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CAG-12-074, Adden #1-16
Washington State Military Department
, AMENDMENT ,
1. APPLICANT NAME/ADDRESS: 2. GRANT NUMBER: 3. AMENDMENT NUMBER:
City of Renton D12-048 A '
1055 S.Grady Way
Renton, WA 98057-0552
4. APPLICANT CONTACT PERSON, NAME/TITLE: 5. MD STAFF CONTACT, NAME/TELEPHONE: I
Mindi Mattson/Emergency Management Gerard Urbas, (253)512-7402
Coordinator I
6. TIN or SSN: 7. CATALOG OF FEDERAL DOMESTIC ASST. 8. FUNDING SOURCE NAMElAGREEMENT#:
I (CFDA)#: 97.036 Public Assistance FEMA 4056-DR-WA ,
9. FUNDING AUTHORITY:
Washington State Military Department (Department) and Federal Emergency Management Agency
(FEMA)
10. DESCRIPTION/JUSTIFICATION OF AMENDMENT, MODIFICATION,OR CHANGE ORDER:
Under the authority of Presidential Major Disaster Declaration FEMA 4056-DR-WA, the Department
:hraugh its Public Assistance Program, is reimbursing the Applicant for those eligible costs and
activities necessary for the repair and restoration of public facilities damaged during this disaster.
Due to circumstances beyond the applicant's control,the repair and restoration to all of the damaged public
facilities have not been completed. An extension of the period of performance is allowable under grant
provisions.
11. AMENDMENT TERMS AND CONDITIONS:
I 1. Change the grant expiration date from March 5, 2016 to March 5, 2018.
No other changes are required. All other terms and conditions of the original grant and any previous
amendmerrts thereto remain in full force and effect.
IN WITNESS WHEREOF, the Department and Applicant acknowledge and accept the terms of this grant
amendment and attachments hereto and in witness whereof have executed this amendment as of the date and
yearwritten below. The rights and obligations of both parties to this grant are governed by this Grant Amendment
Face Sheet and other documents incorporated herein by reference or attached and identified in the original grant
agreement document. A copy of this grant agreement amendment shall be attached to and incorporated into
the original agreement befinreen the Department and the Applicant. Any reference in such grant agreement to
the"grant agreemenY'shall mean "grant agreement as amended."
IN WITNESS WHEREOF, the parties hereto have executed this amendment as of the date and year last written below:
FOR THE DEPARTMENT: FOR THE APPLICANT: �
� ��2076 DG�ium .�'�7/�/,�
S' nature Dafe � igriature Date
Richard A. Woodruff
Contracts Administrator print or type name: �ebnr�L,�I.e���.�a�
Washington State Military Department
BOILERPLATE APPROVED AS TO FORM: AP OVED AS T
Brian E. Buchholz (signature on file) 3/12/2010 �—
Applicant's Legal Review Date
Assistant Attorney General
Form Date: 10/27/00
City of Renton,D12-048