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1 . - <br /> CONTRACT FACE SHEET <br /> Contract Number: DM11-952-011 <br /> Washington State Department of Commerce <br /> PUBLIC WORKS BOARD <br /> DRINKING WATER STATE REVOLVING FUND <br /> NEW TRADITIONAL <br /> (MUNICIPAL) <br /> 1. Contractor 0 2. Contractor Doing Business As (optional) <br /> City of Everett N/A <br /> 3200 Cedar Street <br /> Sultan, WA 98201 • <br /> 3. ContractorRepresentative 4. Public Works Board Representative <br /> N/A N/A <br /> 5. Contract Amount 6. Funding Source 7.Start Date. 8. End Date <br /> $1,066,377.00 Federal: ® State: ❑ Other: ❑ N/A: ❑. Contract Execution Date October 1, 2035 <br /> 9. Federal Funds (as applicable) Federal Agency CFDA Number <br /> EPA 661468 <br /> 10.Tax ID # 11. SWV# 12. UBl# 13. DUNS # <br /> 916001248 SWV000034800 <br /> 14. Contract Purpose.. <br /> The purpose of this Contract is to provide funding for a project of a local government that furthers the goals and <br /> objectives of the Drinking Water State Revolving Fund Loan Program. The project will be undertaken by the Contractor <br /> and will include the activities described in Attachment I: Scope of Work. <br /> The Board, defined as the Washington State Public Works Board, and Contractor acknowledge and accept the terms of <br /> this Contract and attachments and have executed this Contract on the date below to start as of the date and year last <br /> written below. The rights and obligations of both parties to this Contract are governed by this Contract and the following <br /> other documents incorporated by reference: Contractor Terms and Conditions including Attachment I: Scope of Work; <br /> Attachment II: Attorney's Certification; Attachment Ill: Federal and State Requirements; Attachment IV: Disadvantaged <br /> Business Enterprise Requirements; Attachment V: Certification Regarding Debarment, Suspension, and Other <br /> Responsibility Matters; Attachment VI: DWSRF Eligible Project Costs; and Attachment VII: Labor Standard Provisions <br /> for Subrecipients that are not Governmental Entities. <br /> FOR THE CONTRACTOR FOR PUBLIC WORKS BOARD <br /> Signature • John Lal ocque, Executive Director <br /> • <br /> Print Name Date • <br /> APPROVED AS TO FORM ONLY <br /> Title <br /> This 10th day of October, 2011 <br /> Rob McKenna <br /> Date Attorney General <br /> Signature on File <br /> Kathryn Wyatt <br /> Assistant Attorney General <br /> City of Everett Pie 1 Contract Face Sheet <br /> DM11-952-011 12/151'2011 DWSRF NT Loan Contract(Municipal) <br />