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HomeMy WebLinkAboutCAG2021-413 - Amendment - #2 - Eastside Legal Assistance Program - CDBG-CV Funded: Low Bono Program: Legal Services - 12/21/2022Ap p r o v a l Originator:Department: Date Sent:Date Required: Authorized to Sign: Director or Designee Mayor Date of Council Approval: Grant? Yes No Type: Re v i e w / Si g n a t u r e s / R o u t i n g Date Received by City Attorney: Comments: Date Routed to the Mayor’s Office: Date Routed to the City Clerk’s Office: Ag r e e m e n t I n f o r m a t i o n Vendor Name:Category: Vendor Number:Sub-Category: Project Name: Project Details: Agreement Amount: Start Date: Basis for Selection of Contractor: Termination Date: Local Business? Yes No* Business License Verification: Yes In-Process Exempt (KCC 5.01.045) If meets requirements per KCC 3.70.100, please complete “Vendor Purchase-Local Exceptions” form on Cityspace. Notice required prior to disclosure? Yes No Contract Number: Agreement Routing Form For Approvals, Signatures and Records Management This form combines & replaces the Request for Mayor’s Signature and Contract Cover Sheet forms. Visit Documents.KentWA.gov to obtain copies of all agreementsadccW22373_1_20 Budget Account Number: Budget? Yes No Dir Asst: Sup/Mgr: Dir/Dep: rev. 20200218 FOR CITY OF KENT OFFICIAL USE ONLY (Optional) * Memo to Mayor must be attached N/A N/A Brittany Gaines Parks, Recreation & Community Services 12/5/2022 ASAP 4 N/A B00620.64190.6031 4 4 N/A Contract 2437859 Amendment 0 4/1/2021 Other 6/30/2023 4 4 4 AMENDMENT - 1 OF 2 AMENDMENT NO. 2 NAME OF CONSULTANT OR VENDOR: Eastside Legal Assistance Program CONTRACT NAME & PROJECT NUMBER: Low Bono Program CAG2021-413 ORIGINAL AGREEMENT DATE: September 21, 2021 This Amendment is made between the City and the above-referenced Consultant or Vendor and amends the original Agreement and all prior Amendments. All other provisions of the original Agreement or prior Amendments not inconsistent with this Amendment shall remain in full force and effect. For valuable consideration and by mutual consent of the parties, Consultant or Vendor’s work is modified as follows: 1. Section I of the Agreement, entitled “Description of Work,” is hereby modified to add additional work or revise existing work as follows: In addition to work required under the original Agreement and any prior Amendments, the Consultant or Vendor shall: Extend the contract duration to June 30, 2023 2. The contract amount and time for performance provisions of Section II “Time of Completion,” and Section III, “Compensation,” are modified as follows: Original Contract Sum, including applicable WSST $65,000 Net Change by Previous Amendments including applicable WSST $0 Current Contract Amount including all previous amendments $65,000 Current Amendment Sum $0 Applicable WSST Tax on this Amendment $0 Revised Contract Sum $65,000 AMENDMENT - 2 OF 2 Original Time for Completion (insert date) July 31, 2022 Revised Time for Completion under prior Amendments (insert date) December 31, 2022 Add’l Days Required (±) for this Amendment 181 calendar days Revised Time for Completion (insert date) June 30, 2023 The Consultant or Vendor accepts all requirements of this Amendment by signing below, by its signature waives any protest or claim it may have regarding this Amendment, and acknowledges and accepts that this Amendment constitutes full payment and final settlement of all claims of any kind or nature arising from or connected with any work either covered or affected by this Amendment, including, without limitation, claims related to contract time, contract acceleration, onsite or home office overhead, or lost profits. This Amendment, unless otherwise provided, does not relieve the Consultant or Vendor from strict compliance with the guarantee and warranty provisions of the original Agreement. All acts consistent with the authority of the Agreement, previous Amendments (if any), and this Amendment, prior to the effective date of this Amendment, are hereby ratified and affirmed, and the terms of the Agreement, previous Amendments (if any), and this Amendment shall be deemed to have applied. The parties whose names appear below swear under penalty of perjury that they are authorized to enter into this Amendment, which is binding on the parties of this contract. IN WITNESS, the parties below have executed this Amendment, which will become effective on the last date written below. CONSULTANT/VENDOR: By: Print Name: Its DATE: CITY OF KENT: By: Print Name: Its DATE: ATTEST: ___________________________ Kent City Clerk [In this field, you may enter the electronic filepath where the contract has been saved] Gerald Kroon Executive Director 12/20/2020 Merina Hanson (Dec 21, 2022 11:24 PST) Merina Hanson Human Services Manager 12/21/22 ELAP CDBG-CV 2021-2023 Project Scope of Services: Agreement with City of Kent - Page 1 Second Amendment To EXHIBIT A 2021-2023 SCOPE OF SERVICES Eastside Legal Assistance Program Project Title: Low Bono Program: Legal Services Start Date: 4/1/2021 Project No.: BGCV09 End Date: 06/30/2023 City of Kent Federal Award Identity Numbers (FAIN) B-20-MW-53-001 Funding will provide individual COVID-related legal services with attorneys or limited license legal technicians. Legal services may include, family law, debt and bankruptcy issues, housing law, employment law and other civil legal issues. Grant Amount: $65,000.00 CDBG CV-11: $65,000.00 Total City of Kent Funds: $65,000.00 Project Manager: Gerald (Jerry) Kröon, Executive Director Telephone: Direct - 425.620.2048 Cell – 206.909.5627 E-mail: jerry@elap.org City Contact: Brittany Gaines, Sr. Human Services Planner Telephone: 253.856.5076 Fax: 253.856.6070 E-mail: bgaines@kentwa.gov Eastside Legal Assistance Program (hereinafter referred to as "the Agency") shall utilize City of Kent Community Development Block Grant -CV funds (hereinafter referred to as CDBG-CV) to perform the activities specified below. Such services shall be provid ed in a manner which fully complies with all applicable federal, state, and local laws, statutes, rules and regulations, as are now in effect or may be hereafter amended . 1) Project Budget The Agency shall apply the following funds to the project in accordance with the Line Item Budget Summary: Line Item Budget Contracted Legal Services (attach contract invoices) $50,700.00 Administrative/Indirect Costs (if costs include administrative time, attach timesheets) $14,300.00 Total: $65,000.00 1 Funds awarded from Round 1 to replace a project that did not proceed. ELAP CDBG-CV 2021-2023 Project Scope of Services: Agreement with City of Kent - Page 2 2) Performance Measures A. Number Served The Agency agrees to serve, at minimum, the following unduplicated number of persons each year of the CDBG Agreement: Reporting Periods 1st Quarter JAN – MARCH 2nd Quarter APRIL – JUNE 3rd Quarter JULY – SEPT 4th Quarter OCT – DEC Total Per Year Number of unduplicated persons assisted 7 3 8 7 25 B. Units of Service The Agency agrees to provide, at minimum, the following units of service by quarter: Reporting Periods 1st Quarter JAN – MARCH 2nd Quarter APRIL – JUNE 3rd Quarter JULY – SEPT 4th Quarter OCT – DEC Total Per Year Legal Assistance (report # of hours) 157 30 157 156 500 C. Definition of Services Legal Assistance: Hours of legal advice and legal assistance provided to defend evictions. Agency shall only list unduplicated count on service reports. (See Conflict of Interest restrictions in CDBG Agreement, Part I, General Conditions, Paragraph 15.) Unduplicated Count of Households/Persons Assisted/Units of Service: This is the unduplicated number of clients served during the reporting period. Unduplicated number means that a person or a household served by your agency may be counted only once during the calendar year. Calendar year is from January 1st to December 30th. 3) Records A. Project Files The Agency shall maintain files for this project containing the following items (all Agency files must contain items 1 – 6, however items 7 – 14 are required only if the costs are paid for by the CDBG budget. If all receiving services in the funded project are not presumed eligible, e.g., homeless, #16 client income must be documented): 1. Notice of Grant Award. 2. CDBG Agreement and all contract exhibits. 3. Motions, resolutions, or minutes documenting Board or Council actions. 4. A copy of this Scope and the City’s Notice to P roceed on this project. 5. Correspondence regarding budget revision requests. ELAP CDBG-CV 2021-2023 Project Scope of Services: Agreement with City of Kent - Page 3 6. Copies of all invoices and reports submitted to the City for this project. 7. Bills for payment. 8. Lease agreement with client name; Agency/Client/Landlord Assistance Agreement with monthly rent, amount owed, amount paid, client signature, landlord name/address and signature. 9. Utility bill with client name; Agency/Client/Utility Company Agreement with monthly charge, amount owed, amount paid, client signature, and utility company name/address and signature. 10. Copies of approved invoices and warrants. 11. Payroll time sheets for actual salary and fringe benefit costs. Time sheets must be signed by a supervisor and annotated to document percent of time charged against this project if less than full time. 12. Documentation of office costs (e.g., log sheets of copy machine use, postage, telephone use, costs of office supplies, etc.) when these costs are shared with other programs and no invoice is available. As an alternative, annotated invoices may be used to document charges as appropriate. 13. Documentation of mileage charges for private auto use must include: a ) odometer reading at beginning and end of trip, b) destination and starting location, and c) purpose for trip. 14. Documentation of the solicitation process used to select vendors and subcontractors with original purchase orders and subcontracts. 15. Documentation required by Part IV, Paragraph 5, if any funds provided under this Scope are used to acquire equipment. 16. Documentation of client income. Unless clients are presumed eligible based on CDBG regulations, the Agency shall screen all clients served with funds provided under this Contract to ensure that at least 95% of the total number of clients served do not have a gross annual family income in excess of the limits specified in Exhibit B. Adjusted gross income as defined by the Internal Revenue Service Form 1040 shall be used to determine persons’ or households’ income. The following methods may be used to determine income eligibility: a) IRS income tax return b) Client income certification on a form approved by the City; or c) Documentation of qualification for participation in a “means-tested” federal or state program at least as restrictive as CDBG with regard to Income Guidelines. Income guidelines may be adjusted periodically by HUD. The Agency agrees to use updated Income Guidelines, which will be provided by the City. B. Record Retention Period All records required by this Scope shall be retained by the Agency for the period specified in the Agreement - Part IV. The period shall commence on January 1 of the year following the year in which the final invoice was paid. 4) Reports, Invoicing and Reporting Schedule A. Reports ELAP CDBG-CV 2021-2023 Project Scope of Services: Agreement with City of Kent - Page 4 The Agency shall collect and report client information to the City quarterly on the Service Units section of Exhibit D (Billing Voucher and Service Report) to be provided by the City. Exhibits D and D-1 (including backup documents) shall be submitted electronically to bgaines@kentwa.gov in accordance with the schedule outlined in Paragraph 3.B. below. Copies of supporting documents shall be emailed as well, or sent via the U.S. Postal Services and postmarked within two days of the due dates listed below.2 B. Invoicing and Reporting Schedule The Agency shall submit Billing Vouchers and Service Reports to the City in accordance with the following schedule: 1st 2nd & 3rd Quarter Billing Voucher & Service Report (Exhibit D) 15th day following each quarter CDBG Public Services Project Time Sheet (Exhibit G, if applicable) 15th day following each quarter 4th Quarter Billing Voucher & Service Report (2021) December 10, 20213 Final Service Report for 2021 (Exhibit D-1)4 January 7, 2022 Final Billing Voucher & Service Report for 2022 (Exhibit D) December 10, 2022 Final Service Report for 2022 (Exhibit D-1) January 7, 2023 Final Billing Voucher & Service Report for 2023 (Exhibit D) July 15th, 2023 2 If the due date falls on a Saturday or Sunday, Billing Vouchers and Service Reports are due on the prior Friday. If the due date falls on a City holiday, Billing Vouchers and Service Reports are due the next working day following the holiday. 3 The initial Q4 report is requested early so that the City will have adequate time to close ou t year-end records. 4 Exhibit D-1 is due only if the service units reported by the Agency on the initial December report (Exhibit D) is less than contractual obligations. Page 1 of 5 Second Amendment to Exhibit D Billing Voucher & Service Report 2021-2023 To: Brittany Gaines, Sr. Human Services Planner Housing & Human Services Parks, Recreation & Community Services 220 4th Ave. South, Kent, WA 98032 bgaines@kentwa.gov Phone: 253.856.5076 From: Gerald (Jerry) Kröon, Executive Director Agency: Eastside Legal Assistance Program jerry@elap.org Phone: Direct - 425.620.2048 Cell – 206.909.5627 Reporting Period Program Amount Requested Low Bono Program: Legal Services $ SEC. 1: BUDGET SUMMARY For Department Use Only Total Contract Amount $ 65,000.00 Amount Requested This Qtr. $ Amount Requested YTD $ Amount Remaining (subtract amount requested YTD from total contract amount) $ SEC.2: LINE ITEM BUDGET SUMMARY COST CATEGORIES ORIGINAL BUDGET TOTAL REQUESTED REVISED BUDGET CUMULATIVE TO DATE 1 Contracted Legal Services (attach contract invoices) $50,700.00 2 Administrative/Indirect Costs (if costs include administrative time, attach timesheets) $14,300.00 GRAND TOTAL $65,000.00 CDBG-CV Page 2 of 5 SEC. 3: PERSONNEL FUNDED IN WHOLE OR IN PART BY CDBG GRANT SEC. 4: PERFORMANCE MEASURES – 2021-2023 KENT FUNDED SERVICE UNITS Note: Unduplicated client counts must be reported both quarterly and year-to-date Service Unit Description Contracted to Serve Contracted to Serve in 2021 Clients Actually Served Year to Date Total Service Unit/Performance Measure 1st 2nd 3rd 4th 1st 2nd 3rd 4th Unduplicated # of Kent clients (persons) served 7 3 8 7 25 Legal Assistance (report # of hours) 157 30 157 156 500 Sec. 5: NARRATIVE Provide a narrative explanation if you are behind in either progress toward meeting performance measures or projected expenditure rate. Page 3 of 5 Sec. 6: DEMOGRAPHIC INFORMATION Number of Households or Persons Assisted (please specify "H" or "P"): Race Unduplicated Quarter (All) Unduplicated Quarter (Hispanic) Undup. Year to Date (All) Unduplicated Year to Date (Hispanic) 1 2 3 4 1 2 3 4 White Black/African American Asian American Indian or Alaska Native Native Hawaiian or Other Pacific Islander American Indian or Alaska Native AND White Asian AND White Black/African American AND White American Indian /Alaska Native AND Black/African American Other Multi-Racial GRAND TOTAL CLIENTS Income Level Unduplicated Quarter Unduplicated Year to Date 1 2 3 4 Extremely Low Income 0-30% of MFI Low Income 31-50% of MFI Moderate Income 51-80% of MFI Above Moderate Income 81% + of MFI GRAND TOTAL CLIENTS Page 4 of 5 By signing this report, I certify to the best of my knowledge and belief that the report is true, complete, and accurate, and the expenditures, disbursements and cash receipts are for the purposes and objectives set forth in the terms and conditions of the Federal award. I am aware that any false, fictitious, or fraudulent information, or the omission of any material fact, may subject me to criminal, civil or administrative penalties for fraud, false statements, false claims or otherwise. (U.S. Code Title 18, Section 1001 and Title 31, Sections 3729-3730 and 3801-3812). Agency Authorized Signature Date Payment Authorization (this section to be completed by City of Kent only) Contractual Obligations Met? YES NO (Circle one) Enter notes if Agency underperformed: Authorized By: Date: Page 5 of 5 Instructions Refer to: Accomplishments by Performance Measures in your CDBG Contract. Sec. 1: BUDGET SUMMARY Enter the amount requested this quarter, Year to Date (YTD) and the budget balance. SEC. 2: LINE ITEM BUDGET SUMMARY: Enter the amount requested by budget line item quarterly and YTD. SEC. 3: PERSONNEL FUNDED IN WHOLE OR IN PART BY CDBG GRANT Enter the names and titles of personnel being charged to the CDBG grant. Remember all hours charged to CDBG must be tracked and a timesheet certifying the hours worked were to directly support the CDBG funded program must be signed by the employee and supervisor and submitted to the City with the request for reimbursement. SEC. 4: PERFORMANCE MEASURES Unduplicated Count of Households/Persons Assisted Projections: Circle either persons or households according to the method of counting clients specified in your CDBG Contract Scope. Insert the projected number of clients to be served as specified in your CDBG Contract Scope. Achievements: Insert the unduplicated number of clients served during the reporting period. Unduplicated number means that a person or a household served by your agency may be counted only once during the calendar year. You may report only those persons or households for which you maintain written records. This record must be established at the time the person or household is first served by your agency. Year to Date: Insert the total unduplicated number of clients served to date. Service Units Insert the service unit measures specified in your CDBG Contract Scope. Insert the projected number of service units for the reporting period. Insert the actual number of service units provided during the Reporting Period. The actual number of service units provided may be duplicated counts. Duplicated means that a client served by your agency may receive service one or more times during the calendar year in one or more of the service unit categories. SEC. 5: NARRATIVE EXPLANATION You must provide a narrative explanation if your agency is behind in meeting either performance measures specified in your CDBG Contract Scope or your expenditure rate. Your expenditure rate should equal approximately one quarter of your HHS contract amount per quarter. SEC. 6: DEMOGRAPHIC INFORMATION Race: You are required to collect racial and ethnic information for the clients served. There are 10 race categories to select from. Each client should select one of these categories. Clients identifying themselves as Hispanic also need to select from the race categories. Example: A client selects Hispanic as his ethnicity and white as his race. The grand total in the first column will not match the grand total in the second column. You may only have a few clients who identify as Hispanic. Female Head of Household: Insert the unduplicated number of single female head of households with dependents served during the reporting period. Income Only for Non-presumed Benefit Projects which require income screening: Insert the unduplicated clients served who are Low Income (51 –80%), Very Low-Income (31-50%) and Extremely Low-Income (0- 30%). You do not have to complete if your CDBG project directs services toward the following clients: abused children, elderly persons, DV victims, homeless persons, those meeting the federal definition of severely disabled persons, illiterate adults, persons living with aids, or migrant farm workers. Homeless: For programs providing transitional and permanent housing insert the unduplicated clients served. 3/29/2022 Leavitt Group Northwest PO Box 65770 University Place WA 98464 CLC1 (800)726-8771 (866)728-9168 Broker EASTSIDE LEGAL ASSISTANCE PROGRAM 1239 120TH AVE NE STE J BELLEVUE WA 98005 Hanover Insurance Group 22292 22/23 Master A X X X X OH2H483934 2/8/2022 2/8/2023 1,000,000 100,000 10,000 1,000,000 2,000,000 2,000,000 A X X OH2H483934 2/8/2022 2/8/2023 1,000,000 A WA Stop Gap OH2H483934 2/8/2022 2/8/2023 X 1,000,000 1,000,000 1,000,000 City of Kent is named additional insured with respect to General Liability per form 391-1006 08.16 City of Kent 220 Fourth Ave S Kent, WA 98032 PJ zcGilmer/PJGILM The ACORD name and logo are registered marks of ACORD CERTIFICATE HOLDER ©1988-2014 ACORD CORPORATION.All rights reserved. ACORD 25 (2014/01) AUTHORIZED REPRESENTATIVE CANCELLATION DATE (MM/DD/YYYY)CERTIFICATE OF LIABILITY INSURANCE LOCJECTPRO-POLICY GEN'L AGGREGATE LIMIT APPLIES PER: OCCURCLAIMS-MADE COMMERCIAL GENERAL LIABILITY PREMISES (Ea occurrence)$DAMAGE TO RENTED EACH OCCURRENCE $ MED EXP (Any one person)$ PERSONAL &ADV INJURY $ GENERAL AGGREGATE $ PRODUCTS - COMP/OP AGG $ $RETENTIONDED CLAIMS-MADE OCCUR $ AGGREGATE $ EACH OCCURRENCE $UMBRELLA LIAB EXCESS LIAB DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) INSRLTR TYPE OF INSURANCE POLICY NUMBER POLICY EFF(MM/DD/YYYY)POLICY EXP(MM/DD/YYYY)LIMITS PER STATUTE OTH- ER E.L.EACH ACCIDENT E.L. DISEASE - EA EMPLOYEE E.L. DISEASE - POLICY LIMIT $ $ $ ANY PROPRIETOR/PARTNER/EXECUTIVE If yes,describe under DESCRIPTION OF OPERATIONS below (Mandatory in NH) OFFICER/MEMBER EXCLUDED? WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N AUTOMOBILE LIABILITY ANY AUTO ALL OWNED SCHEDULED HIRED AUTOS NON-OWNED AUTOS AUTOS AUTOS COMBINED SINGLE LIMIT BODILY INJURY (Per person) BODILY INJURY (Per accident) PROPERTY DAMAGE $ $ $ $ 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 CONTRACT OR 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. INSD ADDL WVD SUBR N / A $ $ (Ea accident) (Per accident) OTHER: 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 be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). COVERAGES CERTIFICATE NUMBER:REVISION NUMBER: INSURED PHONE(A/C, No, Ext): PRODUCER ADDRESS: E-MAIL FAX (A/C, No): CONTACTNAME: NAIC # INSURER A : INSURER B : INSURER C : INSURER D : INSURER E : INSURER F : INSURER(S)AFFORDING COVERAGE SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 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Signature: Email: Melissa McCormick (Dec 22, 2022 07:44 PST) Melissa McCormick cityclerk@kentwa.gov 2nd Amd CDBG-CV - Eastside Legal Assistance Program Final Audit Report 2022-12-22 Created:2022-12-05 By:KateLynn Jennings (kjennings@kentwa.gov) Status:Signed Transaction ID:CBJCHBCAABAAwMNfU5BlWjYQx7DQ4mcBOnUgTdFlEGSg "2nd Amd CDBG-CV - Eastside Legal Assistance Program" Hist ory Document created by KateLynn Jennings (kjennings@kentwa.gov) 2022-12-05 - 10:08:22 PM GMT- IP address: 146.129.252.126 Document emailed to Gerald Kroon (jerry@elap.org) for signature 2022-12-05 - 10:14:24 PM GMT Email viewed by Gerald Kroon (jerry@elap.org) 2022-12-20 - 10:10:07 PM GMT- IP address: 73.181.189.52 Document e-signed by Gerald Kroon (jerry@elap.org) Signature Date: 2022-12-20 - 10:10:39 PM GMT - Time Source: server- IP address: 73.181.189.52 Document emailed to mhanson@kentwa.gov for signature 2022-12-20 - 10:10:40 PM GMT Email viewed by mhanson@kentwa.gov 2022-12-21 - 7:24:02 PM GMT- IP address: 174.204.65.61 Signer mhanson@kentwa.gov entered name at signing as Merina Hanson 2022-12-21 - 7:24:39 PM GMT- IP address: 174.204.65.61 Document e-signed by Merina Hanson (mhanson@kentwa.gov) Signature Date: 2022-12-21 - 7:24:41 PM GMT - Time Source: server- IP address: 174.204.65.61 Document emailed to Kim Komoto (kkomoto@kentwa.gov) for signature 2022-12-21 - 7:24:42 PM GMT Email viewed by Kim Komoto (kkomoto@kentwa.gov) 2022-12-21 - 7:52:43 PM GMT- IP address: 98.232.56.26 Document e-signed by Kim Komoto (kkomoto@kentwa.gov) Signature Date: 2022-12-21 - 7:52:55 PM GMT - Time Source: server- IP address: 98.232.56.26 Document emailed to cityclerk@kentwa.gov for signature 2022-12-21 - 7:52:56 PM GMT Email viewed by cityclerk@kentwa.gov 2022-12-22 - 3:42:15 PM GMT- IP address: 146.129.252.126 Signer cityclerk@kentwa.gov entered name at signing as Melissa McCormick 2022-12-22 - 3:44:29 PM GMT- IP address: 146.129.252.126 Document e-signed by Melissa McCormick (cityclerk@kentwa.gov) Signature Date: 2022-12-22 - 3:44:31 PM GMT - Time Source: server- IP address: 146.129.252.126 Agreement completed. 2022-12-22 - 3:44:31 PM GMT