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Home My WebLink AboutBayside Housing and Services, Amendment No. 3 re: Fairgrounds Meal Services; $27,9474 ( ins ex 12-31-21) 070621 ,7vi Tatra di 1-(0 cc .kV* 3 j is AMENDMENT No. 3 TO THE GRANTEE AGREEMENT WITH BAYSIDE HOUSING AND SERVICES FOR MEAL SERVICES FOR CERTAIN TEMPORARY RESIDENTS HOUSED AT THE JEFFERSON COUNTY FAIRGROUNDS e- This Grantee Agreement Amendment ("Amendment") is by and between Jefferson County, a Washington political subdivision("County") and Bayside Housing and Services, ("Grantee"). WHEREAS, on December 21, 2020, the Jefferson County Board of Commissioners approved a grant to Bayside Housing and Services for meal services for certain temporary residents housed at the Jefferson County Fairgrounds; and WHEREAS, the grant was funded in the amount of$15,200; and `N WHEREAS, the grant amount was subsequently increased to $30,000 by Amendment; and WHEREAS, the grant was further increased by$26,350 and the term extended through June 30, 2021, and WHEREAS, the need for these services will continue at least until September 30, 2021; and WHEREAS, the county has funds available for an increase to the grant amount; WHEREAS, the Parties want to amend the Grantee Agreement entered into between them; NOW, THEREFORE, the Parties agree to further amend the amended grant agreement, as follows: Paragraph 1. Paragraph 1., which now reads: 1. Effective Date and Term. This Agreement shall commence on when last executed by the parties and remain in effect until June 30, 2021, unless terminated earlier by the County in writing. Eligible expenses incurred prior to contract execution but not prior to November 1, 2020 are hereby ratified. is amended to read: 2. Effective Date and Term. This Agreement shall commence on when last executed by the parties and remain in effect until September 30, 2021, unless terminated earlier by the County in writing. Eligible expenses incurred prior to contract execution but not prior to November 1, 2020 are hereby ratified. Paragraph 2. Paragraph 2.,which now reads: 1 Grant Amount and Grantee's Use of Grant Funds. The Grantee shall ensure that the any funds expended are eligible in accordance with the terms of the grant, to include the grant Scope of Work. The Grant amount is $56,350. is amended to read: Grant Amount and Grantee's Use of Grant Funds. The Grantee shall ensure that the any funds expended are eligible in accordance with the terms of the grant, to include the grant Scope of Work. The Grant amount is $84,297. An amended scope of work is attached to this amendment as Attachment A. 2 RN ATTACHMENT A- SCOPE OF WORK The Board of County Commissioners is authorizing up to$84,297 to reimburse Bayside Housing and Services ("Grantee") costs and expenditures related to providing one daily nutritionally balanced meal (dinner) for eligible recipients housed temporarily at the Jefferson County Fairgrounds. These funds are available until September 30, 2021. The Grantee will be responsible for providing documentation and other proof of payment of eligible costs directly related to providing one daily nutritionally balanced meal for eligible recipients housed temporarily at the Jefferson County Fairgrounds. Eligible Costs and Expenditures Costs eligible for reimbursement under this grant must be invoiced and fully documented by the Grantee. The Grantee may submit invoices to the County once per month for eligible expenditures on the project. The Grantee will submit invoices and appropriate supporting documentation such as payroll records, canceled checks, records of supplies orders, payments or other documentation of eligible expenditures. Upon review and approval of each submitted invoice by the County, payment will be made to the Grantee using the County's normal bill paying process and cycle. Funds are available to reimburse eligible costs incurred between November 1, 2020 through September 30, 2021. The Grantee MAY NOT use the funding for any activity or cost not directly related to providing one nutritionally balanced meal (dinner) to eligible recipients temporarily housed at the Jefferson County Fairgrounds: Program Funding and Award Amount The County shall make available$56,350 to reimburse Bayside Housing and Services("Grantee") costs and expenditures related to providing one nutritionally balanced meal (dinner) for eligible recipients housed temporarily at the Jefferson County Fairgrounds. The Grantee will use these funds to providing one daily nutritionally balanced meal (dinner) for eligible recipients housed temporarily at the Jefferson County Fairgrounds. (SIGNATURES FOLLOW ON NEXT PAGE) 3 FOR Bayside Housing and Services: Name and Signature y.�X- C—��t e� '�e �o FWt�vt�- mot,i-O r 1 /lZ ( 21 Date FOR JEFFERSON COUNTY: Kate Dean, Chair Board of County Commissioners 747/a/ Date APPROVED AS TO FORM ONLY: Philip C. Hunsucker, Chief Civil Deputy Prosecuting Attorney July 1, 2021 Date Attest: �? cl421 C 7 ( ; CarolynlGallaway Date Clerk to the Board 4 NM ALLIANCE OF ❑ NONPROFITS FOR ALLIANCE OF NONPROFITS FOR INSURANCE RISK RETENTION GROUP(ANI) 1111111 INSURANCE www.insurancefornonprofits.org A Head for Insurance.A Heart for Nonprofits. COMMERCIAL LINES COMMON POLICY DECLARATIONS PRODUCER: POLICY NUMBER: 2020-42793 RSC Insurance Brokerage, Inc RENEWAL OF NUMBER: 2019-42793 160 Federal St Boston, MA 02110 NAME OF INSURED AND MAILING ADDRESS: Bayside Housing &Services P.O. Box 927 Port Hadlock, WA 98339 POLICY PERIOD: FROM 12/02/2020 TO 12/02/2021 AT 12:01 A.M.STANDARD TIME AT YOUR MAILING ADDRESS SHOWN ABOVE BUSINESS DESCRIPTION: Emergency housing for those in need IN RETURN FOR THE PAYMENT OF THE PREMIUM, AND SUBJECT TO ALL THE TERMS OF THIS POLICY, WE AGREE WITH YOU TO PROVIDE THE COVERAGE AS STATED IN THIS POLICY. THIS POLICY CONSISTS OF THE FOLLOWING COVERAGE PARTS FOR WHICH A PREMIUM IS INDICATED.THESE PREMIUMS MAY BE SUBJECT TO ADJUSTMENT. PREMIUM COMMERCIAL GENERAL LIABILITY COVERAGE PART-OCCURRENCE $2,090 COMMERCIAL AUTO LIABILITY COVERAGE PART $250 IMPROPER SEXUAL CONDUCT AND PHYSICAL ABUSE COVERAGE PART $1,853 SOCIAL SERVICE PROFESSIONAL COVERAGE PART $690 COMMERCIAL LIQUOR LIABILITY COVERAGE PART INCLUDED TERRORISM COVERAGE (Certified Acts) Not Covered TOTAL: $4,883 FORM(S)AND ENDORSEMENT(S)MADE A PART OF THIS POLICY AT TIME OF ISSUE:* ANI-E003 GL 08 20, ANI-E069 GL 02 19, ANI-E078 12 18, ANI-E120 09 19, ANI-E123 09 19, ANI-RRG-AL 04 01, ANI-RRG-E11 GL 09 19, ANI-RRG-E15 09 20, ANI-RRG-E22 09 19, ANI-RRG-E25 12 15, ANI-RRG-E26 11 17, ANI-RRG-E27 GL 02 17, ANI-RRG-E28 01 99, ANI-RRG-E29 12 09, ANI-RRG-E33 GL 09 19, ANI-RRG-E34 09 18, ANI-RRG-E42 GL 09 19, ANI-RRG-E44 04 07, ANI-RRG-E5 07 15, ANI-RRG-E56 01 17, ANI-RRG-E59 02 12, ANI-RRG-E60 07 12, ANI-RRG-E61 02 19, ANI-RRG-E67 08 17, ANI-RRG-E70 03 19, ANI-RRG-E72 01 17, ANI-RRG-E74 03 14, ANI-RRG-GL 04 01, ANI-RRG-LL 04 01, ANI-RRG-NPO-001 05 20, ANI-RRG-SC 04 01, ANI-RRG-X1 06 18, CG 00 01 04 13, CG 00 33 04 13, CG 01 81 05 08, CG 20 10 04 13, CG 20 12 04 13, CG 20 18 04 13, CG 20 20 11 85, CG 20 21 07 98, CG 20 26 04 13, CG 20 34 04 13, CG 20 37 04 13, CG 21 09 06 15, CG 21 47 12 07, CG 21 73 01 15, CG 21 96 03 05, CG 24 07 01 96, CG 28 99 01 96, IL 00 17 11 98, IL 01 46 08 10, IL 01 98 09 08, SCHEDULE BA 01 80, SCHEDULE G 01 80, SCHEDULE L 01 80 *Omits applicable forms and endorsement if shown in specific coverage part/coverage form declarations. These declarations and the common policy declarations,if applicable,together with the common policy conditions,coverage form(s)and forms and endorsements,if any,issued to form a part thereof,complete the above numbered policy. "NOTICE This policy is issued by your risk retention group.Your risk a e AQ . retention group may not be subject to all of the insurance laws BY r and regulations of your State. State insurance insolvency (AUTHORIZED REPRESENTATIVE) guaranty funds are not available for your risk retention group." 11/05/2020 ANI-RRG-CO ALLIANCE OF ❑ NONPROFITS FOR ALLIANCE OF NONPROFITS FOR INSURANCE INSURANCE RISK RETENTION GROUP(ANI) www.insurancefornonprofits.org A Head for Insurance.A Heart for Nonprofits. COMMERCIAL GENERAL LIABILITY COVERAGE PART DECLARATIONS PRODUCER: POLICY NUMBER: 2020-42793 RSC Insurance Brokerage, Inc 160 Federal St RENEWAL OF NUMBER: 2019-42793 Floor 4 Boston, MA 02110 NAME OF INSURED AND MAILING ADDRESS: Bayside Housing &Services P.O. Box 927 Port Hadlock, WA 98339 POLICY PERIOD: FROM 12/02/2020 TO 12/02/2021 AT 12:01 A.M. STANDARD TIME AT YOUR MAILING ADDRESS SHOWN ABOVE BUSINESS DESCRIPTION: Emergency housing for those in need IN RETURN FOR THE PAYMENT OF THE PREMIUM, AND SUBJECT TO ALL THE TERMS OF THIS POLICY, WE AGREE WITH YOU TO PROVIDE THE COVERAGE AS STATED IN THIS POLICY. LIMITS OF COVERAGE: GENERAL AGGREGATE LIMIT(OTHER THAN PRODUCTS-COMPLETED OPERATIONS) $2,000,000 PRODUCTS - COMPLETED OPERATIONS AGGREGATE LIMIT $2,000,000 PERSONAL AND ADVERTISING INJURY LIMIT $1,000,000 EACH OCCURRENCE LIMIT $1,000,000 DAMAGE TO PREMISES RENTED TO YOU $500,000any one premises MEDICAL EXPENSE LIMIT $20,000any one person ADDITIONAL COVERAGES: PREMIUM $2,780 FORMS AND ENDORSEMENTS APPLICABLE TO THIS POLICY ARE INCLUDED IN COMMERCIAL LINES COMMMON POLICY DECLARATIONS 11/05/2020 BY (AUTHORIZED REPRESENTATIVE) THESE DECLARATIONS AND THE COMMON POLICY DECLARATIONS,IF APPLICABLE,TOGETHER WITH THE COMMON POLICY CONDITIONS,COVERAGE FORM(S) AND FORMS AND ENDORSEMENTS,IF ANY,ISSUED TO FORM A PART THEREOF,COMPLETE THE ABOVE NUMBERED POLICY. "NOTICE : This Policy is issued by your risk retention group.Your risk retention group may not be subject to all the insurance laws and regulations of your State. State insurance insolvency guaranty funds are not available for your risk retention group." ANI-RRG-GL ALLIANCE OF ❑ NONPROFITS FOR ALLIANCE OF NONPROFITS FOR INSURANCE INSURANCE RISK RETENTION GROUP(ANI) www.insurancefomonprofits.org A Head for Insurance.A Heart for Nonprofits. COMMERCIAL GENERAL LIABILITY EXTENSION OF DECLARATIONS Schedule G POLICY NUMBER: 2020-42793 Page 1 NAME OF INSURED: Bayside Housing &Services PREMISES *LOC PREMIUM RATE *ADVANCED CODE/CLASS BASIS PREMIUM 47474/Schools-trade or vocational- includes products 1 20 8.168 $164 and/or completed operations 60015/Apartment Hotels less than 4 stories 1 35 53.337 $1,867 ADDITIONAL COVERAGES Event# #of people Description 1 24 October Community Build, Assemble Tiny Incl. home/tents Increased Aggregate $59 *See Common Declarations for Total Advanced Premium and Schedule'L'for locations. 11/5/2020 BY ems.. (AUTHORIZED REPRESENTATIVE) "NOTICE : This Policy is issued by your risk retention group.Your risk retention group may not be subject to all the insurance laws and regulations of your State. State insurance insolvency guaranty funds are not available for your risk retention group." ANI - RRG -SCHEDULE G ALLIANCE OF Mk!" NONPROFITS FOR ALLIANCE OF NONPROFITS FOR INSURANCE INSURANCE RISK RETENTION GROUP(ANI) www.insurancefomonprofits.org A Head for Insurance.A Heart for Nonprofits. COMMERCIAL GENERAL LIABILITY EXTENSION OF DECLARATIONS Schedule L POLICY NUMBER: 2020-42793 Page 1 NAME OF INSURED: Bayside Housing &Services PREMISES DESIGNATED PREMISES ADDITIONAL INSUREDS LOC/BLDG ADDRESS. CITY. STATE. ZIP AND OTHER INTERESTS 1 310 Hadlock Bay Rd Port Hadlock, WA 98339 ALL LOCATIONS ADDITIONAL INSURED -CG 20 12 Jefferson County and its elected officials, officers and employees PO Box 1220 Port Townsend, WA 98368 ONLY AS RESPECTS TO Grant Agreement- Affordable Housing/Homelessness Services e AQ • 11/05/2020 BY (AUTHORIZED REPRESENTATIVE) "NOTICE : This Policy is issued by your risk retention group.Your risk retention group may not be subject to all the insurance laws and regulations of your State. State insurance insolvency guaranty funds are not available for your risk retention group." ANI-RRG -SCHEDULE L ALLIANCE OF ❑ NONPROFITS FOR ALLIANCE OF NONPROFITS FOR INSURANCE RISK RETENTION GROUP(ANI) INSURANCE www.insurancefomonprofits.org A Head for Insurance.A Heart for Nonprofits. IMPROPER SEXUAL CONDUCT AND PHYSICAL ABUSE LIABILITY COVERAGE PART DECLARATIONS PRODUCER: POLICY NUMBER: 2020-42793 RSC Insurance Brokerage, Inc RENEWAL OF NUMBER: 2019-42793 160 Federal St Boston, MA 02110 NAME OF INSURED AND MAILING ADDRESS: Bayside Housing &Services P.O. Box 927 Port Hadlock, WA 98339 POLICY PERIOD: FROM 12/2/2020 TO 12/2/2021 AT 12:01 A.M.STANDARD TIME AT YOUR MAILING ADDRESS SHOWN ABOVE BUSINESS DESCRIPTION: Emergency housing for those in need IN RETURN FOR THE PAYMENT OF THE PREMIUM, AND SUBJECT TO ALL THE TERMS OF THIS POLICY, WE AGREE WITH YOU TO PROVIDE THE COVERAGE AS STATED IN THIS POLICY. LIMITS OF COVERAGE: PREMIUM GENERAL AGGREGATE LIMIT $1,000,000 $1,853 EACH CLAIM LIMIT $1,000,000 NOTE:The limit of liability available to pay judgements or settlements shall be reduced by amounts incurred for Defense Costs. TOTAL PREMIUM: $1,853 FORMS AND ENDORSEMENTS APPLICABLE TO THIS COVERAGE PART AND MADE PART OF THIS POLICY AT THE TIME OF ISSUANCE: ANI-E069 ISC 02 19, ANI-E131 ISC 05 20, ANI-RRG-E27 ISC 01 17, ANI-RRG-E57 02 12, ANI-RRG-ISCET 05 20 • 11/5/2020 BY e (AUTHORIZED REPRESENTATIVE) THESE DECLARATIONS AND THE COMMON POLICY DECLARATIONS,IF APPLICABLE,TOGETHER WITH THE COMMON POLICY CONDITIONS,COVERAGE FORM(S)AND FORMS AND ENDORSEMENTS,IF ANY,ISSUED TO FORM A PART THEREOF,COMPLETE THE ABOVE NUMBERED POLICY. "NOTICE : This Policy is issued by your risk retention group.Your risk retention group may not be subject to all the insurance laws and regulations of your State. State insurance insolvency guaranty funds are not available for your risk retention group." ANI-RRG-ISC ALLIANCE OF ❑ NONPROFITS FOR ALLIANCE OF NONPROFITS FOR INSURANCE RISK RETENTION GROUP(ANI) IIIII INSURANCE www.insurancefomonprofits.org A Head for Insurance.A Heart for Nonprofits. SOCIAL SERVICE PROFESSIONAL COVERAGE FORM DECLARATIONS PRODUCER: POLICY NUMBER: 2020-42793 RSC Insurance Brokerage, Inc RENEWAL OF NUMBER: 2019-42793 160 Federal St Boston, MA 02110 NAME OF INSURED AND MAILING ADDRESS: Bayside Housing &Services P.O. Box 927 Port Hadlock, WA 98339 POLICY PERIOD: FROM 12/2/2020 TO 12/2/2021 AT 12:01 A.M.STANDARD TIME AT YOUR MAILING ADDRESS SHOWN ABOVE BUSINESS DESCRIPTION: Emergency housing for those in need IN RETURN FOR THE PAYMENT OF THE PREMIUM, AND SUBJECT TO ALL THE TERMS OF THIS POLICY, WE AGREE WITH YOU TO PROVIDE THE COVERAGE AS STATED IN THIS POLICY. LIMITS OF COVERAGE: PREMIUM SOCIAL SERVICE PROFESSIONAL AGGREGATE LIMIT $2,000,000 $690 SOCIAL SERVICE PROFESSIONAL EACH EVENT LIMIT $1,000,000 TOTAL PREMIUM: $690 FORMS AND ENDORSEMENTS APPLICABLE TO THIS COVERAGE PART AND MADE PART OF THIS POLICY AT THE TIME OF ISSUANCE: ANI-E069 SSP 02 19, ANI-E125 11 19, ANI-RRG-E02 01 17, ANI-RRG-E11 SSP 09 19, ANI-RRG-E27 SSP 01 17, ANI-RRG-E32 01 17, ANI-RRG-E33 SSP 09 19, ANI-RRG-E42 SSP 09 19 e /0• COUNTERSIGNED: BY (AUTHORIZED REPRESENTATIVE) THESE DECLARATIONS AND THE COMMON POLICY DECLARATIONS,IF APPLICABLE,TOGETHER WITH THE COMMON POLICY CONDITIONS,COVERAGE FORM(S)AND FORMS AND ENDORSEMENTS,IF ANY,ISSUED TO FORM A PART THEREOF,COMPLETE THE ABOVE NUMBERED POLICY. "NOTICE : This Policy is issued by your risk retention group.Your risk retention group may not be subject to all the insurance laws and regulations of your State. State insurance insolvency guaranty funds are not available for your risk retention group." ANI-RRG-SSP ALLIANCE OF ❑ NONPROFITS FOR ALLIANCE OF NONPROFITS FOR INSURANCE 111 INSURANCE RISK RETENTION GROUP(ANI) www.insurancefornonprofits.org A Head for Insurance.A Heart for Nonprofits. COMMERCIAL LIQUOR LIABILITY COVERAGE PART DECLARATIONS PRODUCER: POLICY NUMBER: 2020-42793 RSC Insurance Brokerage, Inc RENEWAL OF NUMBER: 2019-42793 160 Federal St Boston, MA 02110 NAME OF INSURED AND MAILING ADDRESS: Bayside Housing & Services P.O. Box 927 Port Hadlock, WA 98339 POLICY PERIOD: FROM 12/2/2020 TO 12/2/2021 AT 12:01 A.M.STANDARD TIME AT YOUR MAILING ADDRESS SHOWN ABOVE BUSINESS DESCRIPTION: Emergency housing for those in need IN RETURN FOR THE PAYMENT OF THE PREMIUM, AND SUBJECT TO ALL THE TERMS OF THIS POLICY, WE AGREE WITH YOU TO PROVIDE THE COVERAGE AS STATED IN THIS POLICY. LIMITS OF COVERAGE: GENERAL AGGREGATE LIMIT $ 1,000,000 EACH COMMON CAUSE LIMIT $ 1,000,000 PREMIUM: Included FORMS AND ENDORSEMENTS APPLICABLE TO THIS COVERAGE PART AND MADE PART OF THIS POLICY AT THE TIME OF ISSUANCE: CG00330413 THESE DECLARATIONS AND THE COMMON POLICY DECLARATIONS,IF APPLICABLE,TOGETHER WITH THE COMMON POLICY CONDITIONS,COVERAGE FORM(S)AND FORMS AND ENDORSEMENTS,IF ANY,ISSUED TO FORM A PART THEREOF,COMPLETE THE ABOVE NUMBERED POLICY. rja,1.--",_ C9. /62 - 11/5/2020 BY (AUTHORIZED REPRESENTATIVE) "NOTICE : This Policy is issued by your risk retention group. Your risk retention group may not be subject to all the insurance laws and regulations of your State. State insurance insolvency guaranty funds are not available for your risk retention group." ANI - RRG - LL JEFFERSON COUNTY BOARD OF COUNTY COMMISSIONERS CONSENT AGENDA REQUEST TO: Board of County Commissioners FROM: Mark McCauley, Interim County Administrator DATE: July 6, 2021 RE: Amendment No. 3 re: AGREEMENT re: Fairgrounds Meal Services; An additional amount of$27,947, bringing the total amount to $84,297; Bayside Housing and Services STATEMENT OF ISSUE: On December 21, 2020, the Board of County Commissioners approved funding to Bayside Housing and Services for providing meal services for certain temporary residents housed at the Jefferson County Fairgrounds in the amount of$15,200, which was subsequently increased to $30,000 by Amendment. The term of the grant was through March 31, 2021. A second contract amendment added an additional $26,350 (total $56,350) to the contract and extended the term to June 30, 2021. The need for these services will continue until at least September 30, 2021 and will require additional funding. ANALYSIS: The attached third contract amendment proposes adding an additional $27,947 to the contract and extending the term to September 30, 2021. FISCAL IMPACT: This request is for$27,947 from the General Fund. This is an expense eligible for reimbursement from federally appropriated Covid-19 relief funds. RECOMMENDATION: That the Board of County Commissioners approve the attached contract amendment increasing the grant amount and extending the term. REVIEWS Y: r €, //9 7-72/?-/ Mark McCaul ' , Interim County Ad istrator Date CONTRACT REVIEW FORM CONTRACT WITH: Bayside Housing and Services TRACKING NO.: (Contractor/Consultant) CONTRACT FOR: Fairgrounds Meal Service - 3rd Amendment TERM: Thru 6-30-21 COUNTY DEPARTMENT: Central Services For More Information Contact: Mark McCauley Contact Phone #: 360-385-9130 RETURN TO: Mark McCauley RETURN BY: ASAP (Person in Department) (Date) AMOUNT: $27,947 PROCESS: El Exempt from Bid Process ❑ Consultant Selection Process Revenue N/A ❑ Cooperative Purchase Expenditure $ 27,947 ❑ Competitive Sealed Bid Matching funds Required N/A ❑ Small Works Roster Source(s) of Matching Funds N/A ❑ Vendor List Bid ❑ RFP or RFQ ❑ Other Step 1 : REVIEW BY RISK MANAGEMENT Review by: Date Reviewed: ❑ APPROVED FORM ❑ Returned for revision(See Comments) Comments Electronically approved by Risk Management on 7/1/2021. Step 2: REVIEW BY PROSECUTING ATTORNEY Review by: Philip C. Hunsucker Date Reviewed: Chief Civil Deputy Prosecuting Attorney ❑ APPROVED AS TO FORM ❑ Returned for revision(See Comments) Comments Electronically approved as to form by PAO on 7/1/2021. (18 j act a n?fMMt1)(ik-WkiliciaRteM9VW4littifilMbilkN & RESUBMITS TO RISK page MANAGEMENT AND PROSECUTING ATTORNEY Step 4: CONTRACTOR/CONSULTANT SIGNS APPROPRIATE NUMBER OF ORIGINALS Step 5: SUBMIT TO BOCC FOR APPROVAL Submit original Contract(s),Agenda Request, and Contract Review form. Also,please send 2 copies of just the Contract(s) (with the originals)to the BOCC Office. Place"Sign Here"markers on all places the BOCC needs to sign. MUST be in BOCC Office by 4:30 p.m.TUESDAY for the following Monday's agenda. (This form to stay with contract throughout the contract review process.) SOt Nts��, Board of County Commissioners 4w¢ °°6( 1- � 1820 Jefferson Street lt ti }> r PO Box 1220 I Port Townsend, WA 98368 ��95 NG�o� Kate Dean, District 1 Heidi Eisenhour,District 2 Greg Brotherton,District 3 III June 6, 2021 Bayside Housing&Services Attn: Greer Gates PO Box 927 Port Hadlock,WA 98339 Re: AGREEMENT,Amendment No.3 re:Meal Services for Temporary Residents Housed at the Jefferson County Fairgrounds;Additional Amount of$27,947 for a Project Total of$84,297,Expense Eligible for Reimbursement from Federally Appropriated COVID-19 Relief Funds;Jefferson County Central Services;Bayside Housing and Services Dear Ms.Gates, Enclosed are two(2)Original Agreements re:AGREEMENT,Amendment No.3 re:Meal Services for Temporary Residents Housed at the Jefferson County Fairgrounds;Additional Amount of$27,947 for a Project Total of$84,297,Expense Eligible for Reimbursement from Federally Appropriated COVID-19 Relief Funds;Jefferson County Central Services;Bayside Housing and Services Please sign both(2)Originals for each Agreement. Keep one (1)Original of each Agreement for your own records and please return the other signed Original(s)to the following address: Jefferson County Commissioners Office Attn:Julie Shannon PO Box 1220 Port Townsend,WA. 98368 When returning the signed Original, please send a copy of your Proof of Insurance as stated in the Agreement. Please contact our office if you have any questions. Thar* o , Julie ,hannon Executive Secretary II Jefferson County Commissioners Office 36o 385 Too ishannon@cojefferson.wa.us Enclosure Fax ( 6O') 385-y 38") jeffbeer@fo,jeffers n