HomeMy WebLinkAboutAG 20-179 - Cha & Lee Chiropractic ClinicCITY OF FEDERAL WAY LAW DEPARTMENT ROUTING FORM
I ORIGINATING DEPT./DIV: 59QNQM!q DEVELOPMENT . ..... __
ORIGINATING STAFF PERSON- HNSON - 3. DATE.*W-�Q� BY ASAP
. JIM _JO_ EXT: 2412
• PUBLIC WORKS CONTRACT 0 SMALL OR LIMITED PUBLIC WORKS CONTRACT
• PROFESSIONAL SERVICE AGREEMENT El MAINTENANCE AGREEMENT
• GOODS AND SERVICE AGREEMENT 0 HUMAN SERVICES/ CG
11 REAL ESTATE DOCUMENT 0 SECURITY DOCUMENT (E.G. BOND RELATED DOCUMENTS)
* ORDINANCE Ei RESOLUTION
* CONTRACTAMENDMENT(AG#)-_ OINTERLOCAL
* OTHER -,CARES ACT FUNDS BUSINESS SUPPORrGRANTAGRFEMENT
PROJECT NAME: CME S ACT Cj R ANT - RO'U N D, J
CKA-+ L.0-4
NAME OF CONTRACTOR: CHA CHIROPRACTIC CLINIC
ADDRESS: 1700 S 305TH PL, #A, FEDERAL WAY, WA, 98003
E-MAIL: DRrNHOCRA@HOTMAIL.COM
SIGNATURE NAME: CHA CHA TITLE: SEFA1TACHEQ
im
TERM: COMMENCEMENT DATE: SEE I'ACHEDAGREEMENT
COMPLETION DATE:
TOTAL COMPENSATION$ (INCLUDE EXPENSES AND SALES TAX, IF ANY) ONE THOUSAND AND NOII 00 ($1,000.00)
(IF CALCULATED ON HOURLY LA13OR CHARGE -ATTACH SCHEDULES OF EMPLOYEES TITLES AND HOLIDAY RATES)
REIMBURSABLE EXPENSE:0 YES XNO IF YES, MAXIMUM DOLLAR AMOUNT: $
IS SALES TAX OWED L1 YES X NO IF YES, PAID Br. 0 CONTRACTOR C1 CITY
RETAINAGE: RFTAINACE AMOUNT: RETAINAGE AGREEMENT (SEE CONTRACT) OR El RETAINAGE BOND PROVIDE
0 PURCHASING: PLEASECHARGETO: 001-1800-990-518-10i.
0. DOCUMENTICONTRACT AFETIE"N'
El PROJECT MANAGER
Fj,CTOR
El RISKMANAGEMENT (IFAPPLECABLE)
El LAW
1welgilgrojignig-a"Tuffez-
0MIKIN9 y Raft wl 0"IM41y 111411
I
INITIAL/ DATE APPROVED
COMMI-ITEE APPROVAL DAFE:
COUNCIL APPROVAL DATE:
El SENT TO ii` •., DATE SENT: DATE REC'R_
0 ATTACH. SIGNATURE AUTHORITY, INSURANCE CERTIFICATE, LICENSES, EXHIBITS
0 CREATE ELECTRONIC REMINDERINOTIFICATION FOR I MONTH PRIOR TO EXPIRATION DATE
(Include dept. support staff ifnecessary and feel free to set notification more than a month in advance if council approval is needed.)
INITIAL/BAIE5EQ�ffig
0 LAW DEPARTMENT
118�GNATORY (MAYOR OR DIRECTOR)
• CITY CLERK
• ASSIGNED AG#
CATY OF
Federal VVay
CITY HALL
33325 Sth Avenue South
Federal Way, WA 98003-6325
(253) 835-7000
wwwatyoffederalwayxom
,ARES ACT FUNDS BUSINESS SUPPORT GRANT AGREEMENT
WITH
CHA ANDLEE CHIROPRACTIC CLINIC
This Grant Agreement ("Agreement") is made between the City of Federal Way, a Washington municipal
corporation ("Cityand Cha and Lee Chiropractic Clinic, Inc., a Washington corporation ("Grantee"). The
City and Grantee (together "Parties") are located and do business at the below addresses which shall be valid for
any notice required under this Agreement:
Jason Cha
1700 S 3055TH PL, #A
FEDERAL WAY, WA 980
RUM
awlli0IliIJIM M.1% 1111
Ade Ariwoola
33325 8th Ave. S.
Federal Way, WA 98003-6325
(253) 835-2520 (telephone)
(253) 835-2509 (facsimile)
1. TERM. This agreement contemplates a one-time grant of funds to the Grantee under the conditions
described herein.
2. CONDITIONS OF GRANT
2.1 �aan�fies. The Grantee warrants the following, which are pre -requisites for grant eligibility:
a) Grantee operates a business physically located within the political boundaries of the City
of Federal Way-,
b) Grantee maintains a current City of Federal Way business license
c) Grantee has paid all taxes and government fees due up to the date of execution of this
grant agreement
d) Grantee is not the recipient of other state or federal funding made available as a response
to the COVID-19 pandemic
e) Grantee's business employees no more than the equivalent of ten (10) full-time
employees (20,800 man-hours total for all employees per year).
f) Grantee's net revenues do not exceed more than $1.5 million per year
g) Grantee does not operate as a tax-exempt business as defined by the Internal Revenue
Service
h) Due to COVID- 19, Grantee business (check all that apply):
Was required by state or local or to close
Was forced to lay off employees due to reduced patronage
Incurred over $ 1,000 in COVID- 19 related expenses
Experienced 10-50% lost revenue
Experienced over 50% lost revenue
CITY OF
Fbderal Mkky
CITY HALL
33325 8th Avenue South
Federal Way, WA 98003-6
(253) 835-7000
www. o(yoffederalway. coin
2.2 Use of Funds: Grantee affirms that grant funds will be used for the following purposes:
a) Mortgage or Rent
b) Personal Protection Equipment
c) Insurance
d) Utilities
e) Marketing
F) Payroll
Grantee agrees to retain receipts documenting use of grant funds and will provide them to the City or its
designee upon request.
3. TERMINATION. Should any of the conditions described in section 2.1, above, not be met, the Ci
may recover all disbursed grant funds and ten-ninate this agreement. I
4.1 Amount. In order to promote healthy economic activity in the City and in response to the losses
Grantee has incurred due to the COVID-19 pandethe City shall provide a grant to the Grantee in an amount
not to exceed One Thousand and NO/I 00 Dollars ($ 1,000.00).
4.2 Non-Appro graation of Funds. If sufficient funds are not appropriated or allocated for payment
under this Agreement for any fiscal period, the City will not be obligated to make payments under this
agreement,
5.1 'Gtarittre The Grantee agrees to release indemnify, defend, and hold the City, i
elected officials, officers, employees, agents, representatives, insurers, attorneys, and volunteers harmless fro
any and all claims, demands, actions, suits, causes of action, arbitrations, mediations, proceedings, judgment
awards, injuries, damages, liabilities, taxes, losses, fines, fees, penalties expenses, attorney's fees, costs, and/
litigation expenses to or by any and all persons or entities, including, without limitation, their respective agent
licensees, or representatives, arising from, resulting from, or in connection with this Agreement or t ,
performance of this Agreement, except for that portion of the claims caused by the City's sole negligenc
Should a court of competent jurisdiction determine that this Agreement is subject to RCW` 4.24.115, then, in t -
event of liability for damages arising out of bodily injury to persons or damages to property caused by '
resulting from the concurrent negligence of the Grantee and the City, the Grantee's liability hereunder shall -
only to the extent of the Grantee's negligence. Grantee shall ensure that each sub -Grantee shall agree to defen
and indemnify the City, its elected officials, officers, employees, agents, representatives, insurers, attorneys, a
volunteers to the extent and on the same terms and conditions as the Grantee pursuant to this paragraph. T '
Citka's insltection or accelytance of anp of Grantee's work when comwleted shall not be grounds to avoid anr
these covenants of indemnification.
5.2 Industrial Insgrance Act Waiver. It is specifically and expressly understood that the Grantee
waives any immunity that may be granted to it under the Washington State industrial insurance act, Title 51
RCW, solely for the purposes of this indemnification. Grantee's indemnification shall not be limited in any way
by any limitation on the amount of damages, compensation or benefits payable to or by any third party uni-
i `, -
eorkerscompensation acts, disability benefit acts or any other benefits acts or programs. The Parties further
CITY Of CITY HALL
33325 Sth Avenue South
Federal Way, WA 98003-6325
Federal Way (253) 835-7000
wwwcifyoffederalw4tcufn
acknowledge that they have mutually negotiated this waiver.
5.3 CAy Wg1mgifiggion. The City agrees to release, indemnify, defend and hold the Grantee, i
officers, directors, shareholders, partners, employees, agents, representatives, and sub- contractors harmle
from any and all claims, demands, actions, suits, causes of action, arbitrations, mediations, proceedin
judgments, awards, injuries, damages, liabilities, losses, fines, fees, penalties expenses, attorney's fees, cos
and/or litigation expenses to or by any and all persons or entities, including without limitation, their respecti
agents, licensees
or reDresentatives, arising from resultini from or connected with this Ap-reement to the extel
5.4 Survival, The provisions of this Section shall survive the expiration or termination of this
Agreement with respect to any event occurring prior to such expiration or termination.
9111AMOMM"V Mugs
6.1 1—htgrardation and Modifitation. This Agreement contains all of the agreements of the Parties
with respect to any matter covered or mentioned in this Agreement and no prior statements or agreements,
whether oral or written, shall be effective for any purpose. Any provision of this Agreement that is declared
invalid, inoperative, null and void, or illegal shall in no way affect or invalidate any other provision hereof and
such other provisions shall rernain in full force and effect. No provision of this Agreement, including this
provision, may be amended, waived, or modified except by written agreement signed by duly authorized
representatives of the Parties.
Jill
I I I IV M I I VIM MM 10 1 L -71-m I I I *M F -'BD I It; 17-1 to 4 1 is I vw q I Lei I am I I g Vdiffur-im-4 t*J I R*XqJ a q 1
6.3 Execution. Each individual executing this Agreement on behalf of the City and Grantee
� � � �' I I 3r
city OF
Fbderal VWky
C[TY HALL
33325 Sth Avenue South
Federal Wav f WA 98003-6325
(253) 835-7000
www cityoffederatway. com
represents and warrants that such individual is duly authorized to execute and deliver this Agreement, Th
Agreement may be executed in any number of counterparts, each of which shall be deemed an original and wi
the same effect as if all Parties hereto had signed the same document. All such counterparts shall be constru a
together and shall constitute one instrument, but in making proof hereof it shall only be necessary to produ
one such counterpart. The signature and acknowledgment pages from such counterparts may be assembl
together to form a single instrument comprised of all pages of this Agreement and a complete set of all
signature and acknowledgment pages. The date is which the last of all of the Parties have executed
counterpart of this Agreement shall be the "date of mutual execution" hereof
IN WITNESS, the Parties execute this Agreement below, effective the last date written below.
CHA AND LEE CHIROPRACTIC CLINIC:
By:
Printed Name:
Title:
DATE:
7/24/2020 eServices
Services Business Lookup CHA CHIROPRACTIC CLINIC
License Information:
Expiration date
Entity name:
CHA & LEE CHIROPRACTIC CLINIC, INC.
Business name:
CHA CHIROPRACTIC CLINIC
Entity type:
Profit Corporation
UI #:
602-8401116
Business ID:
001
Location ID:
0001
Location:
Active
Location address:
1700 S 305TH PL
FEDERAL WAY WA 98003-4814
Mailing address:
1700 S 305TH PL STE A
FEDERAL WAY WA 98003-4814
Excise tax and reseller permit status: Click here
Secretary of State status:
Click here
Endorsements
Endorsements held at this location License # Count Details
Federal Way General Business 08 -100035 -00 -BL
Medical Radiographic I
X -Ray:
Hospital/Medical/Chlropractic
Governing People May Include governing people not registered with Secretary of State
Governing people Title
CHA, JASON
Registered Trade Names
Registered trade names Status
CHA CHIROPRACTIC CLINIC Active
New search Back to results
Status
Expiration date
First issuancE
Active
Jun -30-2021
Feb -29-2008
Active
Jun -30-2021
Nov -20-2014
Active
Jun -30-2021
Nov -20-2014
View Additional Locations
The Business Lookup information is updated nightly. Search date and time: 7/24/2020 3:54:06 PM
First issued
Jan -28-2014
https:Hsecure.dor.wa.gov/gteunauth/,/#240 1/1