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Home My WebLink AboutAG 20-205 - Do Won East Asian Medicine ClinicCITY OF FEDERAL WAY LAW DEPARTMENT ROUTING FORM ORIGTNAT'ING DEPT/DIV: ECONOMIC DEVELOPMENT . ORIGINATING STAFF PERSON: TIM JOHNSON EXT: 2412 - 3_ DATE REQ. BY- , ASAP - Cl PUBLIC WORKS CONTRACT o SMALL OR LIMITED PUBLIC WORKS CONTRACT 11 PROFESSIONAL SERVICE AGREEMENT o MAINTENANCE AGREEMENT Ei GOODS AND SERVICE AGREEMENT D HUMAN SERVICES/ CDBG Ei REAL ESTATE DOCUMENT o SECURITY DOCUMENT(E.G. BOND RELATEDDOC UNIENTS) F --i ORDINANCE c.i RESOLUTION * CUNT RACTA MENDMENT(AG#):— El INTERLOCAL * OTHER CARES ACT FUNDS BUSINESS S [ TBPORTG RAN I'AGREEMENT PROJI�.'.'CT NAMI----- CARES ACT GRANT ROt'ND I NAME OF CONTRACTOR: DO WON EAST ASI MEDICINE CLINIC 011111--rurzs "We. A.DDRE-SS: 33919 9TII AVE S, #101-B, FEDERALINAY, WA, 98003 ELEPHONE: (253)347-1838 E-MAIL: SULYEOP@IiO'I'MAIL.COM SIGNATURE NAME: KFvI KIM TITLE: SFEA-T7AcHFD EXHIBITS AND ATTACFIMENTS: 0 SCOPE, WORK OR SERVICES -0 COMPENSATION E INSURANCE REQUIREMENTS/CERTIFICATE 0 ALL OTHER REFERENCED EXHIBITS 0 PROOF OF AUTHORITY TO SIGN F1 REQUIRED LICENSES :1 PRIOR CONTRACT/AMENDMENTS TERM: COMMENCEMENT DATE; SEE NI-I'ACHFD AGREEMENT COMPLETION DATE: .......... . . TOTAL, COMPENSATION $ (INCLUDE EXPENSES AND SALES TAX, IF ANY) ONE TiiouSAND AND NO/100 ($I,000.00) (IF CALCULATED ON HOURIY LABOR CHARGE- ATTACH SCHEDULES OF EMPLOYEES TITLES AND HOLIDAY RATES) REIMBURSABLEE ENSE: El YES XND IF YES, MAXIMUM DOLLAR AMOUNT,' $s. - IS SALES TAX OWED DYES X NO IF' YES, S_ PAID BY: 0 CONTRACTOR D CITY RETAINAGE: RETAINAGE AMOUNT: __ _ _, —,7jRFTk]NAGEA(.iREEA4ENI'(SFE CONTRACT) OR ORETAFNAGE BOND PROVIDE 0 PURCHASING: PLEASE CIIARGETO: 001-1800-990-518-10-490 Proiect Code it 2676,62-25060 0. DOC UMENT/CONTRACTRE, VIEW INITIALI'DATE REVIEWED INITIAL/ DAI'E APPROVED El PROJECT MANAGER p-143'11, ECTOR F-1 RISK MANAGEMENT (IF APPLICABLE) 0 LAW 1. COUNCIL APPROVAL (IF APPLICABLE) S CHEDULCD COMM ITTE c D.&TE: COMMITTECAPPRONIAL DATE: SCHEDULED COUNCIL DATE: CO[JNCILAPIIROVAL DArT,: 1 CON TR-ACTsiGiNxrURE'ROU'l'1N G 0 SENT TO VEN'DOWCONTP-ACTOR DATE SENT: — --1111 — ----- DATE REC'D'- 11 ATTACH: SIGNATURE AUTHORITY, INSURANCE CERTIFICATE, LICENSES, EXHIBITS 0 CREAI'E EI.EC'.1RONtC REMINDER ' /NOTIFICATION FOR I MONTH PRIOR TO EXPIRAFION DAIT rt , (Include dept. support VnLcessary and feel free to set notification more than a month in advance ifcouncil approval is needed.) INI'T'IAL / DATE SIGNED .�LAW DEPARTMENT' Si(-�) m,14 07-28 10 YL, SIGNATORY (MAYOR OR DIRECTOR) iK CITY CLERK A 1,4 ASSIGNED AG# 1/2020 C11rV Of 1."r HALL '13325 8th A n . ouV'-r 'VAMN� Federal Way Federal 'j%"A 98003 6325 ORIENTAL(253) 835-7000 DO WON ACUPUNCTURE Ji Woo Kim 33919 9TH AVE S, #101 -. FEDERAL :, WA 98003 (253) 347-1838 (telephone) sulyeop@,hotmail.com The Parties agree as follows: OF FEDMAL' Ade Ariwoola, 33325 8th Ave. m . Federal Way, WA 98003-6325 (253) 835-2520 (t1 hoes) (253) 835-2509 (facsimile) L TERM, This agreement contemplates a one -timet of funds to the Grantee under the conditions described E tna CARES ACT BUSINESS 3 T AGREEMENT Grantee s to retain receipts documenting use of grant fii ds and will provide thein to the City or its designee upon request. 3. TERAMINA Should any of the conditions described in section 2.1 above, not be mthe City may recover all disbuTsed grant funds and tenninate this agreement. 4. GRANT AMOUNT. ;1 Amount. In order to promote healthy econoinic activity 1. the City and in response to the lasses Grantee has incurred due to the I -Id pandemic, the City shall provide t to the Chwtee in an aniount riot to exceed One Thousand and NO11 00 Dollars1,000.00). 4.2 Not, Funds roIf sufficient finds are not propriated or allocated for payment der this Agreement for any fiscal period, the City will not be obligated to make payments tinder this agreement. 5. INDEMNIFICATION. . 1 It l t1 r _ t . I is specifically al expressly understood th t the Grantee waives any immunity t may , granted t under the Washington State industrial insurance at, Title dl solely " r the purposes this indemnification. r tee's indemnification shall not be limited in any way by any limitation on the a tit of damages, compensation or beneffis payable to or by azry third party tinder workers' sation acts, disability benefit acts or any other benefits _a is or pr a is. The Parties fWther CARES T BUSINESS GRANT AGREEMENT QTY OF CITY HALL 33325 Sth Avenue South Federal Way Federal USF 0 -6325 (25 3) 835-7000 acknowledgecom st they have mutually negotiated this waiver. .4 Survival. The provisions of this Section shat survive the expiration or termination of this Agreement with respect to any event occuning prior to such expiration or termination. 6. GENE&4L I'Icy NS. 6.3 Execution. Each individual executing this Agreement behalf of the City and Grantee CARESACT BUSINESS GRANT AGREEMENT -3- QTV OF CITY HALL 33325 Sth Avenue South Federal, Way Federal Way, WA 98003-6325 (253,s83-5-700-0 1V0fkQ&.T,,UA MY Coin represents and warrants that such individual is duty authorized to execute and deliver this Agreement. This 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. CITY OF FEDERAL WAY: yor Jim F Ma�' 07 DATE:/-- By: Printed Name: Title: &:yr e, DATE: I Z -ARES ACT BUSINESS GRANT AGREEMENT -4- ", I Services Business Lookup DO WON EAST ASIAN MEDICINE CLINIC License Information: Entity name: DO WON ORIENTAL MEDICINE & ACUPUNTURE CLINIC INC Business name: DO WON EAST ASIAN MEDICINE CLINIC Entity type: Profit Corporation UBI #: 602-542-202 Business ID: 001 Location ID: 0001 Location: Active Location address: 33919 9TH AVE S STE 101B FEDERAL WAY WA 98003-6736 Mailing address: 33919 9TH AVE S STE 101B FEDERAL WAY WA 98003-6736 Excise tax and reseller permit status: Click here Secretary of State status: Click here Endorsements Endorsements held at this location License It Count Details Federal Way Home Occupation 05 -105070 -00 -BL Business Governing People May include governing people not registered with Secretary of State Governing people Title KIM, JI Registered Trade Names Registered trade names Status DO WON EAST ASIAN MEDICINE CLINIC Active New search Back to results Status Expiration date Active Oct -31-2020 The Business Lookup information is updated nightly. Search date and time: 7/2412020 4:07:25 PM First issued Oct -22-2015 https://secure.dor.wa.gov/gteunauth/,/#314 1/1