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FACE SHEET <br />\Yashington State Department of Commerce <br />Local Government Divlslon <br />Communlty Assistance and Research Unit <br />CDBG - Coronavirus (CIIBG.CVI) <br />Contract Number: 20-6221C-ll5 <br />1. Grantee <br />Kittitas County <br />205 W sth Ave, Suite I08 <br />Ellensburg, Washington 98926 <br />2. Grantee Doing Business As (optional) <br />NA <br />3. Grantee Representative <br />Brett Wachsrnith, Kittilas County Commissioner, District #3 <br />Phone: 509.962.7508 <br />Email: brett.wachsmith,co@co.kittitas.wa.us <br />4. COMMERCE Representative <br />Genny Matteson, Project Manager <br />Phone; (360) 725-3093 <br />Fax: (360) 586-8440 <br />Genny. matteson@commerce.wa,gov <br />Address: <br />PO Box 42525 <br />l0l I Plum Street SE <br />Olympia, WA 98504 <br />5. Grnnt Amount <br />$292,364 <br />6. Funding Source <br />Fcderal: fi State: E Ottrer: n N/A: n <br />7. Start Date <br />312712020 <br />8. End Date <br />u3v2023 <br />CFIIA Numbcr: <br />14.228 <br />Indirect Rate (if applicable); <br />N/A <br />9. Federal Funds (as applicable) Federal Agency: <br />$292,364 <br />(HUD) <br />Department of Housing <br />Urban Development <br />u.s. <br />And <br />10. Tax ID # <br />9l-6001349 <br />11. swv# <br />00r047s-00 <br />12. UBI # <br />192002673 <br />13. DUNS # <br />010202547 <br />14. Grant Purpose <br />Activities to prevent, prepare for, and respond to coronavirus in partnership with local service providers for the CDBO-CVI <br />consortium area. A full description of the project is in Attachment "A" Scope of Work and Budget. <br />15. Signing Statement <br />COMMERCE, defined as the Department of Cornmerce, and the Grantee, as defined above, acknowledge and accept the terms of this <br />Grant and Attachments and have executed this Grant on the date below to start as ofthe date and year referenced above and warrant <br />they are authorized to bind their respeotive agencies. The rights and obligations ofboth parties to this Grant are governed by this Grant <br />and the following documents hereby incorpomted by reference: Grant Terms and Conditions inoluding Attachment "A" - Scope of <br />Work and Budget, Attachment "8" - Letter to Incur Costs (if appl; le), and the following documents incorporated herein by <br />reference: Granteeos application for funding and the Communit', uent Block Grant policies and procedures, prepared by <br />Commerce. <br />APPROVE]) AS TO FORM ONLY BY ASSISTAITIT <br />ATTORNE Y GENERAL 07 I N NO'9' <br />APPROVAI.ON FILE. <br />COMMERCE <br />Director <br />Date <br />Date <br />, JDAIt rh fr *,rrr[t - <br />FORGRANTEE <br />Kittitas County Commissioner, District #3 <br />Wachsmith,Mark <br />Local <br />ilt <br />Contract Page 019