Washington State Library 11/8/2022

Revised 06/2022 Contracts Use Only OSOS Contract No: G-7470 Begin Date: Execution End Date: 11/30/2022 Contract Specialist: Bill Fieber Contract Manager: Complete blue sections, if known Budgeted Amount: $33,950.00 OSOS Contract Manager: Claire Imamura Phone: 360-704-5246 Division: WSL Desired Contract Start Date: ASAP Title (for email subject line): Reissue of Grant with new dates This changed the Period of Performance from the original 6/30/2022 to 11/30/2022. No other changes. City of Everett decided to not sign by DocuSign and long delays occurred so this is being re-submitted for hard copy signing by agreement. Vendor/Contractor Information Contract Type Organization/Agency: Everett Public Library ☐ Revenue (Accounting will invoice) Contact Person: Cassie Franklin ☐ No Financial Consideration Position: Expenditure: ☒ Federal - CFDA#: 45.310 ☐ State ☐ Private/Local ☐ Reimbursable Grant ☐ Prepaid Grant (create A19) Address: 2702 Hoyt Ave City/State/Zip: Everett, WA 98201 Phone/Fax: 425-257-7112 Email: cfranklin@everettwa.gov Expenditure Coding and Approval Final Contract Amount Fund AI Prog Index Proj SProj Phase SObj SSObj $33,950.00 001 2C0 09550 ARPA 01 Spending Authority Name: Randy Bolerjack PI Approval Signature: Date Signed: Contracts and Accounting use only Procurement Method Debarment Search Accounting: ☐ Master Contract No. ☐ At Opening of bids SWV0000348-00 ☐ Direct Buy ☐ At Award Code Review: ☒ Intergovernmental Insurance Requirements Notes for Accounting: ☐ Sole Source Process ☐ Comm. Gen’l Liability ☐ Sole Source Exemption # ☐ Employers Liability ☐ Competitive Solicitation No. ☐ Business Auto Liability ☐ Grant ☐ Other ☐ IT Contract IT Tower Code: ☐ CIO Approval ☐ CSO Approval CONTRACT COVER SHEET DocuSign Envelope ID: B205E97B-9A56-4EAC-B963-D232A56B1FAE 11/8/2022 NZ