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ED Intergovernmental Agreement Face Sheet Intergovernmental Agreement Number: F04-30304-092 <br />1.3-4/21/2004 <br />Washington State Department of Community, Trade and Economic Development <br />Community Services Division <br />Office of Crime Victims Advocacy <br />FFY 2004 STOP Formula Grant Program <br />1. Contractor <br />2. Contractor Doing Business As (optional) <br />Everett Police Department <br />3002 Wetmore Avenue <br />Everett, Washington 9820I <br />3. Contractor Representative <br />4. CTED Representative <br />Captain Terry Miller <br />Anita Granbois PO Box 48304 <br />Program Coordinator 906 Columbia Street SW <br />Phone: 425.257.8474 <br />Phone: 360.725.2892 Olympia, WA 98504-8304 <br />Fax: 425.257.6500 <br />Fax: 360.5 86.7176 --- <br />tmiller(cDci.everett_wa.us <br />anitaq(a)cted.wa.gov <br />S. Contract Amount <br />6. Funding Source7. <br />Start Date <br />8. End Date <br />$ 93,711.00 <br />Federal: M State: Other: N/A: <br />10/1/2004 <br />9/30/2005 <br />9. Federal Funds (as applicable) <br />Federal Agency <br />CFDA Number: <br />2004 -WF -AX -0041 <br />Department of Justice, OVW <br />116.588 <br />10. Tax ID# <br />11. SWV# <br />12. UBI# <br />DUNS# <br />91-6001248 <br />N/A <br />113. <br />IN/A: <br />N/A <br />14. Contract Purpose: To improve the criminal justice and community response to violence against women. <br />— DEPARTMENT and CONTRACTOR acknowledge and accept the terms of this CONTRACT and attachments and have <br />executed this CONTRACT on the date below to start as of the date and year referenced above. The rights and obligations of both <br />parties to this CONTRACT are governed by this CONTRACT and the following other documents incorporated by reference: <br />INTERGOVERNMENTAL Agreement including Attachment "A" Statement of Work; Attachment "B" Budget; and <br />CONTRACTOR'S Application for Funding, as accepted and amended by the DEPARTMENT. <br />FOR THE CONTRACTOR <br />FOR THE DEPARTMENT <br />Signature <br />Marijo Olson <br />Assistant Director <br />JAMES I. SCHARF <br />Name <br />Date <br />CHIEF OF POLICE <br />APPROVED AS TO FORM ONLY <br />Title <br />AUGUST 26, 2004 <br />Richard McCartan <br />Date <br />Assistant Attorney General <br />6/4/2004 <br />Date <br />Pagel of 9 <br />