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AFS between KC and HopeSource CWS 26-27
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2026-10-06 10:00 AM - Commissioners' Agenda
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AFS between KC and HopeSource CWS 26-27
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Last modified
10/1/2026 12:16:31 PM
Creation date
10/1/2026 12:15:25 PM
Metadata
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Template:
Meeting
Date
10/6/2026
Meeting title
Commissioners' Agenda
Location
Commissioners' Auditorium
Address
205 West 5th Room 109 - Ellensburg
Meeting type
Regular
Meeting document type
Supporting documentation
Supplemental fields
Item
Request to Approve an Agreement for Services between Kittitas County and HopeSource (Cold Weather Shelter)
Order
11
Placement
Consent Agenda
Row ID
149866
Type
Agreement
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<br />Page | 57 <br />10.1 Appendix A: Required Forms <br />The following forms are provided and required CHG forms, if applicable. Forms may be modified if all <br />of the content is included. All forms are posted on the Commerce CHG website. <br />For a full list of all required client file documentation, see Appendix C: Client File Documentation. <br />✓Consolidated Homeless Grant Verification of Household Eligibility and Income Recertification <br />(Sections 3.4;3.6;3.7;3.8.1;4.4;4.6;4.7;5.4;5.5.1;5.6) <br />✓Consolidated Homeless Grant Income Eligibility Worksheet (Section 3.6 and 4.6) <br />✓Consolidated Homeless Grant Utility-Only Assistance Form (Section 6.1) <br />✓Client Release of Information and Informed Consent Form (Section 7.15.2.1) <br />✓Consolidated Homeless Grant Rent Subsidy Calculation Tool (Section 8.4) or other tool <br />approved by Commerce <br />✓Consolidated Homeless Grant Landlord Habitability Standards Certification Form OR Commerce <br />Housing Habitability Standards (HHS) Form OR HUD Housing Quality Standards (HQS) Inspection <br />Form– including Lead-based Paint Visual Assessment (Section 9.1) <br />✓Consolidated Homeless Grant Client File Checklist (Section 7.8) <br />✓DSHS 14-012(x)(REV 02/2003) for BVS (Section 7.9) <br />✓Consolidated Homeless Grant Certification of Payment Obligation (Section 4.8 and 8.3.3) <br />✓Consolidated Homeless Grant Targeted Prevention Eligibility Screening Form (Section 4.4.1 and <br />5.4.1) or other tool approved by Commerce <br />✓Rent Reasonableness Form (Section 8.5.2) <br />✓HMIS Client Release of Information and Informed Consent Form (Section 7.15) <br />10 Appendices
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