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FACE SHEET <br /> Contract Number:S17-790A0-136 <br /> Washington State <br /> Community Economic Revitalization Board <br /> 1. Contractor 2.Contractor Doing Business As(optional) <br /> City of Everett N/A <br /> 2930 Wetmore Avenue Suite 10-A <br /> Everett,WA 98201 <br /> 3.Contractor Representative 4.CERB Representative <br /> Elizabeth Smith Janea Delk, CERB Program Director&Tribal Liaison <br /> Administration PO Box 42525 <br /> 425-257-7111 Olympia, WA 98504-2525 <br /> esmith@everettwa.gov <br /> 5.Grant Amount 6. Funding Source 7.Start Date 8.End Date <br /> $43,875 Federal: ❑ State: ® Other:❑ N/A: n Date of Last Two years from the <br /> Signature date of last signature <br /> 9. Federal Funds(as applicable) Federal Agency: CFDA Number <br /> N/A N/A N/A <br /> 10.Tax ID# 11.SWV# 12. UBI# 13. DUNS It <br /> 91-6001248 SWV0000348-00 <br /> 14. Contract Purpose <br /> The Board, defined as the Washington State Community Economic Revitalization Board, and the Contractor have <br /> entered into this Contract to undertake a project that furthers the goals and objectives of the Washington State <br /> Community Economic Revitalization Board as created in Chapter 43.160 Revised Code of Washington. <br /> The Board and Contractor acknowledge and accept the terms of this Contract and attachments and have executed <br /> this Contract on the date below to start as of the date and year last written below.The rights and obligations of both <br /> parties to this Contract are governed by this Contract including documents attached hereto and/or incorporated by <br /> reference: Special and General Contract Terms and Conditions; Declarations Page;ATTACHMENT A: PROJECT SCOPE <br /> OF WORK;ATTACHMENT B: BUDGET;ATTACHMENT C: PLANNING STUDY MINIMUM REQUIREMENTS. <br /> FOR CONTRAC OR FOR CERB <br /> '4* er-Z.02-^ <br /> Ray ::/�".• , a!or "� Randy Hayd ,Chair J <br /> I1-?- 2411q-- x / 2, / 8 <br /> Date Date <br /> APPROVED AS TO FORM ONLY <br /> AP ROVED S TO RM <br /> SIGNATURE ON FILE <br /> JAMES D.IL S,City Attorney Sandra Adix <br /> Assistant Attorney General <br /> ATT T. <br /> 1 i I - • September 26,2017 <br /> — City"- City Cler Date <br /> CERB Planning Contract Page 12 <br />