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Obligating Document for Award/Amendment <br />la. AGREEMENT NO. <br />EMS -2020 -FP -00009 -SO I <br />6. RECIPIENT NAME AND <br />ADDRESS <br />Military Department, <br />Washington State <br />20 Aviation Drive <br />Building 20 <br />Camp Murray, WA, 98430 - <br />5122 <br />2. AMENDMENT NO. 3. 4, TYPE OF ACTION ION 5. CONTROL NO. <br />44* RF.CIPIF.NT AWARD WX03217N2020T <br />NO. <br />916001095G <br />7. ISSUING FEMA OFFICE AND <br />ADDRESS <br />FEMA -GPD <br />400 C Street, SW, 3rd floor <br />Washington, DC 20472-3645 <br />POC: 866-927-5646 <br />8. PAYMENT OFFICE AND ADDRESS <br />FEMA Finance Center <br />430 Market Street <br />Winchester, VA 22603 <br />9. NAME OF RECIPIENT PHONE NO. 10. NAME OF F bMA PROJECT CO()RDINATOR <br />PROJEC"f OFFICFR <br />2535127456 Central Scheduling and Information Desk <br />Tirrah Kincheloe <br />Phone: 800.368-6498 <br />Email: Askesid@,dhs.gov <br />11. EFFECTIVE DATE OF <br />12. 13. ASSISTANCF ARRANGFMFNT <br />14. PFRFORMANCF. PFRIOD <br />THIS ACTION <br />METHOD Cost Reimbursement <br />01/27/2020 <br />OF <br />From: To: <br />PAYMFNT <br />01/27/2020 01/26/2022 <br />PARS <br />Budget Period <br />01/27/2020 01/26/2022 <br />1 5. DESCRIPTION OF ACTION <br />a. (Indicate funding data for awards or financial changes) <br />PROGRAM CFDA NO. <br />ACCOUNTING DATA PRIOR <br />AMOUNT <br />CURRENT CUMULATIVE NON - <br />NAME <br />(ACCS CODE) TOTAL <br />AWARDED <br />TOTAL FEDERAL COMMITMENT <br />ACRONYM <br />XXXX-XXX-XXXXXX- AWARD <br />THIS <br />AWARD <br />Y-3=-XXXX-XXXX-X <br />ACTION <br />r OR (-) <br />Fiscal Year(rY) 97.042 2020-fC-GA01-P410-41(1-1) SOW $2.126,974.00 52,126,974.00 Sa: Totals <br />2020 Emergency <br />Management <br />Performance <br />Grant Progim <br />COVID-19 <br />Supplemental <br />(EMPG-S) <br />S0.00 52,1261974.00 52,126,974.00 52,126,974.00 <br />b. To describe changes other than funding data or financial changes, attach schedule and check here <br />NIA <br />16 a. FOR NUN -DISASTER PROGRAMS: RFC IPIFNT IS RFQUIRFD TO SIGN AND RETURN THRFF (3) COPIES OF TMS <br />DOCUMENT TO FEMA (See Block 7 for address) <br />Emergency Management Performance Grants recipients are not required to sign and return copies of this document. However, recipients <br />should print and keep a copy of this document for their records. <br />16b. FOR DISASTER PROGRAMS: RECIPIENT IS NOT REQUIRED TO SIGN <br />This assistarn:o is subject to terms and conditions attached to this award notice or by incorporated rcfcrcncc in program legislation cited <br />above. <br />17. RECIPIENT SIGNATORY OFFICIAL (Name and Title) <br />Tirzah Kincheloe, Mrs <br />18. FEMA SIGNATORY OFFICIAL (Name and Title) <br />A. <br />SHENAUZ SUBRINA WONG , Assistance Officer <br />DATE <br />Wed Apr 29 22:13:06 GMT <br />2020 <br />DATE <br />Wed Apr 29 17:06:06 GMT <br />2020 <br />DHS-FEMA-EMPG-S-FY20 Page 35 of 35 Klttitas County Sheriff's Office, E20 -270 -Revised <br />