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FACE SHEET <br />Contract Number: 16-62210-008 <br />1. Grantee <br />Kittitas County <br />205 W 5th Ave, Suite 108 <br />Ellensburg, W A 98926 <br />3. Grantee Representative <br />Washington State Department of Commerce <br />Local Government Division <br />Community Development Block Grant (CDBG) Program <br />Public Services Grant <br />2. Grantee Doing Business As (optional) <br />N/A <br />4. COMMERCE Representative <br />Judy Pless, Budget and Finance Manager Laurie Dschaak, Project Manager <br />Phone: (509) 962-7502 Phone: (360) 725-5020 <br />Fax: (509) 962-7687 Fax: (360) 586-8440 <br />Email: judy.pless@co.kittitas.wa.us Email:laurie.dschaak@commerce.wa.gov <br />5. Grant Amount 6. Funding Source 7. Start Date <br />$83,177 Federal: [gI State: D Other: D NI A: D 7/1/2016 <br />9. Federal Funds (as applicable) Federal Agency: CFDA Number: <br />$83,177 U.S. Department of Housing & 14.228 <br />Urban Development (HUD) <br />10. Tax ID # 11. SWV# 12. UBI # <br />91-6001349 0010475-00 N/A <br />14. Grant Purpose <br />PO Box 42525 <br />1011 Plum Street S.E. <br />Olympia, WA 98504 <br />8. End Date <br />6/30/2017 <br />Indirect Rate (if <br />a pplica ble): <br />N/A <br />13. DUNS # <br />01-020-2547 <br />Public services through HopeSource to low-and moderate-income persons in Kittitas County. A full description of the project is <br />in Attaclunent "A" Scope of Work and Budget. <br />COMMERCE, defined as the Department of Commerce, and the Grantee, as defmed above, acknowledge and accept the tenns of <br />this Grant and attaclunents and have executed this Grant on the date below to start as of the date and year referenced above. The <br />rights and obligations of both parties to this Grant are governed by this Grant and the following other documents incorporated by <br />reference: Grant Tenns and Conditions including Attaclunent "A" -Scope of Work and Budget, Attaclunent "B"-State and <br />Federal Requirements and Assurances, Attaclunent "C" -Letter to Incur Costs (if applicable), and the following documents <br />incorporated herein by reference: Grantee's application for funding and the Community Development Block Grant policies and <br />procedures, prepared by Commerce. <br />~ FOR COMMERCE <br />/1161-4 t/l . ~- <br />'rite1ion"ont1)IC PattI -Jew&U 0 b 1-€ (J IQ VN?/l Mark K. Barkley, Askislan~ Director <br />Kittitas County Commissioner Local Government Division <br />~U ;?-I/ t ~/Lf ~ L1r't[ UJ llo <br />D e Date <br />APPROVED AS TO FORM ONLY <br />Sandra C. Adix, Assistant Attorney General (Signature on File) <br />Date: May 5, 2016 <br />1