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' <br /> �� �������� <br /> ��. ������ ��� NLNL <br /> ��. .= `�~ � "�. .� `� <br /> Grant <br /> ��0*����N°��NqM�Program <br /> �� ° ~=°"� <br /> -- <br /> CONTACT <br /> If you have any questions or need technical assistance with completing the form, please contact Tyler Chism by email <br /> andinclude h be <br /> �ch�mWpevere�wa�ovanap onenum c <br /> INSTRUCTIONS <br /> This Report Form bafiUable Adobe Acrobat pDF document. Please fill out each field shown below,marked|nyellow.If the <br /> information requested is not applicable, please enter"none"in the field.Add sheets nr duplicate sections ouneceusony. Read each <br /> component in full and provide the accurate information.Prior to entering into an agreement,the City will require that you submit the <br /> attachments listed in Part 4 of the Duplication of Benefits Reporting Form on page 11. <br /> Please upload this completed pmmkexhe,'�. <br /> ---- <br /> CITALS <br /> RE This Agreement is entered into upon the basis of the following facts and circumstances: <br /> i <br /> z. City(herein referred noas"City"or"Grantor"): The City of Everett <br /> / <br /> 2. Business name(herein referred tm as <br /> "0uainesm"mr"'Gnantem"): <br /> 3. Address� `~ <br /> ' <br /> / WA <br /> ' <br /> 4, Phone: <br /> � � '�3oX— Cl&(kui <br /> 5. Contact Person: <br /> 6. DUNS Number _yS 90 <br /> 7. Title mf Program beinQFundod: Everett CARES Round 3 Small Business Grant <br /> Q. Time ofPerformance Beginning: August 1, ZO20 <br /> Ending: July 3u,zO2z <br /> 9. Amount of Agreement/Grant Award: $10,00000 <br /> zO. This Agreement/grant award and the rights and obligations of both parties hereto shall be subject to <br /> and governed by the following, incorporated by reference herein as is fully set forth: <br /> (1)Grant Budget attached hereto or Exhibit"A" <br /> (2) Expense Report he <br /> reto "B" <br /> — ' --The City has funds available,authorized by the City Council for helping businesses respond to the negative economic impact of the <br /> Coronav|rua;and <br />