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RECEIVED <br /> MAR 0 3 2021 Snohomish County Human Services <br /> HUMANSERVICESDEPARTMEI000 Rockefeller Avenue, M/S 305 I Everett, WA 98201 44NSNA <br /> OONTRACTSDIVISION (425) 388-7200 <br /> v v Contract Number: HCS-21-29-2101-198 Maximum Contract Amount: $1,040,149 <br /> v Title of Project/Service: Pallet Shelter Pilot <br /> w <br /> Status <br /> v Start Date: 01/01/2021 End Date: 06/30/2022 Determination: Subrecipient <br /> O Z Agency Name: City of Everett <br /> O <br /> vP. Q Address: 3002 Wetmore Avenue <br /> gN <br /> Q City, State&Zip: Everett, WA 98201 IRS Tax No./EIN: 91-6001248 <br /> z Julie Willie 608909156 <br /> O � Contact Person: Unique Entity Identifier: <br /> O <br /> Telephone: 425.257.7120 Email Address: <br /> Funding Authority: WA State Department of Commerce, RCW 82.14.460 <br /> 0 o7 <br /> o LI- CFDA No. &Title: NA <br /> U <br /> = a. Funding Specifics: Shelter Progam Grant, 1/10 of 1% Sales Tax <br /> Federal Agency: N/A Federal Award ID No:N/A Federal Award Date:N/A <br /> zProgram Division Contact Person Contact Email Contact Phone <br /> O Housing and Community Services Debbi Trosvig 425-388-7116 <br /> Additional terms of this Contract are set out in and governed by the following,which are incorporated herein by reference: <br /> Basic Terms and Conditions HSD-2018-101-198, maintained on file at the Human Services Department: <br /> Business Associate Agreement BAA-2018-101-198, maintained on file at the Human Services Department: <br /> Specific Terms and Conditions Attached as Exhibit A <br /> Statement of Work/Project Description Attached as Exhibit B <br /> Approved Contract Budget Attached as Exhibit C <br /> In the event of any inconsistency in this contract, the inconsistency shall be resolved by giving precedence in the following order: (a) <br /> appropriate provisions of state and federal law, (b)Specific Terms and Conditions, (c)Basic Terms and Conditions, (d)Business Associate <br /> Agreement, (e)other attachments incorporated by reference, and (f)other documents incorporated by reference. <br /> THE CONTRACTING ORGANIZATION IDENTIFIED ABOVE (HEREINAFTER REFERRED TO AS AGENCY), AND SNOHOMISH <br /> COUNTY (HEREINAFTER REFERRED TO AS COUNTY), HEREBY ACKNOWLEDGE AND AGREE TO THE TERMS OF THIS <br /> CONTRACT. SIGNATURES FOR BOTH PARTIES ARE REQUIRED BELOW. BY SIGNING,THE AGENCY IS CERTIFYING THAT IT IS <br /> NOT DEBARRED,SUSPENDED,OR OTHERWISE EXCLUDED FROM PARTICIPATING IN FEDERALLY FUNDED PROGRAMS. <br /> FOR THE CONTRACTING ORGANIZATION: FOR SNOHOMISH COUNTY: <br /> 1 x \I-I bs..,a--1 <br /> {` _� 2 22 / <br /> (Si at re)` - s" (Date) Mary Jane Brell Vujovic,Director (Date) <br /> t-fli U�e Department of Human Services <br /> (Title) <br /> Office of the City Attorney <br /> A i <br /> APPROVED AS TO FORM l,./�/�/. ,.�� .,_. <br /> David C.Hall,City Atorney - City Jerk <br />