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DocuSign Envelope ID: 2A537717-7667-43CF-8520-24E8602B998E <br />FACE SHEET <br />Contract Number: 21-62216-030 <br />Washington State Department of Commerce <br />Local Government Division <br />Community Assistance and Research Unit <br />CDBG General Purpose Grant <br />1. Grantee <br />2. Grantee Doing Business As (optional) <br />Kittitas County <br />N/A <br />205 W 5th Ave, Suite 108 <br />Ellensburg, WA 98926-2891 <br />3. Grantee Representative <br />4. COMMERCE Representative <br />Dora Vim Epps, Fiscal Analyst <br />Jacquie Andresen, Project Ma2ager <br />(509) 962-7621 <br />PO Box 42525/1011 Plum Street SE, Olympia, WA 98504 <br />dora.vanepps.au@co.kittitas.wa.us <br />(360) 688-0822 <br />jacquic.andresen@commerce.wa.gov <br />S. Grant Amount <br />6. Funding Source <br />7. Start Date <br />S. End Date <br />$900,000 <br />Federal: ® State: ❑ Other: ❑ NIA: ❑ <br />9/10/2021 <br />1/31/2026 <br />9. Federal Fxnds Federal Agency: CFDA Number: Indirect Rate (if applicable): <br />$900,000 U.S. Department of Homing and 14.228 N/A <br />Urban Development (HUD) <br />10. Tax 1D # <br />11. SW V # <br />12. UBI # <br />13. DUNS # <br />91-6001349 <br />0010475-00 <br />192002673 <br />010202547 <br />14. Grant Purpose <br />Food Bank and Food Pantry Expansion with Friends in Service to Humanity (FISH -Ellensburg). A fill description of the project <br />is in Attachment "A" Scope of Work and B-&dget. <br />15. Signing Statement <br />COMMERCE, defined as the Department of Commerce, and the Grantee, as defi:aed 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 tkey 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 sacorporated by reference: Attachment "A" — Scope of Work and <br />Budget, Attachment "B" — Letter to Incur Costs, Grantee's application �br fundi2g a2d the Commmity Development Block <br />Grant policies and procedures. <br />FOR <br />FOR COMMERCE <br />by: <br />�A❑ocu5igned <br />�n3�anenasrasa <br />Lau Osi <br />119ACZ oard of Commissioners <br />Mark K. Barkley, Assistant Director <br />Kittit-arrounty <br />Local Government Division <br />3/2/2022 1 6:54 AM PST <br />Date U <br />Date <br />APPROVED AS TO FORM ONLY BY ASSISTANT <br />ATTORNEY GENERAL 07/17/2019. <br />APPROVAL ON FILE. <br />