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FACE SHEET <br />Washington State Department of Commerce <br />Local Government Division <br />Federal Programs Unit <br />Public Services Grant Program <br />Contract Number: 17-62210-008 <br />1. Grantee 2. Grantee Doing Business As (optional) <br />Kittitas County N/A <br />205 W 5th Ave , Suite 108 <br />Ellensburg, W A 98926 <br />3. Grantee Representative 4. COMMERCE Representative <br />Judy Pless JeffHinckle, Project Manager PO Box 42525 <br />Budget and Finance Manager Phone: (360) 725-3060 10 II Plum Street S.E. <br />Phone: (509) 962-7502 Fax: (360) 586-8440 Olympia, W A 98504 <br />judy .pless@co.kittitas.wa.us jeff.hinckle@commerce.wa.gov <br />5. Grant Amount 6. Funding Source 7. Start Date 8. End Date <br />$84,503 Federal: ~ State: D Other: D N/A: D 7/1 /2017 6/30/2 0\ 8 <br />9. Federal Funds (as applicable) Federal Agency: CFDA Number: Indirect Rate (if <br />$84,503 U.S. Department of Housing and 14.228 applicable): <br />Urban Development (HUD) N/A <br />10. Tax ID # II. SWV# 12. UBI # 13. DUNS # <br />91-6001349 0010475-00 192-002-673 01-020-2547 <br />14. Grant Purpose <br />Public services through HopeSource to low-and moderate-income persons in Kittitas County . A fuJI description of the project is <br />in Attachment "A" Scope ofWol'k and Budget. <br />COMMERCE, defined as the Department of Commerce, and the Grantee, as defined above, acknowledge and accept the terms of <br />this Grant and attachments 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 Terms and Conditions including Attachment "A" -Scope of Work and Budget, Attachment "B"-State and <br />Federal Requirements and Assurances, Attachment "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 />ql/NL '-~ <br />lC rnble Paul Jewell Mark K . Barkley, Assistant Dire pto r <br />Kittitas County Commissioner Local Government Division <br />tLL/~~ktt I , dO I, 'l 0 .L~'U ! ']A)l =t: <br />Date Date <br />APPROVED AS TO FORM ONLY <br />BY ASSISTANT ATTORNEY GENERAL <br />APPROV AL ON FILE