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Commerce Grant Amendment Face Sheet Grant Number: F19-31103-035 <br /> Amendment Number: A <br /> Washington State Department of Commerce <br /> Community Services and Housing Division <br /> Office of Crime Victims Advocacy <br /> FFY 2019 STOP Violence Against Women Formula Grant Program <br /> 1. Grantee 2. Grantee Doing Business As (optional) <br /> Everett, City of Everett Police Department <br /> 3002 Wetmore <br /> Everett,WA 98201 <br /> 3.Grantee Representative (only if updated) 4.COMMERCE Representative(only if updated) <br /> 5. Original Grant Amount 6. Amendment Amount 7. New Grant Amount <br /> $32,170.00 $0.00 $32,170.00 <br /> 8.Amendment Funding Source 9. Amendment Effective Date 10. End Date <br /> Federal:® State:❑ Other:❑ N/A:❑ 11/1/2020 12/31/2021 <br /> 11. Federal Funds(as applicable) Awarding Official CFDA Number <br /> Department of Justice, OVW 16.588 <br /> 12. Amendment Purpose: The purpose of this amendment is to extend the grant end date through December 31, 2021. <br /> COMMERCE, defined as the Department of Commerce, and the Grantee, as defined above, acknowledge and accept the <br /> terms of this Grant As Amended and attachments and have executed this Grant Amendment on the date below to start as <br /> of the date and year referenced above. The rights and obligations of both parties to this Grant As Amended are governed <br /> by this Grant Amendment and the following other documents incorporated by reference: Grant Terms and Conditions <br /> including Attachment A—Certification of Compliance with Federal Regulations; Attachment B—U.S. Department of Justice <br /> Certified Standard Assurances;Attachment C—Certification Form-Compliance with the Equal Employment Opportunity <br /> Plan (EEOP) Requirements;Attachment D—Certification on Employment Eligibility; Unreasonable Restrictions; and <br /> Suitability to Interact with Minors; Attachment E—Restrictions and Certifications Regarding Non-Disclosure Agreements <br /> and Related Matters;Attachment F—Scope of Work;Attachment G—Budget; and Grantee's Application for Funding as <br /> submitted and approved by COMMERCE. <br /> FOR THE GRANTEE-- FOR THE DEPARTMENT <br /> Signature Diane Klontz, As-*-At Director <br /> Name j/ (1 /2/0-n <br /> Date <br /> >�t r ,�T t•YL_ <br /> Title <br /> APPROVED AS TO FORM ONLY <br /> BY ASSISTANT ATTORNEY GENERAL <br /> Date % APPROVAL ON FILE <br /> office of the City Attorney <br /> Z — APPROVED AS TO FORM <br /> �S David C.Hall,Cory Attorney <br />