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FACE SHEET <br />Contract Number: 21-62210-030 <br />Washington State Department of Commerce <br />Local Government Division <br />Community Assistance and Research Unit <br />CDBG General Purpose Grant <br />1. Grantee 2. Grantee Doing Business As (optional) <br />Kittitas County <br />205 W 5th Ave, Suite 108 <br />Ellensburg, WA 98926-2891 <br />N/A <br />3. Grantee Representative 4. COMMERCE Representative <br />Dora Van Epps, Fiscal Analyst <br />(509) 962-7621 <br />dora.vanepps.au@co.kittitas.wa.us <br />Jacquie Andresen, Project Manager <br />PO Box 42525/1011 Plum Street SE, Olympia, WA 98504 <br />(360) 688-0822 <br />jacquie.andresen@commerce.wa.gov <br />5. Grant Amount 6. Funding Source 7. Start Date 8. End Date <br />$900,000 Federal:State:Other: N/A: 9/10/2021 1/31/2026 <br />9. Federal Funds <br />$900,000 <br />Federal Agency: <br />U.S. Department of Housing and <br />Urban Development (HUD) <br />CFDA Number: <br />14.228 <br />Indirect Rate (if applicable): <br />N/A <br />10. Tax ID # 11. SWV # 12. UBI # 13. DUNS # <br />91-6001349 0010475-00 192002673 010202547 <br />14. Grant Purpose <br />Food Bank and Food Pantry Expansion with Friends in Service to Humanity (FISH-Ellensburg). A full description of the project <br />is in Attachment “A” Scope of Work and Budget. <br />15. Signing Statement <br />COMMERCE, defined as the Department of Commerce, and the Grantee, as defined above, acknowledge and accept the terms <br />of this Grant and Attachments and have executed this Grant on the date below to start as of the date and year referenced above <br />and warrant they are authorized to bind their respective agencies. The rights and obligations of both parties to this Grant are <br />governed by this Grant and the following documents hereby incorporated by reference: Attachment “A” – Scope of Work and <br />Budget, Attachment “B” – Letter to Incur Costs, Grantee’s application for funding and the Community Development Block <br />Grant policies and procedures. <br />FOR GRANTEE FOR COMMERCE <br />Laura Osiadacz Chair, Board of Commissioners <br />Kittitas County <br />Date <br />Mark K. Barkley, Assistant Director <br />Local Government Division <br />Date <br />APPROVED AS TO FORM ONLY BY ASSISTANT <br />ATTORNEY GENERAL 07/17/2019. <br />APPROVAL ON FILE.