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44* SNOHOMISH COUNTY HUMAN SERVICES DEPARTMENT <br /> 3000 ROCKEFELLER AVENUE, M/S 305 I EVERETT, WA 98201 <br /> (425) 388-7200 <br /> CONTRACT AMENDMENT <br /> 1. Contract Number: 2. Amendment Number: 3. This Amendment herein- 4. Amount of Contract <br /> after identified as: Award as Amended: <br /> A-19-76-04-198 1 A-19-76-04-198(1) $23,000 <br /> 5. Name and Address of Contracting Organization: 6. Title of Project/Service: <br /> City of Everett/Carl Gipson Senior Center Senior Center Projects <br /> 3025 Lombard Avenue <br /> Everett, WA 98201 <br /> ❑ Subrecipient ® Contractor <br /> 7. THIS ITEM APPLIES ONLY TO BILATERAL AMENDMENTS. <br /> The Contract identified herein, including any previous amendments thereto, is hereby amended as set forth in <br /> Item 8 below by mutual consent of all parties hereto. <br /> 8. TERMS OF AMENDMENT. (Indicate the amount of an increase/decrease in contract and new beginning and <br /> ending dates, if applicable). The Contract referred to in Item 1 above is revised as follows: <br /> A. Exhibit A, Specific Terms and Conditions, is amended as follows: <br /> 1. Section I, Documents Incorporated: All references to"2019 LTCA Program Instructions" have been <br /> removed. Referenced documents and exhibits listed have been revised. <br /> 2. Section II, Reporting Requirements: The submittal of the 2019 Activities Report, Point in Time (PIT) / <br /> Client Satisfaction Annual Survey and Report and 2019 Opioid Education Plan are no longer required and <br /> have been removed from Section II. <br /> 3. Section IV: Reimbursement: Reimbursement language updated to be consistent with department <br /> requirements. <br /> B. Exhibit A, Specific Terms and Conditions, is superseded by Exhibit A-1, as attached. <br /> C. Exhibit B, Statement of Work, Section II, Minimum Service Requirements, is revised to remove references to <br /> 2019 Activity Report, 2019 Senior Center PIT/Client Satisfaction Annual Survey and 2019 Opioid Education <br /> Plan and revise language in II.B. Unduplicated Participants. <br /> D. Exhibit B, Statement of Work, is superseded by Exhibit B-1, as attached. <br /> 9. ALL OTHER TERMS AND CONDITIONS OF THE ORIGINAL CONTRACT AND ANY PREVIOUS <br /> AMENDMENTS THERETO REMAIN IN FULL FORCE AND EFFECT. <br /> FOR T E CONTRACTING ORGANIZATION: FOR SNOHOMISH COUNTY: <br /> ilprAW-4‘1-- 1 `2A----- 26 (. J/ <br /> "'•nature) r (Date) Mary Jane Brell Vujovic, Director (Date) <br /> :ulcie-fn -e-)r-- Department of Human Services <br /> (Title) <br /> ATTF5Office of the City Attorney <br /> ED AS TO FORM ',,},� Clty Clerk <br /> Davidavid C.C.Hall,City Attorney <br /> 1/. 2.4 ;If <br />