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SNOHOMISH COUNTY HUMAN SERVICES DEPARTMENT <br /> 3000 ROCKEFELLER AVE., M/S 305- EVERETT, WA 98201 <br /> (� <br /> (425) 388-7200 <br /> -; <br /> CONTRACT NUMBER: A-09-75-04-198 <br /> Contracting Organization: Contract Period: 01/01/2009— 12/31/2009 <br /> Name City of Everett/ Everett Senior Activity Center Funding Authority: County Budget Ordinance#08-119 <br /> Address: 2930 Wetmore Ave., 10th Floor Maximum Amount Awarded: <br /> Everett, WA 98201 Under This Contract: $7,500 <br /> Telephone: (425) 257-7102 <br /> Specifics of Funding: Snohomish County General <br /> Revenues <br /> Federal Catalog No.: N/A <br /> IRS Tax No. (Employer I.D.): 91-6001248 Status Determination: Vendor <br /> Title of Project/Services: Contractor Contact Person: HSD Contact Person: <br /> Senior Centers Deborah Wright, E.D. Susie Starrfield <br /> 425-247-8780 425-388-7218 <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 HSD-2006-101-198 , maintained on file at the Department of Human Services; <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 /> 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, (d)other attachments <br /> incorporated by reference,and(e)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) Kenneth Stark, Director (Date) <br /> Department of Human Services <br /> (Title) <br /> Approved as to form only <br /> ()IAA:4-c USS ct k /� J/.), <br /> Deputy Prosecuting Att rney (Date) <br /> „ �a <br /> C :� <br />