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Commerce Grant Amendment Face Sheet Grant Number: F19-31103-035 <br /> Amendment Number: B <br /> Washington State Department of Commerce <br /> Community Services and Housing Division <br /> Office of Crime Victims Advocacy <br /> FFY 2019 Violence Against Women STOP Grant Program <br /> 1.Grantee 2.Grantee Doing Business As(optional) <br /> Everett, City of Everett Police Department <br /> 3002 Wetmore <br /> Everett,WA 98201 <br /> 3.Grantee Representative(only if updated) 4.COMMERCE Representative(only if updated) <br /> 5.Original Grant Amount 6.Amendment Amount 7. New Grant Amount <br /> $32,170.00 $11,000.00 $43,170.00 <br /> 8.Amendment Funding Source 9.Amend. Effective Date 10. End Date <br /> Federal: o State: 0 1/1/2021 12/31/2021 <br /> Other: 0 N/A: 0 <br /> 11.Federal Funds(as applicable) Federal Agency: CFDA Indirect Rate <br /> $43,170.00 Department of Justice, OVW Number: (if applicable): <br /> 16.588 <br /> 12.SWV# 13.UBI# 14. DUNS# <br /> SWV0000348-01 313000656 608909156 <br /> 15.Amendment Purpose:To increase funds and update applicable grant terms and conditions. <br /> COMMERCE defined as the Department of Commerce,and the Grantee, as defined above,acknowledge and accept <br /> the terms of this Grant as Amended and Attachments and have executed this Grant as Amended on the date below <br /> and warrant they are authorized to bind their respective agencies. The rights and obligations of both parties to this <br /> Grant as Amended are governed by this Grant Amendment and the following other documents incorporated by <br /> reference: Grantee Terms and Conditions including Attachment A—Certification of Compliance with Federal <br /> Regulations;Attachment B—U.S. Department of Justice Certified Standard Assurances;Attachment C Certification <br /> Form-Compliance with the Equal Employment Opportunity Plan(EEOP) Requirements;Attachment D—Certification <br /> on Employment Eligibility; Unreasonable Restrictions; and Suitability to Interact with Minors;Attachment E— <br /> Restrictions and Certifications Regarding Non-Disclosure Agreements and Related Matters;Attachment F Scope of <br /> Work;Attachment G—Budget;Attachment H—Requirement for Policy for Response to workplace-related incidents of <br /> sexual misconduct, domestic violence, and dating violence;and Grantee's Application for Funding as submitted and <br /> approved by COMMERCE. A copy of this Grant Amendment shall be attached to and made a part of the original Grant <br /> between COMMERCE and the Grantee.Any reference in the original Grant to the"Grant"shall mean the"Grant as <br /> Amended." <br /> FOR GRANTEE <br /> •.., FOR COMMERCE <br /> I <br /> , < <br /> A <br /> Signature DianeKlontz Asistarit pirector <br /> I / <br /> „ <br /> tilt kil-PTIV <br /> I , I <br /> *4-• <br /> Name Date <br /> Title APPROVED AS TO FORM ONLY <br /> BY ASSISTANT ATTORNEY GENERAL <br /> ' APPROVAL ON FILE <br /> - <br /> Date <br /> ATTEST: <br /> out <br /> City Clerk <br />