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Washington State Military Department PUBLIC ASSISTANCE GRANT AGREEMENT FACE SHEET '. SUBRECIPIENT Name and Address: 2. Grant Agreement Amount: 3. Grant Number: Kittitas County To be determined, based upon 205 West 5th, Ste 105 Ell Ellensburg, WA 8892fi-2890 approved project worksheets D16-619 4. SUBRECIPIENT, phoneiemaii: 5. Grant Agreement Start Date: 6. Grant Agreement End Date: 509-962-7523[mark.cook@co.kitt[tas.wa.us November 12, 2095 January 15, 2020 7. DEPARTMENT Program Manager, phorefemaf!: 8. Data Universal Numbering System 9. UBI # (state revenue): Gerard Urbas, (253) 512-7402 (DUNS): 010202547 Gary.arbas@mll.wa.gov 10. Funding Authority: Washington State Military Department (the "DEPARTMENT"), and Federal Emergency Management A enc FEMA 11. Funding Source Agreement #: 12. Program Index # 13. Catalog of Federa! Domestic Asst. (CFDA) 14. TIN or SSN: FEMA -4249 -DR -WA 764LC (Federal)1762LE # & Title: 97.036, Public Assistance 91- OW)" (Statey 764LD Admin 15. Total Federal Award Amount: NIA 16. Federal Award Date: NIA 17, Service Districts: �� 18. Sery"soe Area by County(ies): 19. Women/Minority-Owned, State (BY LEGISLATIVE DISTRICT): th (BY CONGRESSIONAL DISTRICT): =th Kittitas County Certified?: X NIA I-]NO ❑ YES, OMWBE # 20. Contract Classification: 21. Contract Type (check all that apply): ❑ Personal Services ❑ Client Services X Public[Local Gov't ❑ Contract X Grant X Agreement { ❑ Research/Development ❑ AIE ❑ Other ❑ Intergovernmental (RCW 39.34) ❑ Interagency 22. Contractor Selection Process: 23. Contractor Type (check all that apply) X "To all who apply & qualify" ❑ Competitive Bidding ❑ Private Organization/Individual ❑ For -Profit ❑ Sole Source ❑ AfE RCW ❑ NIA X Public Organization/Jurisdiction X Non -Profit ❑ Filed w/OFM? ❑ Advertised? []YES ❑NO ❑ VENDOR ❑ SUBRECIPIENT X OTHER 24. BRIEF DESCRIPTION: Presidential Disaster Declaration # FEMA -4249 -DR -WA -Washington Severe Storms, Straight-line Winds, Flooding, Landslides, and Mudslides. To provide funds to the SUBRECIPIENT for the repair or restoration of damaged public facilities as approved by FEMA in project worksheets describing eligible scopes of work and associated funding. The DEPARTMENT is the Recipient and Pass- through Entity of the Presidential Disaster Declaration # FEMA -4249 -DR -WA -Washington Severe Storms, Straight-line Winds, Flooding, Landslides, and Mudslides and FEMA State Agreement, which are incorporated by reference, and makes a subaward of Federal award funds to the SUBRECIPIENT pursuant to this Agreement. The SUBRECIPIENT is accountable to the DEPARTMENT for use of Federal award funds provided under this Agreement and the associated matching funds. IN WITNESS WHEREOF, the DEPARTMENT and SUBRECIPIENT acknowledge and accept the terms of this Agreement, references and attachments hereto and have executed this Agreement as of the date and year written below. This Agreement Face Sheet, Special Terms and Conditions (Attachment 1), General Terms and Conditions (Attachment 2), Project Worksheet Sample (Attachment 3); Washington State Public Assistance Applicant Manual dated January 15, 2016 (Attachment 4), and all other documents, exhibits and attachments expressly referenced and incorporated herein contain all the terms and conditions agreed upon by the parties and govern the rights and obligations of the parties to this Agreement. No other understandings, oral or otherwise, regarding the subject matter of this Agreement shall be deemed to exist or to bind any of the parties. In the evert of an inconsistency in this Agreement, un!ess otherwise provided herein, the inconsistency shall be resolved by giving precedence in the following order: 1. Applicable Federal and State Statutes and Regulations 5. Special Terms and Conditions 2. DHS Standard Terms and Conditions 6. General Terms and Conditions, and, 3. Presidential Declaration, FEMA State Agreement, 7. Other provisions of the contract incorporated by reference. and other Documents 4. Statement of Work and/or Project Description as outlined in FEMA approved Project Worksheet(s) WHEREAS, the parties hereto have executed this Agreement on the day and year last specified below. FOR THE DEPARTMENT: FOR THE. SUBRECIPIENT: Signature Date Signature� Date Richard A. Woodruff, Contracts Administrator pant or type name: Nit l�J�ori-p_ ' Washington State Military Department BOILERPLATE APPROVED AS TO FORM: A R V AS T Dawn C. Cortez (signature on file 10/2912015) Assistant Attorney General .2 Cl IENT's AttorneyDa rorm -iutzuzuio mu Public Assistance Grant Agreement Page ' of 21 Kittitas County, D16-619