HomeMy WebLinkAboutAG 20-187 - Clock ShopCITY OF FEDERAL WAY LAW DEPARTMENT ROUTING FORM
I ORIGINATING DEPT./DIV: ECONOMIC DEVELOPMENT
ORIGINATING STAFF PERSON: TIM JOHNSON EXT: 2412 3. DATE Q. BY. AS
TYPE OF DOCUMENT (CHECK ONE):
❑ CONTRACTOR SELECTION DOCUMENT (E.G., R -FB, RFP, RFQ)
❑ PUBLIC WORKS CONTRACT ❑ SMALL OR LIMITED PUBLIC WORKS CONTRACT
❑ PROFESSIONAL SERVICE AGREEMENT ❑ MAINTENANCE AGREEMENT
❑ GOODS AND SERVICE AGREEMENT ❑ HUMAN SERVICES/ CDBG
❑ REAL ESTATE DOCUMENT ❑ SECURITY DOCUMENT (E.G. BOND RELATED DOCUMENTS)
❑ ORDINANCE ❑ RESOLUTION
❑ CONTRACT AMENDMENT (AG#):_ ❑ INTERLOCAL
* OTHER CARES ACT FUNDS BUSINESS SUPPORT GRANTAGREEMENT
PROJECT NAME: CARES ACT GRANT — ROUND I
NAME OF CONTRACTOR: CLOCK SHOP
ADDRESS: 27225 PACIFIC HWY S, FEDERAL WAY, WA, 98003 TELEPHONE: (253) 941-0342
E-MAIL: BEREZINI@HOTMAIL.COM
SIGNATURE NAME: BEREZiN BEREZIN TITLE: SEE ATTACHED
EXHIBITS AND ATTACHMENTS: 0 SCOPE, WORK OR SERVICES 0 COMPENSATION 11 INSURANCE REQUIREMENTS/CERTIFICATE 0 AM
OTHER REFERENCED EXHIBITS D PROOF OF AUTHORITY TO SIGN 0 REQUIRED LICENSES El PRIOR CONTRACT/AMENDMENTS I
• l• SEE ATTACHED AGREEMENT COMPLETION DATE..
TOTAL COMPENSATION$ (INCLUDE EXPENSES AND SALES TAX, IF ANY) ONE THOUSAND AND NO/I 00 ($1,000.00)
(IF CALCULATED ON HOURLY LABOR CHARGE - ATTACH SCHEDULES OF EMPLOYEES TITLES AND HOLIDAY RATES)
REIMBURSABLE EXPENSE: ❑ YES X NO IF YES, MAXIMUM DOLLAR AMOUNT:
IS SALES TAX OWED OYES X NO IF YES, $ PAID BY: ❑ CONTRACTOR ❑ CITY
RETAINAGE: RETAINAGE AMOUNT: ❑RETAINAGE AGREEMENT (SEE CONTRACT) OR ❑ RETAINAGE BOND PROVIDE
X— PURCHASING: PLEASE CHARGE TO001-1800�990-518-10-490 Project Code # 267662-25060
0. DOCUMENT/CONTRACT REVIEW
❑ PROJECT MANAGER
❑ DIRECTOR
❑ RISKMANAGEMENT (IF APPLICABLE}
❑ LAW
INITIAL / DATE REVIEWED INITIAL / DATE APPROVED
SCHEDULED COMMITTEE DATE: COMMITTEE APPROVAL DATE:
SCHEDULED COUNCIL DATE: COUNCIL APPROVAL DATE:
❑ SENT TO VENDORJCONTRACTOR DATE SENT: DATE RECD;
❑ ATTACH: SIGNATURE AUTHORITY, INSURANCE CERTIFICATE, LICENSES, EXHIBITS
❑ CREATE ELECTRONIC REMINDER/NOTIFICATION FOR I MONTH PRIOR TO EXPIRATION DATE
(include dept. support staff if necessary and feet free to set notification more than a month in advance if council approval is needed)
INITIAL/ DATE SIGNED
❑ LAW DEPARTMENT SIGNED By LAW 07-28-20
-
❑ SIGNATORY (MAYOR OR DIRECTOR)
❑ CITY CLERK
❑ ASSIGNED AG# AGW—
*LW --(
1/2020
city OF
Fddjeral Way
CITY HALL
33325 Sth Avenue South
Federal Way, WA 98003-6325
(253) 835-7000
www cifyoffederalway com
CARES ACT FUNDS BUSINESS SUPPORT GRANT AGREEMENT
WITH
CLOCKSHOP
This Grant Agreement ("Agreement") is made between the City of Federal Way, a Washington municipal
corporation ("Cityand Clock Shop, a sole proprietor ("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:
*310W
Igor Berezin
27225 PACIFIC HV*rY S
FEDERAL WAY, WA 98003
berezini@hotmail.com
I
Ade Ariwoola
33325 8th Ave. S.
Federal Way, WA 98003-6325
253 835-2520 te ep one)
(253) 835-2509 (facsimile)
1. TERM. This agreement contemplates a one-time grant of funds to the Grantee under the conditions
tescribed herein.
2. CONDITIONS OF GRANT
2.1 Warranties. 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):
X1 Was required by state or local order to close
Ej Was forced to lay off employees due to reduced patronage
E] Incurred over $1,000 in COVID-19 related expenses
Experienced 10-50% lost revenue
Experienced over 50% lost revenue / 51' AOA:41�
I l�ii, I I 111111111111�1111111
W., XMITIMMIKOW-w- I USIMM
CITY OF
Aw
Fi�deml ) tity
a) Mortgage or Rent
b) Personal Protection Equipment
c) Insurance
d) Utilities
e) Marketing
F) Payroll
CITY HALL
33325 8th Avenue South
Federal Way,. WA 98003-6325
(253) 835-7000
www cityoffederalmiy corm
Grantee agrees to retain receipts documenting use of grant funds and will provide the to the City or its
designee upon request.
3. TERMINATION. Should any of the conditions described in section 2.1, above, not be met, the City
may recover all disbursed grant funds and terminate this agreement.
4. GRANT AMOUNT.
4.1 Amount. In order to promote healthy economic activity in the City and in response to the losses
Grantee has incurred due to the COVID- 19 pandemic, the City shall provide a grant to the Grantee in an amouni
not to exceed One Thousand and NO/I 00 Dollars ($ 1,000.00).
4.2 Non-A-ppropriation.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 Grafttei� bdonmificatidn. The Grantee agrees to release indemnify, defend, and hold the City, its
elected officials, officers, employees, agents, representatives, insurers, attomeys, and volunteers harmless from
any and all claims, demands, actions, suits, causes of action, arbitrations, mediations, proceedings, judgments,
awards, injuries, damages, liabilities, taxes, losses, fines, fees, penalties expenses, attorney's fees, costs, and/or
litigation expenses to or by any and all persons or entities, including, without limitation, their respective agents,
licensees, or representatives, arising from, resulting from, or in connection with this Agreement or the
performance of this Agreement, except for that portion of the claims caused by the City's sole negligence.
Should a court of competent jurisdiction determine that this Agreement is subject to RCW 4.24.115, then, in the
event of liability for damages arising out of bodily injury to persons or damages to property caused by or
resulting from the concurrent negligence of the Grantee and the City, the Grantee's liability hereunder shall be
only to the extent of the Grantee's negligence. Grantee shall ensure that each sub -Grantee shall agree to defend
and indemnify the City, its elected officials, officers, employees, agents, representatives, insurers, attorneys, and
volunteers to the extent and on the same terms and conditions as the Grantee pursuant to this paragraph. The
City's inspection or acceptance of any of Grantee's work when completed shall not be grounds to avoid any of
these covenants of indemnification.
5.2 Industrial Insurance 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 under
workers' compensation acts, disability benefit acts or any other benefits acts or programs. The Parties further
acknowledge that they have mutually negotiated this waiver.
CITY OF
r6deral MMY
CITY HALL
33325 8th Avenue South
Federal Way, WA 98003-6325
(253) 835-7000
mvw.dtyoffede,raNvqycom
5.3 CAY InderimificatiO . The City agrees to release, indemnify, defend and hold the Grantee, its
officers, directors, shareholders, partners, employees, agents, representatives, and sub- contractors harmless
from any and all claims, demands, actions, suits, causes of action, arbitrations, mediations, proceedings,
judgments, awards, injuries, damages, liabilities, losses, fines, fees, penalties expenses, attorney's fees, costs,
and/or litigation expenses to or by any and all persons or entities, including without limitation, their respective
agents, licensees, or representatives, arising from, resulting from or connected with this Agreement to the exteni
solely caused by the negligent acts, errors, or omissions of the City.
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.
6.1 Intemretation and Modification. 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 remain in full force and effect. No provision of this Agreement, including this
[irovision, may be amended, waived, or modified except by written agreement signed by duly authorized
representatives of the Parties.
RiNUENF-!g URNFLOBIOU 111113IM1111 I
6.3 Execution. Each individual executing this Agreement on behalf of the City and Grantee
represents and warrants that such individual is duly authorized to execute and deliver this Agreement. This
;;6dtom' lVVay
i
CIIY OF
CITY HALL
33325 Sth Avenue South
Federal Way, "A 98003-6 325
(253) 835-7000
www cttyoffederalway. cern
Agreement may be executed in any number of counterparts, each of which shall be deemed an original and with
the same effect as if all Parties hereto had signed the same document. All such counterparts shall be construed
together and shall constitute one instrument, but in making proof hereof it shall only be necessary to produce
one such counterpart. The signature and acknowledgment pages from such counterparts may be assembled
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 upon which the last of all of the Parties have executed a
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.
ATE:
By:
�mm e
Printed Name: Nlie
Title:
ATE:
LONIVIRM•.auTmlygm}
7124/2020
Wash,ington State Departrneir"it of
'S, i C 's Business CLOCK V -10P
License Information:
Entity name:
BEREZIN, IGOR
Business name:
CLOCK SHOP
Entity type:
Sole Proprietor
UBI #:
604-203-376
Business ID:
001
Location ID:
0001
Location:
Active
Location address:
27225 PACIFIC HWY S
FEDERAL WAY WA 98003-2407
Mailing address:
27225 PACIFIC HWY S
FEDERAL WAY WA 98003-2407
Excise tax and reseller
permit status: Click here
Endorsements
eServices
New search Back to results
Endorsements held at this location License # Count Details Status Expiration date First issuanCE
Federal Way General Business 18 -101055 -00 -BL Active Jan -31-2021 Mar -12-2018
Governing People May include governing people not registered with Secretary or State
Governing people Title
BEREZIN, IGOR
Registered Trade Names
Registered trade names Status First issued
CLOCK SHOP Active Jan -10-2018
The Business Lookup information is updated nightly. Search date and time: 7124/2020 3:58:08 PIVI
https://secure.dor.wa.gov/gteunauth/—,/#264 1/1