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FACE SHEET <br />Contract Number: F19-31440-2## <br />Washington State Department of Commerce <br />Community Services and Housing Division <br />Office of Firearm Safety & Violence Prevention — Public Safety Unit <br />Less Than Lethal Equipment <br />1. Contractor <br /><Insert legal name> <br /><Insert mailing address> <br /><Insert physical address> <br /><Insert location> <br />2. Contractor Doing Business As (optional) <br /><Insert DBA name> <br /><Insert DBA mailing address> <br /><Insert DBA physical address> <br /><Insert DBA location> <br />3. Contractor Representative <br /><Insert name> <br /><Insert title> <br /><Insert phone> <br /><Insert FAX> <br /><Insert e-mail> <br />4. COMMERCE Representative <br />Abigail Snyder P.O. Box 42525 <br />Program Manager - Lead 1011 Plum Street SE <br />360-515-6205 Olympia, WA 98504-2525 <br />Abigail.snyder@commerce.wa.gov <br />5. Contract Amount <br /><Insert $ amount> <br />6. Funding Source <br />❑ N/A: ❑ <br />7. Start Date <br />November 15, 2021 <br />8. End Date <br />June 30. 2022 <br />Federal: /1 State: ❑ Other: <br />9. Federal Funds (as applicable) Federal Agency: CFDA Number: Indirect Rate (if applicable): <br /><Insert $ amount> Department of Justice 16.738 <Insert indirect rate> <br />10. Tax ID # <br /><Insert number> <br />11. SWV # <br /><Insert number> <br />12. UBI # <br /><Insert number> <br />13. DUNS # <br /><Insert number> <br />14. Contract Purpose <br />To provide federal funds to acquire 'Less Than Lethal' equipment. <br />15. Signing Statement <br />COMMERCE, defined as the Department of Commerce, and the Contractor, as defined above, acknowledge and accept the terms of <br />this Contract and Attachments and have executed this Contract on the date below and warrant they are authorized to bind their <br />respective agencies. The rights and obligations of both parties to this Contract are governed by this Contract and the following <br />documents hereby incorporated by reference: Attachment "A" — Scope of Work, Attachment "B" — Budget, and the Contractor's <br />application submitted in response to RFP 19-31440-1. <br />FOR CONTRACTOR <br />FOR COMMERCE <br /><insert name>, <insert title> <br />Diane Klontz, Assistant Director <br />Date <br />Date <br />APPROVED AS TO FORM ONLY BY ASSISTANT <br />ATTORNEY GENERAL 07/17/2019. <br />APPROVAL ON FILE. <br />1 <br />