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APR 1 2021 <br /> Snohomish County Human Services <br /> ►lIMN allVICE DEt'AKtM Ni ‘4N44A <br /> 3000 Rockefeller Avenue, M/S 305 I Everett, WA 98201 <br /> ,0,(tfi!YFtACTSDIV1S10N (425) 388-7200 <br /> L.) V Contract Number: HCS-21-80-04-198 Maximum Contract Amount: $82,671 <br /> vTitle of Project/ Service: Motel Shelter Program <br /> Z w Status <br /> 0U U) Start Date: 01/01/2021 End Date: 12/31/2021 Determination: Subrecipient <br /> Z Agency Name: City of Everett <br /> Z 3002 Wetmore Avenue <br /> H � Address: <br /> U <br /> gQ City, State &Zip: Everett, WA 98201 IRS Tax No./EIN: 91-6001248 <br /> O w Contact Person: Tracey Landry Unique Entity Identifier: 608909156 <br /> 0 O <br /> Telephone: 425-257-8447 Email Address: tlandry@everettwa.gov <br /> co <br /> 0Funding Authority: Snohomish County General Funds <br /> U <br /> o CFDA No. &Title: N/A <br /> U <br /> LL N Funding Specifics: N/A <br /> Federal Agency: N/A Federal Award ID No: N/A Federal Award Date:N/A <br /> Program Division Contact Person Contact Email Contact Phone <br /> O Housing and Community Services Debbi Trosvig Debbi.Trosvig@snoco.org 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 /> Approved Invoice Attached as Exhibit D <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 /> (Signature) k (Date) Mary Jane Brell Vujovic, Director (Date) <br /> I IIrf Department ofjiltrigtiri,oes <br /> (Title) <br /> !enuty City Clerk <br />