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( Vashington State Military Departme CITY
<br /> PUBLIC w3SISTANCE GRANT AGREEMENT FA,, E SHEET
<br /> 1. SUBRECIPIENT Name and Address: 2. Grant Agreement Amount: 3. Grant Number:
<br /> City of Everett To be determined, based upon
<br /> 3200 Cedar Street approved project worksheets D16-640
<br /> Everett,WA 98201-4516
<br /> 4. SUBRECIPIENT, phone/email: 5. Grant Agreement Start Date: 6. Grant Agreement End Date:
<br /> 425-257-8974/mwelborn@everettwa.gov November 12, 2015 January 15, 2020
<br /> 7. DEPARTMENT Program Manager, phone/email: 8. Data Universal Numbering System 9. UBI#(state revenue):
<br /> Gerard Urbas,(253)512-7402 (DUNS): 01248- _ �l�D0b��6
<br /> Gary.urbas@mil.wa.gov `62 a2.If 5:4p
<br /> 10. Funding Authority:
<br /> Washington State Military Department (the"DEPARTMENT"), and Federal Emergency Management Agency(FEMA)
<br /> 11. Funding Source Agreement#: 12. Program Index# 13. Catalog of Federal Domestic Asst.(CFDA) ( 14. TIN or SSN:
<br /> FEMA-4249-DR-WA 764LC(Federal)/762LE #&Title: 97.036, Public Assistance 91- 6001248
<br /> (State)/764LD(Admin)
<br /> 15. Total Federal Award Amount: N/A 1&. Federal Award Date: N/A
<br /> 17. Service Districts: 18. Service Area by County(ies): 19. Women/Minority-Owned, State
<br /> (BY LEGISLATIVE DISTRICT): 2nA Certified?: X N/A 0 NO
<br /> BY CONGRESSIONAL DISTRICT): 'lath th Snohomish County ❑ YES, OMWBE#
<br /> 20. Contract Classification: 21. Contract Type(check all that apply):
<br /> ❑ Personal Services 0 Client Services X Public/Local Gov't 0 Contract X Grant X Agreement
<br /> ❑ Research/Development 0 NE 0 Other 0 Intergovernmental (RCW 39.34) 0 Interagency
<br /> 22. Contractor Selection Process: 23. Contractor Type(check all that apply)
<br /> X "To all who apply&qualify" 0 Competitive Bidding 0 Private Organization/Individual 0 For-Profit
<br /> ❑ Sole Source 0 NE RCW 0 N/A X Public Organization/Jurisdiction X Non-Profit
<br /> ❑ Filed w/OFM? 0 Advertised? 0 YES ONO 0 VENDOR 0 SUBRECIPIENT X OTHER
<br /> 24. BRIEF DESCRIPTION:
<br /> Presidential Disaster Declaration#FEMA-4249-DR-WA-Washington Severe Storms, Straight-line Winds, Flooding, Landslides, and
<br /> Mudslides. To provide funds to the SUBRECIPIENT for the repair or restoration of damaged public facilities as approved by FEMA
<br /> in project worksheets describing eligible scopes of work and associated funding. The DEPARTMENT is the Recipient and Pass-
<br /> through Entity of the Presidential Disaster Declaration # FEMA-4249-DR-WA-Washington Severe Storms, Straight-line Winds,
<br /> Flooding, Landslides, and Mudslides and FEMA State Agreement,which are incorporated by reference, and makes a subaward of
<br /> Federal award funds to the SUBRECIPIENT pursuant to this Agreement. The SUBRECIPIENT is accountable to the DEPARTMENT
<br /> for use of Federal award funds provided under this Agreement and the associated matching funds.
<br /> IN WITNESS WHEREOF, the DEPARTMENT and SUBRECIPIENT acknowledge and accept the terms of this Agreement, references and
<br /> attachments hereto and have executed this Agreement as of the date and year written below. This Agreement Face Sheet, Special Terms
<br /> and Conditions(Attachment 1), General Terms and Conditions (Attachment 2), Project Worksheet Sample (Attachment 3),Washington State
<br /> Public Assistance Applicant Manual dated January 15, 2016 (Attachment 4), and all other documents, exhibits and attachments expressly
<br /> referenced and incorporated herein contain all the terms and conditions agreed upon by the parties and govern the rights and obligations of
<br /> the parties to this Agreement. No other understandings,oral or otherwise, regarding the subject matter of this Agreement shall be deemed to
<br /> exist or to bind any of the parties.
<br /> In the event of an inconsistency in this Agreement, unless otherwise provided herein, the inconsistency shall be resolved by giving
<br /> precedence in the following order:
<br /> 1. Applicable Federal and State Statutes and Regulations 5. Special Terms and Conditions
<br /> 2. DHS Standard Terms and Conditions 6. General Terms and Conditions, and,
<br /> 3. Presidential Declaration,FEMA State Agreement, 7. Other provisions of the contract incorporated by reference.
<br /> and other Documents
<br /> 4. St.tement of Wo k and/or Project Description as outlined in FEMA approved Project Worksheet(s)
<br /> WH .S,the parties a'ereto h.ve executed this Agreement on the day and year last specified below.
<br /> _FO-4 HE DEP. ' W NT: , Fa' THE UBR IPIENT:
<br /> ;• 901,2
<br /> Signature Date Signat Ray Stephanson, Mar
<br /> Richard A. Woodruff, Contracts Administrator print or ype name:
<br /> Washington State Military Department
<br /> BOILERPLATE APPROVED AS TO FORM: APP'OVED AS TO FOR
<br /> r
<br /> Dawn C. Cortez(signature on file 10/29/2015) ,M/f
<br /> Assistant Attorney General �.._ • CJ,C� 2
<br /> UBRECIPIENT's Attorney Date
<br /> Form 10/21/2015 HI
<br /> �/
<br /> Public Assistance Grant Agreement Page 1 of 21 � � "w be' -'1' verett, D16-640
<br /> City Clerk
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