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Snohomish County Human Services <br /> 3000 Rockefeller Avenue, M/S 305 I Everett, WA 9820144s <br /> (425) 388-7200 <br /> v v Contract Number: A-18-76-04-198 Maximum Contract Amount: $23,000.00 <br /> gv Title of Project l Service: SeniorCenter Projects <br /> w <br /> Status <br /> Ov o7 Start Date: 01/01/2018 End Date: 12/31/2018 Determination: Contractor <br /> Z Agency Name: City of Everett/Carl Gipson Senior Center <br /> Z 2930 Wetmore Avenue, 10th Floor <br /> v Q Address: <br /> N ty, Zip: Everett, WA 98201 91-6001248 <br /> a Ci , State& IRS Tax No./EIN: <br /> O ix Contact Person: Bob Dvorak Unique Entity Identifier: 028786585 <br /> U p <br /> Telephone: (360)257-8780 Email Address: bdvorak@everettwa.gov <br /> Funding Authority: 2018 County Budget Ordinance: County General Revenue and 1/10th of 1% Sales Tax <br /> C7 N <br /> U <br /> o LT CFDA No. &Title: N/A <br /> U <br /> n a_ Funding Specifics: SCCO 17.080; RCW 82.14.460 <br /> Federal Agency: N/A Federal Award ID No: N/A Federal Award Date: N/A <br /> Z Program Division Contact Person Contact Email Contact Phone <br /> O Long Term Care and Aging John Peterson j.peterson@snoco.org (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 HSD-2018-101-198, maintained on file at the Human Services Department: <br /> Business Associate Agreement BAA-2018-101-198, maintained on file at the Human Services Department: <br /> Specific Terms and Conditions Attached as Exhibit A Major Incident Policy Procedures Attached as Exhibit I <br /> Statement of Work/Project Description Attached as Exhibit B Senior Center 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) Business Associate <br /> Agreement, (e) other attachments incorporated by reference,and(f)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 IS <br /> NOT DEBARRED,SUSPENDED,OR OTHERWISE EXCLUDED FROM PARTICIPATING IN FEDERALLY FUNDED PROGRAMS. <br /> FOR THE CONTR. , G ORGANIZATION: �FO SNOHO SH COUNTY: <br /> AMP/ NU Vtt-(Signatur (Date) , Mary Jane rell ujovic, Director ( ate) <br /> Ai 1' Department f man Services <br /> (Title) A�i ST. <br /> � � }IAA/ A <br /> ey City Clerk <br />