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FACE SHEET <br />Contract Number: 18-62210-008 <br />Washington State Department of Commerce <br />Local Government Division <br />Community Assistance and Research Unit <br />Public Services Grant <br />1. Grantee <br />2. Grantee Doing Business As (optional) <br />Kittitas County <br />N/A <br />205 West 5th Avenue, Suite 108 <br />Ellensburg, WA 98926 <br />3. Grantee Representative <br />4. COMMERCE Representative <br />Judy Pless, Budget and Finance Manager <br />Jeff Hinckle, Project Manager Address: <br />Phone: (509) 962-7502 <br />Phone: (360) 725-3060 PO Box 42525 <br />Fax: (509) 962-7687 <br />Fax: (360) 586-8440 1011 Plum Street SE <br />Email: judy.pless@co.kittitas.wa.us <br />jeff.hinckle@commerce.wa.gov Olympia, WA 98504 <br />5. Grant Amount <br />6. Funding Source <br />7. Start Date <br />8. End Date <br />$83,997 <br />Federal: ® State: ❑ Other: ❑ N/A: ❑ <br />7/1/2018 <br />6/30/2019 <br />9. Federal Funds (as applicable) Federal Agency: CFDA Number: Indirect Rate (if <br />$83,997 U.S. Department of Housing 14.228 applicable): <br />And Urban Development (HUD) N/A <br />10. Tax ID # 11. SVfV # 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 full description of the project is <br />in Attachment "A" Scope of Work 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 GRANTEE <br />FOR COMMERCE <br />.......... <br />Mark K. Barkley, Assistant Director <br />.. ..... ......... <br />The Honorable Laura Osiadacz, Commissioner <br />Kittitas County <br />Local Government Division <br />Date <br />Date <br />APPROVED AS TO FORM ONLY <br />BY ASSISTANT ATTORNEY GENERAL <br />APPROVAL ON FILE <br />