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CITY <br /> Snohomish County Human Services <br /> 3000 Rockefeller Avenue, M/S 305 I Everett, WA 98201A4s4*- <br /> (425) 388-7200 <br /> vco Contract Number: A-19-76-04-198 Maximum Contract Amount: $23,000.00 <br /> U <br /> 1_ v •Title of Project •/Service: Senior Center Projects <br /> Z <br /> a Status <br /> 8g5 Start Date: 01/01/2019 End Date: 12/31/2019 Determination: Contractor <br /> O Z Agency Name: City of Everett/Carl Gipson Senior Center <br /> F= � Address: 3025 Lombard Avenue <br /> U N <br /> g < City, State&Zip: Everett, WA 98201 IRS Tax No./EIN: 91-6001248 <br /> vZ Bob Dvorak 028786585 <br /> � Contact Person: Unique Entity Identifier: <br /> O <br /> Telephone: 425-257-7080 Email Address: bdvorak@everettwa.gov <br /> Funding Authority: 2019 County Budget Ordinance: County General Revenue and 1/10th of 1% Sales Tax <br /> C7 CO <br /> U <br /> o CFDA No.&Title: N/A <br /> U <br /> co Funding Specifics: SCCO 18-085, 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 Janet Gant janet.gant@snoco.org (425) 388-6381 <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 IN ORGANIZATION: FO SNOHOMISH COUNTY: <br /> di- <br /> //Oil 9 <br /> (Signature) /4 <br /> 6_,‘(6.11., <br /> t( ate � QVujovic, Director (Date) <br /> Departm t of uman Services <br /> (Title) <br /> AP•'OVED T. IRM AT T. <br /> %/ 4'.1L <br /> JAMES D.ILES,Ci ' orney <br /> City Clerk <br />