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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 2.Contractor Doing Business As(optional) <br /> <Insert legal name> <Insert DBA name> <br /> <Insert mailing address> <Insert DBA mailing address> <br /> <Insert physical address> <Insert DBA physical address> <br /> <Insert location> <Insert DBA location> <br /> 3.Contractor Representative 4.COMMERCE Representative <br /> <Insert name> Abigail Snyder P.O.Box 42525 <br /> <Insert title> Program Manager-Lead 1011 Plum Street SE <br /> <Insert phone> 360-515-6205 Olympia,WA 98504-2525 <br /> <Insert FAX> Abigail.snyder@commerce.wa.gov <br /> <Insert e-mail> <br /> 5.Contract Amount 6.Funding Source 7.Start Date 8.End Date <br /> <Insert$amount> Federal: ® State:❑ Other: ❑ N/A: ❑ November 15,2021 June 30.2022 <br /> 9.Federal Funds(as applicable) Federal Agency: CFDA Number: Indirect Rate(if applicable): <br /> <Insert$amount> Department of Justice 16.738 <Insert indirect rate> <br /> 10.Tax ID# 11.SWV# 12.UBI# 13.DUNS# <br /> <Insert number> <Insert number> <Insert number> <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 1 9-3 1 440-1. <br /> FOR CONTRACTOR FOR COMMERCE <br /> <insert name>,<insert title> Diane Klontz,Assistant Director <br /> Date Date <br /> APPROVED AS TO FORM ONLY BY ASSISTANT <br /> ATTORNEY GENERAL 07/17/2019. <br /> APPROVAL ON FILE. <br /> 1 <br />