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SNOHOMISH COUNTY HUMAN SERVICES DEPARTMENT <br /> 2722 COLBY AVENUE, SUITE 104 - EVERETT, WA 98201 <br /> (425) 388-7200 <br /> CONTRACT NUMBER: A-04-75-04-198 <br /> Contracting Organization: Contract Period: 5/15/2004- 12/31/2004 <br /> Name: City of Everett Funding Authority: County Budget Ordinance#03-141 <br /> Address: 2930 Wemore Ave., 10t Floor Maximum Amount Awarded: <br /> Everett,WA 98201 Under This Contract: $7,500.00 <br /> Telephone: (425)257-7102 <br /> Specifics of Funding: Snohomish County General Revenues <br /> Federal Catalog No.: N/A <br /> IRS Tax No. (Employer I_D.): 91-6001248 Status Determination: Subrecipient <br /> Title of Project/Services: Contractor Contact Person: HSD Contact Person: <br /> Senior Center Projects Deborah M.Wright,E.D. Jerry Fireman <br /> Additional terms of this contract are set out in and governed by the following,which are incorporated herein by reference: <br /> X Basic Terms and Conditions No. HSD-2004-05- 198 , maintained on file at the Department of Human Services; <br /> ❑ General Terms and Conditions, attached as Exhibit <br /> X Specific Terms and Conditions,attached as Exhibit A <br /> X Statement of Work,attached as Exhibit B ; <br /> X Budget,attached as Exhibit C ; <br /> ❑ attached as Exhibit ; <br /> ❑ attached as Exhibit ; <br /> ❑ attached as Exhibit • <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 Addendum, (d) <br /> Basic Terms and Conditions,(e)other attachments incorporated by reference, and(f)other documents incorporated by reference. <br /> THE CONTRACTING ORGANIZATION AND SNOHOMISH COUNTY HEREBY ACKNOWLEDGE AND AGREE TO THE <br /> TERMS OF THIS CONTRACT. SIGNATURES FOR BOTH PARTIES ARE REQUIRED BELOW. BY SIGNING, THE <br /> CONTRACTOR IS CERTIFYING THAT THE AGENCY IS NOT DEBARRED, SUSPENDED, OR OTHERWISE <br /> EXCLUDED FROM PARTICIPATING IN FEDERALLY FUNDED PROGRAMS. <br /> FOR THE CONTRACTING ORGANIZATION: FOR SNOHOMISH COUNTY: <br /> (Signature) (Date) Janelle Sgrignoli (Date) <br /> Director <br /> (Title) Department of Human Services <br /> Approved as to Form Only: <br /> Deputy Prosecuting AA4mey (Date) <br /> b7 <br />