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q <br /> A4sli444k <br /> SNOHOMISH COUNTY HUMAN SERVICES DEPARTMENT <br /> 3000 ROCKEFELLER AVENUE, M/S 305 I EVERETT, WA 98201 <br /> (425) 388-7200 <br /> CONTRACT SPECIFICS; <br /> Contract Number: A-17-76-04-198 Title of Project/Services: Senior Center Projects <br /> Maximum Contract Amount: Start Date: End Date: Status Determination: <br /> $23,000.00 01/01/2017 12/31/2017 ❑ Subrecipient 0 Contractor <br /> CONTRACTING ORGANIZATION: <br /> City of Everett/Carl Gipson Senior <br /> Name: Center Unique Entity Identifier: 028786585 <br /> Address: 2930 Wetmore Avenue, 10th Floor Contact Person: Bob Dvorak <br /> City/State/Zip: Everett,WA 98201 Telephone: (360)257-8780 <br /> IRS Tax No.\EIN: 91-6001248 Email Address: bdvorak@everettwa.gov <br /> FUNDING: <br /> County General Fund; 1/10th of <br /> Funding Authority: 1%Sales Tax Funds Funding Specifics: SCCO 16-097; RCW 82.14.460 <br /> Federal Agency: N/A CFDA No. &Title: N/A <br /> Federal Award ID No: N/A Federal Award Date: N/A <br /> County Program Division: County Contact Person: Contact Phone Number: <br /> Long Term Care&Aging John Peterson 425-388-7307 <br /> Additional terms of this Contract are set out in and governed by the following,which are incorporated herein by reference: <br /> Basic Terms and Conditions Agreement HSD-2015-101-198,maintained on file at the Human Services Department: <br /> Specific Terms and Conditions Attached as Exhibit A Major Incident Policy Procedure Attached as Exhibit 1 <br /> Regional Senior Center <br /> Statement of Work Attached as Exhibit B Standards Attached as Exhibit M <br /> Approved Contract Budget Attached as Exhibit C <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 IDENTIFIED ABOVE (HEREINAFTER REFERRED TO AS AGENCY), AND SNOHOMISH <br /> COUNTY (HEREINAFTER REFERRED TO AS COUNTY), HEREBY ACKNOWLEDGE AND AGREE TO THE TERMS OF THIS <br /> CONTRACT. SIGNATURES FOR BOTH PARTIES ARE REQUIRED BELOW. BY SIGNING,THE AGENCY IS CERTIFYING THAT IT <br /> IS NOT DEBARRED,SUSPENDED,OR OTHERWISE EXCLUDED FROM PARTICIPATING IN FEDERALLY FUNDED PROGRAMS. <br /> FOR THE CONTRACTING ORGANIZATION: FOR SNOHOMISH COUNTY: <br /> (Signature) (Date) Mary Jane Brell Vujovic, Director (Date) <br /> Department of Human Services <br /> (Title) <br /> 40 <br />