HomeMy WebLinkAbout20250203000785 Notice of Federal Interest Instrument Number: 20250203000785 Document:N Rec: $305.50 Page-1 of 3
Record Date:2/3/2025 4:07 PM
Electronically Recorded King County,WA
Return Address:
Auburn City Clerk
City of Auburn
25 West Main St.
Auburn, WA 98001
RECORDER'S COVER SHEET
Document Title(s) (or transactions contained therein):
Notice of Federal Interest
Reference Number(s) of Documents assigned or released:
❑Additional reference#'s on page of document
Grantor(s)/Borrower(s) (Last name first, then first name and initials)
City of Auburn
Grantee/Assignee/Beneficiary: (Last name first)
Health Resources and Services Administration
Legal Description (abbreviated: i.e. lot, block, plat or section, township, range)
❑Additional legal is on page,of document.
Assessor's Property Tax Parcel/Account Number
000100-0098
❑Assessor Tax#not yet assigned
Instrument Number: 20250203000785 Document:N Rec: $305.50 Page-2 of 3
Record Date:2/3/2025 4:07 PM King County,WA
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I S . .
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On the awarded Grant No. 1
.c_f1HS47154-01-00 The grant provides Federalfunds for
which is located within the property described below in King_County,
State of Washington:
Parcel No. 000100-0098 2802-2818 AUBURN WAY N 98002, Suites 2014, 2016, and 2018
The Notice of Award for this grant includes conditions on use of the aforementioned property and
provides for a continuing Federal interest in the property. Specifically,the property may not be:
(1) Used for any purpose inconsistent with the statute and any program regulations governingthe
award under which the property was acquired;
(2) Mortgaged or otherwise used as collateral without the written permission of the Associate
Administrator, Office of Federal Assistance Management(OFAM), Health Resources and
Services Administration (HRSA), or designee; or
(3) Sold or transferred to another party without the written permission of Associate Administrator,
Office of Federal Assistance Management(OFAM), Health Resources and Services
Administration(HRSA), or designee.
These conditions are in accordance with the statutory provisions set forth in '
Title 45 CFR part 74 or 92 (as appropriate),the H HS Grants Policy
Statement, and other terms and conditions of award.
These grant conditions and requirements cannot be nullified or voided through a transfer of
ownership.
Therefore, advance notice of any proposed change in usage or ownership must be provided to the
Health Resources and Services Administration(H RSA), Office of Federal Assistance Management
(OFAM).
Signature:
Typed Name: Nancy Backus
Mayor
Date: 06/12/24
Instrument Number: 20250203000785 Document:N Rec: $305.50 Page-3 of 3
Record Date:2/3/2025 4:07 PM King County,WA
111
IF1:"1,(1P'r r
Final Audit Report 2024-12-07
Created 2024-12.07
Dy Dana Hinman(tininman4auburnwa goy)
Status Signed
Transaction ID CBJCIIDCAADAAEKTV ct39yNDSNUyia3o0YjbliE-aM-11
"ACRC Notice of Federal Interest" History
Document created by Dana Hinman(dhinman@aubumwa.gov)
2024 12 07 3 30:19 AM GMT
Document ernailed to Nancy Backus(nbackus@auburnwa.gov)for signature
1!1 2024 12 37 0:30 23 AM GMT
Email viewed by Nancy Backus(nbackus@aubumwagov)
2024-12-07-33155CM GMT
Document e-signed by Nancy Backus(nbackus@auburnwa.gov)
Signature Date 2024-12-07- 33 39 AM GM 1 Titre Source:server
Agreement completed.
2024 12 3? :133 39 AM GM!
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