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Amendment <br />Department of Commerce <br />Contract Number: 21-4610C-109 <br />Amendment Number: A <br />Washington State Department of Commerce <br />Community Services and Housing Division <br />Housing Assistance Unit <br />Shelter Program Grant <br />1. Contractor 2. Contractor Doing Business As (optional) <br />Kittitas County <br />205 West Fifth Avenue, Ste 108 <br />Ellensburg, WA 98926 <br />4.COMMERCE Representative (only if updated)3. Contractor Representative (only if updated) <br />Dora Van Epps, Fiscal Analyst <br />(509) 962-7621 <br />dora.vanepps.au@co.kittitas.wa.us <br />Megan Kendig <br />Grant Manager <br />(360) 401-5149 <br />PO Box 42525 <br />1011 Plum St SE <br />Olympia, WA 98504-2525 <br />5. Original Contract Amount <br />(and any previous amendments) <br />6. Amendment Amount 7.New Contract Amount <br />$246,846 $0 $246,846 <br />8. Amendment Funding Source 9. Amendment Start Date 10. Amendment End Date <br />Federal: State: X Other: N/A: December 15, 2021 June 30, 2023 <br />11. Federal Funds (as applicable):Federal Agency: CFDA Number: <br />12. Amendment Purpose: <br />Updates Scope of Work to include additional bed inventory. <br />COMMERCE, defined as the Department of Commerce, and the Contractor, as defined above, acknowledge and accept the terms <br />of this Contract As Amended and attachments and have executed this Contract Amendment on the date below to start as of the date <br />and year referenced above. The rights and obligations of both parties to this C ontract As Amended are governed by this Contract <br />Amendment and the following other documents incorporated by reference: Contractor Terms and Conditions including Attachment <br />“A” – Scope of Work, Attachment “B” – Budge, and Shelter Program Grant Guidelines. A copy of this Contract Amendment shall <br />be attached to and made a part of the original Contract between COMMERCE and the Contractor. Any reference in the original <br />Contract to the “Contract” shall mean the “Contract as Amended”. <br />FOR CONTRACTOR FOR COMMERCE <br />Printed Name, Title <br />___________________________________________ <br />Signature <br />Date <br />Diane Klontz, Assistant Director <br />Community Services and Housing Division <br />Date <br />APPROVED AS TO FORM ONLY <br />Sandra Adix <br />Assistant Attorney General <br />3/20/2014 <br />Date <br />Brett Wachsmith, Chairman Board of Co Commissioners <br />12-21-2021