HomeMy WebLinkAboutAgreements/Contracts - Veterans ServicesDocuSign Envelope ID: 301 B489F-D940-4EF8-830B-61 EA055CA7E9 K23-172
WDVA Contract No. 305E-17-058
STATE OF WASHINGTON
DEPARTMENT OF VETERANS AFFAIRS
AMENDMENT NO.4
TO
DVA CONTRACT NO.305E-17-058
DVA Contract No. 305E-17-058 by and between the Washington State Department of Veterans
Affairs, hereinafter referred to as "AGENCY" and Grant County, Washington, hereinafter
referred to as "CONTRACTOR" is amended, along with all amendments as follows:
1. Article III. PERIOD OF PERFORMANCE is revised to change the end date of the contract from
June 30, 2023 to June 30, 2025.
THE EFFECTIVE DATE of this Amendment is July 1, 2023.
ALL OTHER TERMS AND CONDITIONS OF THIS CONTRACT AND PREVIOUS AMENDMENTS
REMAIN IN FULL FORCE AND EFFECT.
IN WITNESS WHEREOFE the parties hereby -execute this Amendment No. 4.
GRANT COUNTY, WASHINGTON
Sign e
Rob Jones, Chair
Title Date
WASHINGTON DEPARTMENT OF
VETERANS AFFAIRS
DocuSigned by:
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Terry Westhoff
Printed Name
Chief Financial Officer 6/28/2023 109:49:05 PDT
Title
Date
DocuSign
certifidate:01'.f Completion
Envelope Id: 301 B489FD9404EF883OB61 EA055CA7E9 Status: Sent
Subject: Complete with DocuSign: 305E-17-058 MEMO Amend 4 Grant County - 06.21.2023.doc, 305E-17-058 CPA...
Source Envelope:
Document Pages: 5
Signatures: 3
Envelope Originator:
Certificate Pages: 2
Initials: 1
Abigail Watson
AutoNav: Enabled
Abigail.Watson@dva.wa.gov
Envelopeld Stamping: Enabled
IP Address: 147.55.7.170
Time Zone: (UTC -08:00) Pacific Time (US & Canada)
Record Tracki r
Status: Original
Holder: Abigail Watson
Location: DocuSign
6/21/2023 1:05:17 PM
Abigail.Watson@dva.wa.gov
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Pool: Carahsoft OBO State of Washington
Location: DocuSign
Department of Veterans Affairs
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Mary Forbes
Docusigned by:
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Sent: 6/21/2023 1:12:14 PM
MaryF@dva.wa.gov
Viewed: 6/21/2023 6:03:00 PM
Assist Director, WDVA
63838276DFD54A6...
Signed: 6/21/2023 6:03:14 PM
Security Level: Email, Account Authentication
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Signature Adoption: Pre -selected Style
Electronic Record and Signature Disclosure:
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Terry Westhoff
terry.westhoff@dva.wa.gov
CFO
Washington State Dept of Veterans Affairs
Security Level: Email, Account Authentication
(None)
Electronic Record and Signature Disclosure:
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Abigail Watson
abigail.watson@dva.wa.gov
Contracts Specialist 3
WDVA Contracts
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(None)
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Barbara Vasquez
bvasquez@grantcountywa.gov
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(None)
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Using IP Address: 147.55.7.170
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Sent: 6/21/2023 6:03:16 PM
Viewed: 6/28/2023 9:48:58 AM
Signed: 6/28/2023 9:49:05 AM
Sent: 6/28/2023 9:49:07 AM
Viewed: 6/29/2023 9:51:42 AM
Signed: 6/29/2023 9:51:50 AM
Sent: 6/29/2023 9:51:52 AM
Resent: 7/10/2023 7:42:54 AM
Viewed: 7/10/2023 12:49:19 PM
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Barbara Vasquez
(None)
bvasquez@grantcountywa.gov
Security Level: Email, Account Authentication
(None)
Electronic Record and Signature Disclosure:
Not Offered via DocuSign
Yacob Zekarias
Yacob.Zekarias@dva.wa.gov
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Electronic Record and Signature Disclosure:
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Steven gill
steveg@dva.wa.gov
Security Level: Email, Account Authentication
(None)
Electronic Record and Signature Disclosure:
Not Offered via DocuSign
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Envelope Updated
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Certified Delivered
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DocuSign Envelope ID: 301 B489F-D940-4EF8-830B-61 EA055CA7E9
To: Terry Westhoff
Chief Financial Officer
From: Abigail Watson
Date: June 21, 2023
Subject: DOCUMENT EXECUTION — 305E-17-058
Contract / X Amendment # 4 / Other
Parties: Grant County
Purpose: To extend the period of performance. This contract is to provide Veteran
Service Officer (VSO) training and accreditation to county Veterans Service Officers (CVSO).
Commencement Date: Date of Execution
Expiration Date: 06/30/2025
SOW Reviewed By: HR IT Compliance X N/A
Contract/Amendment Amount: $0.00
Comments: Contract Manager is Steve Gill