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Washington County - IG213005 - Tigard Cares DocuSign Envelope ID:44D35457-488A-46B0-8846-CF4282241 E71 Contract No: INTERGOVERNMENTAL AGREEMENT AMENDMENT NO. 1 21-0235 This Amendment is made and entered into by and between, City of Tigard("City") and Washington County, a political subdivision of the State of Oregon("County"), County and Organization may be jointly referred to as the"Parties"or individually as a"Party." This Amendment modifies that certain contract between the Parties, the original contract number being 20-2016. The contract is amended as follows: Section 1.2 shall be replaced in its entirety by: City may implement and operate the City Program internally or may contract with a third party to implement and operate the City Program. If the City contracts with a third party to implement and operate the City Program, City may use Emergency Small Business Recovery Grant Funds to cover a reasonable fee, relative to the total amount of the program, so long as such expense otherwise complies with the CARES Act. City may also cover internal expenditures related to administering or operating the City Program so long as such expenditures otherwise comply with the CARES Act. The Emergency Small Business Recovery Grant Funds may cover expenditures or expenses related to the operating or administration of the City Program in an amount not to exceed$66,709. Any expenditures or expenses in excess of this amount shall be covered by City's own funds. Effective Date of Amendment: December 30, 2020, or upon final signature, whichever is later. All other terms and conditions of the original contract shall remain in full force and effect. This Amendment is agreed upon by the Parties and executed by the duly authorized signatures below. WASHINGTON COUNTY, OREGON 5 � 3/30/2021 1 15:22 PDT AUTHORIZED SIGNATURE DATE Sia Lindstrom Deputy County Administrator PRINTED NAME TITLE CITY OF TIGARD, OREGON 3/30/2021 1 14:41 PDT — Y�wu AUTHORIZED SIGNATURE DATE Steve Rymer City Manager PRINTED NAME TITLE MCA(,n `). Page 1 of 1 [Sa � � Amendment#1—Washington County State Business Assistance Grant—City of Tigard DocuSign Envelope ID:44D35457-488A-46B0-B846-CF4282241E71 For Administrative Use Only—Z99999 Supplier Name: City of Tigard Actual Contract Number(CustomText4):21-0235 Department(Location): SS-Finance Contract Type: 6 Amendment Contract Sub Type(Custom2Code): Minute Order Date: Minute Order Number: Master Contract Number(CustomTextl): 20-2016 Bid/RFP#(BidRFP): BPO Number(CustomlCode): Expense Contract SHIP TO(LocShipTo): SS-Finance BILL TO(LocBillTo): SS-Finance Project Number(CustomText2): Chargeable Program Number(ChargeProgram): Contract Admin(Administrator): Will Culver 2019 WASHINGTON COUNTY-ARCHIVE RECEIPT Docu5�". 6 S E C U R E 6 Certificate Of Completion Envelope Id:44D35457488A46BOB846CF4282241 E71 Status:Completed Subject: Please DocuSign:Contract#21-0235:City of Tigard Source Envelope: Document Pages:2 Signatures:4 Envelope Originator: Certificate Pages:5 Initials:0 Kittie Kong AutoNav: Enabled 155 N. First Ave,Suite 270 Envelopeld Stamping: Enabled MS28 Time Zone: (UTC-08:00)Pacific Time(US&Canada) Hillsboro,OR 97124-3087 kittie_kong@co.washington.or.us IP Address:204.147.152.5 Record Tracking Status:Original Holder:Kittie Kong Location: DocuSign 2/16/2021 11:10:15 AM kittie_kong@co.washington.or.us Security Appliance Status:Connected Pool:StateLocal Storage Appliance Status:Connected Pool:Washington County Location: DocuSign Signer Events Signature Timestamp Nicole Hendrix Si, dby: Sent:2/16/2021 11:16:42 AM nicoleh@tigard-or.gov ED tbb_ �wJytx Viewed:2/18/2021 3:11:50 PM Securit Level: Email Account Authentication 9F4E3D11E9534EA... Signed:2/18/2021 3:36:04 PM Y 9 (None),Access Code Signature Adoption: Pre-selected Style Using IP Address:208.71.205.129 Electronic Record and Signature Disclosure: Accepted:2/18/2021 3:11:50 PM ID:b45d176c-87f5-4e5a-ae6a-b942c3813bfb Shelby L. Rihala P(Q�7n634BK55324AE DocuSignedby: Sent:2/18/2021 3:36:06 PM shelbyr@tigard-or.gov O' ko "'4 "' Viewed:2/18/2021 3:42:44 PM Security Level: Email,Account Authentication Signed:2/18/2021 3:43:51 PM (None),Access Code Signature Adoption: Pre-selected Style Using IP Address:208.71.205.129 Electronic Record and Signature Disclosure: Accepted:2/18/2021 3:42:44 PM ID:574d6370-2d89-4106-82db-8d383b99698d Steve Rymer by: Sent:2/18/2021 3:43:53 PM stever@tigard-or.gov ED—Si,nedftvt- Mw Resent:3/1/2021 9:00:24 AM City Manager FFD6c326B2CD43A Resent:3/29/2021 9:27:39 AM Security Level: Email,Account Authentication Viewed:3/30/2021 2:40:52 PM (None),Access Code Signature Adoption: Pre-selected Style Signed:3/30/2021 2:41:32 PM Using IP Address:208.71.205.129 Electronic Record and Signature Disclosure: Accepted:3/30/2021 2:40:52 PM ID:21295384-aa5a-48ff-9f91-44cafb350511 Sia LindstromSent:3/30/2021 2:41:35 PM sia_lindstrom@co.washington.or.us [D0CuSi,n1d by:ix Wstrbm Viewed:3/30/2021 3:22:12 PM Deputy County Administrator 7AFF957D9D2943D Signed:3/30/2021 3:22:48 PM Washington County,Oregon Signature Adoption: Pre-selected Style Security Level: Email,Account Authentication (None),Access Code Using IP Address:204.147.152.15 Signer Events Signature Timestamp Electronic Record and Signature Disclosure: Not Offered via DocuSign In Person Signer Events Signature Timestamp Editor Delivery Events Status Timestamp Agent Delivery Events Status Timestamp Intermediary Delivery Events Status Timestamp Certified Delivery Events Status Timestamp Carbon Copy Events Status Timestamp Witness Events Signature Timestamp Notary Events Signature Timestamp Envelope Summary Events Status Timestamps Envelope Sent Hashed/Encrypted 2/16/2021 11:16:42 AM Certified Delivered Security Checked 3/30/2021 3:22:12 PM Signing Complete Security Checked 3/30/2021 3:22:48 PM Completed Security Checked 3/30/2021 3:22:48 PM Payment Events Status Timestamps Electronic Record and Signature Disclosure Electronic Record and Signature Disclosure created on: 1/18/2019 1:30:30 PM Parties agreed to:Nicole Hendrix,Shelby L.Rihala,Steve Rymer ELECTRONIC RECORD AND SIGNATURE DISCLOSURE From time to time, Carahsoft OBO SHI OBO Washington County(we, us or Company) may be required by law to provide to you certain written notices or disclosures. 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