Operations $373,829.00 $373,829.00 Additional CHG Additional CHG Funding $49,412.00 $497412.00 Eviction Prevention —Eviction Prevention Admin $0 $15,000.00 $15,000.00 —Eviction Prevention Rent $0 $741,581.00 $741,581.00 Eviction Prevention Operations $0 $55,700.00 $55,700.00 Total $1,785,018.00 $812,281.00 $2,597,299.00 ALL OTHER TERMS AND CONDITIONS OF THIS CONTRACT REMAIN IN FULL FORCE AND EFFECT. 2 110 Certificate of Completion Envelope Id: 8B5FCCB619CF488B87C6B6E1 F503C9A7 Status: Sent Subject: Complete with DocuSign: Grant-Adams—Eviction Prevention Amendment D December 2022.docx Division: Community Services and Housing Program: CHG ContractNumber: 22-46108-10 DocumentType: Contract Amendment Source Envelope: Document Pages: 2 Signatures: 0 Certificate Pages: 5 Initials: 1 AutoNav: Enabled Envelopeld Stamping: Enabled Time Zone: (UTC -08:00) Pacific Time (US & Canada) Envelope Originator: Candace Jenkins 1011 Plum Street SE MS 42525 Olympia, WA 98504-2525 candace.jenkins@commerce.wa.gov IP Address: 147.55.134.60 Record Tracking Status: Original Holder: Candace Jenkins Location: DocuSign 1/13/2023 12:20:50 PM candace.jenkins@commerce.wa.gov Security Appliance Status: Connected Pool: StateLocal Storage Appliance Status: Connected Pool: Washington State Department of Commerce Location: DocuSign Signer Events -::',Signature Timestamp Kathy Kinard °S Sent: 1/18/2023 7:22:05 AM Kathy.Kinard@commerce.wa.gov Viewed: 1/18/2023 7:42:59 AM Security Level: Email, Account Authentication Signed: 1/18/2023 7:43:16 AM (None) Signature Adoption: Pre -selected Style Using IP Address: 198.239.106.175 Electronic Record and Signature Disclosure: Not Offered via DocuSign Danny E Stone destone@grantcountywa.gov Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Accepted: 1/18/2023 9:20:44 AM D: 729cd502-a 13c-4aca-817b-26eabOf8fe0f Corina Grigoras corina.grigoras@commerce.wa.gov Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via DocuSign Sent: 1/18/2023 7:43:18 AM Viewed: 1/18/2023 9:20:44 AM In Person Signer Events Signature Timestamp Editor Delivery Events Status Timestamp Agent Delivery Events Status Timestamp Intermediary Delivery Events Status Timestamp Certified: Delivery Events Status Timestam p Jessica SimonSent: 1/13/2023 12:32:43 PM jessica.simon@commerce.wa.gov `I E E f Viewed: 1/18/2023 7:22:05 AM Security Level: Email, Account Authentication (None) Using IP Address: 147.55.149.229 Electronic Record and Signature Disclosure: Not Offered via DocuSign Carbon Copy Events Status Timestamp Janice Flynn jflynn@grantcountywa.gov Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Accepted: 2/22/2022 8:38:09 AM ID: 6074d535-208c-4f56-x584-c6b2dd 0535d 0 Witness Events Signature Ti es amp Notary Events Signature Timest