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DocuSign Envelope ID: ElA028OD-28EB-4977-BFD7-92107FOlD2DF <br />Amendment <br />Washington State Department of Commerce <br />Housing Division <br />Homelessness Assistance Unit <br />Shelter Program Grant <br />1. Contractor <br />Kittitas County <br />205 West Fifth Avenue, Ste 108 <br />Ellensbu .g, WA 98926 <br />3. Contractor Representative (only if updated) <br />Dora Van Epps <br />Fiscal Analyst <br />509-962-7621 <br />dora.v anepps. auLco.kittitas.wa.us <br />Contract Number: 21-4610C-109 <br />Amendment Number: B <br />2. Contractor Doing Business As (optional) <br />4. COMMERCE Representative (only if updated) <br />Candace Jenkins PO Box 42525 <br />Grant Manager 1011 Plutn St SE <br />206-256-6119 Olympia, WA 98504-2525 <br />5. Original Contract Amount 6. Amendment Amount 7. New Contract Amount <br />(and any previous amendments) <br />$246,846 $45,360 $292,206 <br />S. Amendment Funding Source 9. Amendment Start Datc 10. Amendment End bate <br />Federal: State: X Other: N/A: March 1, 2023 June 30, 2023 <br />11. Federal Funds (as applicable): Federal Agency: CFDA Number: <br />12. Amendment Purpose: Adding additional funding to SPG award. <br />COMMERCE, defined as the Department of Commerce, and the Contractor, as defined above, acknowledge and accept the terns <br />of this Contract As Amended and attachments and have executed this Contract Amendment on the date below to start as of the date <br />and year referenced above. The rights and obligations of both parties to this Contract As Amended are governed by this Contract <br />Amendment and the following other documents incorporated by reference: Contractor Terms and Conditions including Attachment <br />"A" — Scope of Work, Attachment `B" — Budget and Shelter Program Grant Guidelines. A copy of this Contract Amendment shall <br />be attached to and made a part of the original Contract between COMMERCE and the Contractor. Any reference in the original <br />Contract to the "Contract" shall mean the "Contract as Amended". <br />FOR CO1jjT TOR <br />Name, 'Title V vV r" I t <br />Date <br />Department of Commerce <br />FOR COMMERCE <br />MNil,n� bv� <br />Gnr na, ri$oras, Assistant Director <br />Housing Division <br />4/11/2023 1 7:12 AM PDT <br />Date <br />APPROVED AS TO FORM ONLY <br />Sandra Adix <br />Assistant Attorney General <br />3/20/2014 <br />Date <br />