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FACE SHEET <br />Washington State Department of Commerce <br />Local Government Division <br />Community Assistance and Research Unit <br />Public Services Grant <br />Contract Number: 19-62210-008 <br />1. Grantee 2. Grantee Doing Business As (optional) <br />Kittitas County NIA <br />205 W 5th Ave, Suite 108 <br />Ellensburg, WA 98926 <br />3. Grantee Representative 4. COMMERCE Representative <br />Judy Pless, Budget and Finance Manager Jeff Hinckle, Project Manager Address: <br />Phone: (509) 962-7502 Phone: (360) 725-3060 PO Box42525 <br />Fax: Fax: (360) 586-8440 IO 11 Plum Street SE <br />Email: judy.pless@co.kittitas.wa.us jeff.hinckle@commerce.wa.gov Olympia, WA 98504 <br />5. Grant Amount 6. Funding Source 7. Start Date 8. End Date <br />$83,567 Federal:~ State: D Other: D NIA: D 7/112019 613012020 <br />9. Federal Funds (as applicable) Federal Agency: CFDA Number: Indirect Rate (if <br />$83,567 U.S. Department of Housing 14.228 applicable): <br />And Urban Development NIA <br />(HUD) <br />10. Tax ID# 11. swv # 12. UBI# 13. DUNS# <br />9169001349 001047500 192002673 010202547 <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 FOR COMMERCE <br />_/-/; <br />Ma~J~ Dicecto< --TlieFfon~Cory \\ff1ght oefn, issiOO"c r <br />Kittitas County Local Government Division <br />~Ll 1~ <br />,2 1 ;;.,o 19 ;zLs1,bLo/ <br />Date <br />APPROVED AS TO FORM ONLY <br />BY ASSISTANT ATTORNEY GENERAL <br />APPROVAL ON FILE -SEPTEMBER 25, 2018