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DocuSign Envelope lD'. 245377 17 -7667-43CF-852C-24E86D28998E <br />FACE SHEET <br />Washlngton State Department of Commercc <br />Local Government Diyision <br />Community Assistance snd Research Unit <br />CDBG General Purpose Crant <br />Contract Number; 2 I -6?2 I 0-030 <br />l. Grnntec <br />Kittilas County <br />205 W 5th Ave, Suite 108 <br />Ellensburg, WA 98926-2891 <br />2. Grantcc Doing Business As (optional) <br />NIA <br />3. Granlee Reprcsentative <br />Dora Van E,pps, Fiscal Analyst <br />$49)962-7621 <br />dora.vanepps.au@co.kittitas.wa. us <br />4. COMMERCE Representative <br />Jacquie Andresen, Project Manager <br />PO Hox 42525/l}l I PIum Street Sl:, Olympia, WA 9{t504 <br />{360) 688-08?2 <br />j acquie.andresen@commerce.wa. gov <br />5. Granl rtmount <br />$900,000 <br />6. Funding Source <br />!'cderal: ffi State: [ Other; f] ula: f] <br />7. $tart Date <br />qtat202l <br />E. End Date <br />U3U2A26 <br />9. Fcderal Funds <br />$900,000 <br />l'ederal Agency: <br />U.S. Department ol l-lousing and <br />Urban Develspment (HIJD) <br />Indirecl Ratc (if applicablelr <br />NIA <br />CI'DA Number: <br />14.228 <br />10.'l'ar ID # <br />9 r -600 t349 <br />ll. swv # <br />00 I 0475-00 <br />I2. UBI # <br />t92002673 <br />13, DUNS # <br />0t0242s41 <br />14. Crant Purposc <br />Food Bank and ljood Pantry U,xpansion with Fricnds in Service to I'Iumanity (FlSl"l-Ellensburg). A full description olthe projcct <br />is in Attachment "A" Scope of Work and Budget. <br />15. Signing Slatement <br />COMMERCIi, dcfincd as the Departmenl olCommerce, and thc Grantse, as defiued above, acknowlcdge anrt eccept lhc terms <br />ofthis Crant and Attaohmorts and have executed this Crant on thc date below lo start as ofthe date and year relerenced above <br />and warrant they are authorized to bind their respective agcncies. Ihe rights and obligatinns of both parties to this Crant are <br />governed by this Crant and the following doeuments hereby incorporated by re lcrence : Attachment "A" -, Scope of Work and <br />Budget, Attachment '*8" - Lstter to lnsur Costs, Crantee's application tor funding and the Cnmrnunity tlevelopment Block <br />Grant policies and procedures. <br />I,'OR <br />of Commissioners <br />K <br />li,$W nA,r'..r-, t *, $fs';">- <br />l)ate u <br />l.'ORCOMMERCE <br />f-Omusignod <br />byl <br />It^*"?*9 <br />Mark K. Barkley, Assistant Director <br />Local Covernment llivi sion <br />312/2022 I 5:54 AM PST <br />Datc <br />APPROVED AS TO I'ORM ONLY BY ASSISTAIY'I' <br />ATTORNEY GENIiRAT, A7 N7 ftT19. <br />APPROVAL ON PIT,I].