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AMENDMENT FACE SHEET <br /> Loan Number: PC13-961-008 <br /> PROJECT COMPLETION AMENDMENT X <br /> Washington State Department of Commerce <br /> PUBLIC WORKS TRUST FUND — CONSTRUCTION LOANS <br /> 1. Contractor 2. Contractor Doing Business As (optional) <br /> City Of Everett N/A <br /> 3200 Cedar Street <br /> Everett, WA 98201-4516 <br /> 3. Contractor Representative(only if updated) 4. Public Works Board Representative (only if updated) <br /> N/A N/A <br /> 5. Original Contract Amount 6. De-Obligation 7. Final Contract Amount <br /> $10,000,000.00 0.00 $10,000,000.00 <br /> 8. Amendment Funding Source 9. Amendment Start Date 10. Amendment End Date <br /> Federal: ❑ State: CEJ Other: ❑ N/A: ❑ Amendment Execution Date June 1, 2032 <br /> 11. Federal Funds (as applicable): Federal Agency: CFDA Number: <br /> N/A N/A N/A <br /> 12. Amendment Purpose: <br /> The purpose of this amendment is to certify the project completion for this Public Works Trust Fund Loan. <br /> The Board, defined as the Washington State Public Works Board and Borrower/Contractor acknowledge and accept the <br /> terms of this Agreement/Contract As Amended and attachments and have executed this Agreement/Contract <br /> Amendment on the date below to start as of the date and year referenced above. The rights and obligations of both <br /> parties to this Agreement/Contract As Amended are governed by this Agreement/Contract Amendment and the <br /> following other documents incorporated by reference: Amendment Terms and Conditions, including Attachment I: <br /> Certified Project Completion Report. A copy of this Agreement/Contract Amendment shall be attached to and made a <br /> part of the original Agreement/Contract between the Board and the Borrower/Contractor. Any reference in the original <br /> Agreement/Contract to the "Agreement"or the "Contract"shall mean the"Agreement As Amended"or"Contract As <br /> Amended," respectively. <br /> FOR THE BORROWER/CONTRACTOR FOR PUBLIC WORKS BOARD <br /> ...e4 <br /> , c=5 c /44 <br /> Si.• - Scott Hutsell, Public Works Board Chair <br /> • . ' III 1 OI / —// -7? <br /> Print Name Date <br /> f'Yl <br /> Ci/A0 <br /> Title APPROVED AS TO FORM ONLY <br /> 11P0(� This 22nd Day of March, 2013 <br /> Date Bob Ferguson <br /> Attorney General <br /> Signature on File <br /> Kathryn Wyatt <br /> Assistant Attorney General <br /> A':ROVED AS TO 7•M A EST. <br /> JAMES D.ILE ,City Attorney City Clerk <br /> City of Everett <br /> PC13-961-008 10/17/2017 Public Works Trust Fund <br />