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Home My WebLink AboutAG 20-320 - Just Like Home AFHRETURN TO: TIM JOHNSON EXT: 2412 CITY OF FEDERAL WAY LAW DEPARTMENT ROUTING FORM ORIGINATING DEPT./DIV: ECONOMIC DEVELOPMENT ORIGINATING STAFF PERSON: TIM JOHNSON EXT: 2412 3. DATE REQ. BY.- ASAP TYPE OF DOCUMENT (CHECK ONE): El CONTRACTOR SELECTION DOCUMENT (E.G., RFB, RFP, RFQ) El PL313LIC WORKS CONTRACT El SMALL OR LIMITED PUBLIC WORKS CONTRACT El PROFESSIONAL SERVICE AGREEMENT El MAINTENANCE AGREEMENT El GOODS AND SERVICE AGREEMENT 11 HUMAN SERVICES/ CDBG El REAL ESTATE DOCUMENT 0 SECURITY DOCUMENT (E.G. BOND RELATED DOCUMENTS) El ORDINANCE 0 RESOLUTION * CONTRACT AMENDMENT (AG#):_ El INTERLOCAL * OTHER CARES ACT FUNDS BUSINESS SUPPORT GRANT AGREEMENT PROJECT NAME: CARES ACT GRANT — ROUND I NAME OF CONTRACTOR: JUST LIKE HOME AFH LLC ADDRESS: 31420 41 STAVE SW, FEDERAL WAY, WA, 98023 TELEPHONE: (253) 561-5050 E-MAIL: TUUSTLIKEHOME@GMAIL.COM SIGNATURE NAME: MANDEVILLE MANDEVILLE TITLE: SEEATTACHED EXHIBITS AND ATTACHMENTS: Li SCOPE, WORK OR SERVICES El COMPENSATION 0 INSURANCE REQUIREMENTS/CERTIFICATE E3 ALL OTHER REFERENCED EXHIBITS 0 PROOF OF AUTHORITY TO SIGN El REQUIRED LICENSES El PRIOR CONTRACT/AMENDMENTS . TERM: COMMENCEMENT DATE: 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: 11 YES X NO IF YES, MAXIMUM DOLLAR AMOUNT: IS SALES TAX OWED El YES X NO IF YES, PAID BY: E CONTRACTOR 0 CITY RETAINAGE: RETAINAGEAmoUNT: — El RETAINAGE AGREEMENT (SEE CONTRACT) OR Ei RETAINAGE BOND PROVID3 El PURCHASING: PLEASE CHARGE TO: 001-1800-990-518-10-490 Project Code # 267662-25060 0. DOCUMENT/CONTRACT REVIEW INITIAL / DATE REVIEWED INITIAL / DATE APPROVED 0 PROJECT MANAGER El DIRECTOR El RISKMANAGEMENT (IF APPLICABLE} D LAW 1. COUNCIL APPROVAL (IF APPLICABLE) SCHEDULED COMMITTEE DATE: COMMITTEE APPROVAL DATE: SCHEDULED COUNCIL DATE: COUNCIL APPROVAL DATE: 2. CONTRACT SIGNATURE ROUTING 11 SENT TO VENDOR/CONTRACTOR, DATE SENT: DATE REC'D:--, El 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 / DATE SIGNED El LAW DEPARTMENT SIGNED By LAW 07-28-20 El SIGNATORY (MAYOR OR DIRECTOR) ❑ CITY CLERK 0 ASSIGNED AG# 1/2020 4S CITY OF CP Y HALL t 33325 8th Avenue South A Federal Way Federal Way, WA 98003-6325 400*4'21ft�� (253) 835-7000 www a1yoffederalway corn CARES ACT FUNDS BUSINESS SUPPORT GRANT AGZ1,TF?AE'f1T WITH JUST LIKE HOME AFH LLC This Grant Agreement ("Agreement") is made between the City of Federal Way, a Washington municipal corporation ("City"), and Just Like Home AFH LLC, a limited liability company ("Grantee"). The City and Grantee (together 'Tarties") are located and do business at the below addresses which shall be valid for any JUST LIKE HOME AFH LLC: Dara Mandeville Ade Ariwoola 31420 41 ST AVE SW 33325 8th Ave. S. FEDERAL WAY, WA 98023 Federal Way, WA 98003-6325 (253) 561-5050 (telephone) (253) 835-2520 (telephone) tljustlikehome@gmail.com (253) 835-2509 (facsimile) ade.ariwoola@cityoffederalway.com 1. TERM. This agreement contemplates a one-time grant of funds to the Grantee under the conditions described herein. 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): El Was required by state or local order to close E] Was forced to lay off employees due to reduced patronage Incurred over $ 1,000 in COVID- 19 related expenses Experienced 10-50% lost revenue E] Experienced over 50% lost revenue 2.2 Use of Funds: Grantee affirms that grant funds will be used for the following purposes: CARES ACT BUSINESS GRANT AGREEMENT A CITY OF CITY HALL 33325 Sth Avenue South ZmFederal Way, WA 98003-6325 FOader*My (253) 835-70,00 www.�*�lway.com 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. TERMNMIQN,� 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. 4.1 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 amount not to exceed One Thousand and NO/1 00 Dollars ($ 1,000.00). 4.2 Nom��mi on of Fun&- If sufficient funds are not appropriated or allocated for paymeni- under this Agreement for any fiscal period, the City will not be obligated to make payments under this agreement. MENEM 5.1 6fbntft WeInnification. The Grantee agrees to release indemnify, defend, and hold the City, its elected officials, officers, employees, agents, representatives, insurers, attorneys, 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. 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 hdustrial Insurance Act M�� 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 CARES ACT BUSINESS GRANT AGREEMENT -2- CITY OF oFederal Way rt%,16 CITY HALL 33325 8th Avenue South FaAemUV-aV,�"-fflV3-6325 (253) 835-7000 ve"46voh��Waycom 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 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 execution7' hereof. IN WITNESS, the Parties execute this Agreement below, effective the last date written below. CITY OF FEDERAL WAY: I JiF,F IL, ayor DATE: djjj,16qW:[q By: Printed Name: Title: DATE. CARES ACT BUSINESS GRANT AGREEMENT -4- VVashin-z.0ri State Departnnent, oil" Revenl.ie Services Business Lookup JUST LIKE HOME AFF! LI -C License Information: New search Back to results Entity name: JUST LIKE HOME AFH, LLC Business name: JUST LIKE HOME AFH LLC Entity type: Limited Liability Company UBI #: 602-972-994 Business ID: 001 Location ID: 0002 Location: Active Location address: 31420 41 ST AVE SW FEDERAL WAY WA 98023-2115 Mailing address: 33250 34TH AVE SW FEDERAL WAY WA 98023-2737 Excise tax and reseller permit status: Click here Secretary of State status: Click here Endorsements Endorsements held at this location License Count Details Status Expiration date First Issuance Federal Way General Business 10 -100044 -00 -BL Active Dec -31-2020 Jan -15-2010 Governing People May Include governing people not registered with Secretary of State Governing people Title MANDEVILLE, DARA Working together to fund Washington's future https://secure.dor.wa.gov/gteunauth/,/#377 111