23-137.01FamilyPromiseAffordableHousingHomelessGrantsDocuSign Envelope ID: 6AB688C3-8096-480B-8C07-7047A19ACB26
AMENDMENT TO THE GRANT AGREEMENT BETWEEN THE CITY OF SPOKANE
VALLEY AND FAMILY PROMISE OF SPOKANE
Spokane Valley Contract #23.137.01
For good and valuable consideration, the legal sufficiency of which is hereby acknowledged, City and the
Grant Recipient mutually agree as follows:
1. Purpose: This Amendment is for the Grant Agreement for homeless services including the Valley FLASH
(Fast -Leasing & Sustainable Housing) Program and capital improvements to the Family Promise's Valley
House, by and between the Parties, executed by the Parties on August 17, 2023, and which terminates on
December 31, 2024. Said contract is referred to as the "Original Grant Agreement" and its terms are hereby
incorporated by reference.
2. Original Grant Agreement Provisions: The Parties agree to continue to abide by those terms and
conditions of the Original Grant Agreement and any amendments thereto which are not specifically
modified by this Amendment.
3. Amendment Provisions: This Amendment is subject to the following amended provisions, which are
attached hereto as Appendix "A". All such amended provisions are hereby incorporated by reference herein
and shall control over any conflicting provisions of the Original Grant Agreement, including any previous
amendments thereto.
4. Compensation Amendment History: This is Amendment 41 of the Original Contract. The history of
amendments to the compensation on the Original Contract and all amendments is as follows:
DatelO/27/2023 Award Amount
Original Contract Amount August 17, 2023 $1,095,078
Amendment # 1 To be executed N/A
Total Award Amount $1,095,078
The parties have executed this Amendment to the Original Contract this Sr day of
2023.
CITY OF SPOKANE VALLEY:
ohn I-Iohnran
City Manager
APPROVED AS TO FORM:
fft the City oi•�ie
GRANT RECIPIENT:
7uSigned-
by:
C9CDA22190AE4A
By: Joe Ader
Its: Executive Director
DocuSign Envelope ID: 6AB688C3-8096-480B-8C07-7047A19ACB26
APPENDIX "A"
Exhibit B of the Original Grant Agreement is removed and replaced with "Exhibit B-1" which is attached to this
Appendix A, and incorporated hereirt by this reference. Fuitlicr, any reference to Exhibit B ui the Original Grant
Agreement shall mean "Exhibit B-1".
The Parties agree to continue to abide by those terms slid conditions of the Original Grant Agieetnent and any
amendments thereto which are not specifically modified by this Amendment.
2
Exhibit B-1- Proiect Budget
Exhibit B-1
Spokane Valley ARPA
I Other Funding:
Category
& Wages
Total Project
FCS
Budget Grant
449,100 (20,000)
Shelter Fees
(44,235)
Spokane
...
. Homeless
Grant Budget
384,865
Telephone / Internet
4,200 -
(410)
3,790
Utilities
9,465
-
(1,030)
8,435
Program Supplies (incl. Food)
7,600
-
(800)
6,800
Direct Client Assistance
598,951
-
(60,190)
538,761
Office Supplies
1,500
-
(60)
1,440
R&M
4,000
-
(390)
3,610
Transportation
4,452
-
(190)
4,262
Start -Up
13,730
-
(1,230)
12,500
Administration
60,695
-
(5,080)
55,615
Total Program Operations
1,153,693
(20,000)
(113,615)
1,020,078
Capital Improvements
75,000
-
-
75,000
Grand Total
1,528,693
(20,000)
(113,615)
1,095,078
Spokane Valley FLASH
Cunomor 0670
. o
O
O
C
(n
t0
J x 7
•
ToAI Pmfed
IS 449moo 5
a 0MOD
S M465.00 5
8100W 5
77.00 1
600.0o s
4.000.00 s
L952.00 S
12.SM 00 i S
1D0no S
s 61S.00
154A39A0 S
75 00 5
1 039.00
Other Fundln :WSAC
S 20 OOOAO S
- S - S
- S
- S
. S
- 5
S
. S
- S
. 5
0000.00 S
- S
000.00
Other Funding: FSC Sho1w
S 44,235.W S
410. 5 1.030.00 S
BW.DO S
60 Q S
60.00 S
390.00 S
290.W $
.00 5
10.001 S
080.00
S
- S
M13,62S.001
Pro -Rota Adf to Award Total
130. S
- S
w $
186.00 $
5
$
S
$
120-M $
.625.W
(336.m S
$
336.00
OperaOperatkV Con Adun—t:2023-10
5 - S
1000.00 $
.GoS
3040.W
MOO 5
- S
2=.00 S
3 30.00 S
90.00) S
- S
- S
- S
Admrn Cost Adjustmem: 2023.10
$ S
- S S
S
9.100.00) 5
5
S
S
S
9100A0 S
5
$
I MK Gnlrt
.:,�.
S S `.'.
jm
-
76LW $
--:.-7p40A0
S
- ,262A0. $
_.: izsm0o .S
,,-..
,... 655A0..
OO
000A0O78A0-
Admin Cost S SS.61S.00
Taal Budget 5 1,095,078.00
Les: Direct Assistance 5 538.76L00
Admh Cost Banc $ SS6.317.00
Admin hate 10.00%
S 44OA00M S 4,2W.D0 S 9.46S.00 $ 7.600.0D 5 S98.9SL00 5 1.500A0 S 4.000.D0 5 4.452.00 5 13,730.00 S
m
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N
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00
00
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co
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O
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00
O�I7
10.00 S 60.69S.00 5 1,153,703.00 5 7S.000.W S 1.228.703A0 T
co
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Client#: 194462
FAMIPROM
23- iM. Ob
ACORD. CERTIFICATE OF LIABILITY INSURANCE
FATE (MMIDDIYYYY)
1 9/25/2023
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED
REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed.
If SUBROGATION IS WANED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on
this certificate does not confer any rights to the certificate holder in lieu of such endorsement(s).
PRODUCER
Propel Insurance
1201 Pacific Avenue; Suite 1000
NA Kylee Tongue
PHONE g00 499-0933
Ext • AIc, Ne : 866 577-1326
-NNE
ADDRESS: kylee.tongue@propelinsurance.com
COM Construction
Tacoma, WA 98402-4321
INSURER(S) AFFORDING COVERAGE
NAIC a
INSURER A: Church Mutual Insurance Company
18767
INsuREo
Family Promise of Spokane
2002 E Mission Avenue
INSURER B :
_
INSURER C
Spokane, WA 99202
INSURER D:
INSURER E :
INSURER F :
COVERAGES CERTIFICATE NUMBER: REVISION NUMBER:
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
INSR
LTR
TYPE OF INSURANCE
ADDL
INSR
UBR
NND
POLICY NUMBER
POLICY EFF
MMMD/YWY
POLICY EXP
MMIDD
LIMITS
A
X
_ _
COMMERCIAL GENERAL LIABILITY
CLAIMS -MADE OCCUR
041801902643290
D911212023
09/12/202
EEAAC,IH�OECCCURRENCE
s2 000,000
$1 000,000
PREMISES EaEr uEnance
MED EXP (Any one person)
$ 5,000
GEN'L
X
PERSONAL & ADV INJURY
s2,000,000
AGGREGATE LIMIT APPLIES PER:
POLICY I I JECT LOC
—
OTHER:
GENERAL AGGREGATE , s5,000,000
PRODUCTS - COMP/OP AGG
s 2,000,000
$
A
AUTOMOBILE
X
X
Xcomp
LIABILITY
ANY AUTO
OWNED SCHEDULED
AUTOS ONLY AUTOS
HIRED NON -OWNED
AUTOS ONLY
AUTOS ONLY jxx
-1000 Coll -1000
041801909643293
9/12/2023
09/12/2024
COMBINED SINGLE LIMITccident
Ea a
1,000,000
BODILY INJURY (Per person)
$
BODILY INJURY (Per accident)
$
PROPERTY DAMAGE
Per acci ont
$
$
A
X
UMBRELLA LIAB
EXCESS LIAR
X OCCUR
CLAIMS -MADE
041801981643294
9/12/2023
09/12/202
EACH OCCURRENCE_ _
AGGREGATE
$5 000 000
s5,000,000
DEC) X RETENTION $1 O 000
_
PEROTH-
$
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY Y / N
ANY PROPRIETOR/PARTNER/EXECUTIVE
OFFICERIMEMBER EXCLUDED?
(Mandatory in NH)
If yes, describe under
DESCRIPTION OF OPERATIONS below
N / A
_ _
041801902643290
_
9/12/2023 09112/202
1
E.L. EACH ACCIDENT
$
E.L. DISEASE - EA EMPLOYEE
s
E.L. DISEASE - POLICY LIMIT
s
A
Professional Liab
L
Each Claim - $2,000,000
Aggregate - $5,000,000
I
-- .1 --
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space Is required)
RE: Valley FLASH (Fast -Learning & Sustainable Housing) Program
Additional Insured Status applies per attached form(s).
The City of Spokane Valley
10210 East Sprague Avenue
Spokane Valley, WA 99206
ACORD 25 (2016103) 1 Of 1
#S6173045/M6173024
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
AUTHORIZED REPRESENTATIVE
�11/a •M& Alw
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