HomeMy WebLinkAboutGrant Related - New Hope DV/SACommerce Grant Amendment Face Sheet Grant Number: F19.31103-047
Amendment Number: A
Washington State Department of Commerce
Community Services and Housing Division
Office of Crime Victims Advocacy
FFY 2019 STOP Violence Against Women Formula Grant Program
1. Grantee
2. Grantee Doing Business As (optional)
Grant, County Of
New Hope
PO Box 37
Ephrata, WA 98823-0037
3. Grantee Representative (only if updated)
4. COMMERCE Representative (only if updated)
5. Original Grant Amount
6. Amendment Amount
7. New Grant Amount
$ 33,178.00
$ 0.00
$ 33,178.00
8. Amendment Funding Source
9. Amendment Effective Date
10. End Date
Federal:® State:[]Other:[]N/A:❑
11/1/2020
1 12/31/2021
11. Federal Funds (as applicable) Awarding Official CFDA Number
Department of Justice, OVW 16.588
12. Amendment Purpose: The purpose of this amendment is to extend the grant end date through December 31, 2021.
COMMERCE, defined as the Department of Commerce, and the Grantee, as defined above, acknowledge and accept the
terms of this Grant As Amended and attachments 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 and the following other documents incorporated by reference: Grant Terms and Conditions
including Attachment A — Certification of Compliance with Federal Regulations; Attachment B — U.S. Department of Justice
Certified Standard Assurances; Attachment C— Certification Form - Compliance with the Equal Employment Opportunity
Plan (EEOP) Requirements; Attachment D — Certification on Employment Eligibility; Unreasonable Restrictions; and
Suitability to Interact with Minors; Attachment E — Restrictions and Certifications Regarding Non -Disclosure Agreements
and Related Matters; Attachment F — Scope of Work; Attachment G — Budget; and Grantee's Application for Funding as
submitted and approved by COMMERCE.
FOR THE GRAN E
FOR THE DEPARTMENT
ASIgnalk
Qii Klontz, Issiltant Director
CIN "LiL
Name
Q
Date
Title
APPROVED AS TO FORM ONLY
BY ASSISTANT ATTORNEY GENERAL
Date
APPROVAL ON FILE
GiisiNT OOUNfV COAIMISSIOidERS