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HomeMy WebLinkAboutAG 20-316 - JSI Holding Corpa N a IN lRew toW1110NUf #101 WE CITY OF FEDERAL WAY LAW DEPARTMENT ROUTING FORM ORIGINATING DEPT./DIV: ECONOMIC DEVELOPMENT ORIGINATING STAFF PERSON: TIM JOHNSON EXT: 2412 3. DATE Q. BY ASAP OLKEN I tallaw [61t&I go 7_4111 I Mill Ei PUBLIC WORKS CONTRACT 0 SMALL OR LIMITED PUBLIC WORKS CONTRACT • PROFESSIONAL SERVICE AGREEMENT 11 MAP47ENANCE AGREEMENT • GOODS AND SERVICE AGREEMENT 0 HUMAN SERVICES/ CDBG • REAL ESTATE DOCUMENT 0 SECURITY DOCUMENT (E.G BOND RELATED DOCNTS) El ORDINANCE 11 RESOLUTION * CON TRACTAMENDMENT(AG #):_ DINTERLOCAL * OTHER CARES ACT FUNDS BUSINESS SUPPORT G H'ACs REEMENT PROJECTNAME CARES ACT GRANT— RQVNDt,,,,__ NAME OF CONTRACTOR: T'�VTNLAKES CLEANERS ADDRESS, 461&SW320TH ST, FEDERAL WAY, WA, 98023 TELEPHONE: (2s)!j32-9586 EAIAIU tHARL]Ef[ANFS@OCffMkg-.COM AAA/N -TWfj MS TITLE-. SEEArTACHED EXHIBITS AND ATTACHMENTS: 0 SCOPE, WORK OR SERVICES 0 COMPENSATION 0 INSURANCE REQUIREMENTS/CERTIFICATE 0 ALL OTHER REFERENCED EXHIBITS El PROOF OF AUTHORITY TO SIGN OREQUIRED LICENSES C)PRIOR CONTRACT/AMFNDMENTS TOTAL COMPENSATION$ (INCLUDE EXPENSES AND SALES TAX, IFAM) ONE THOUSAND AND NO/100 ($1,000.00) (IF CALCULATED ON HOURLY LABOR CHARGE - ATTACH SCHEDULES OF EMPLOYEES TITLES AND HOLIDAY RATES) REIMBURSABLE EXPENSE: 0 YES XNO IF YES, MAXIMUM DOLLAR AMOUNT: IS SALES TAX OWED DYES X NO IF YES, PAID BY. 11 CONTRACTOR 0 CITY RETAINAGE: RFTAINAGE AMOUNT: El RETAINAGE AGREEMENT (SEE CONTRACT) OR DRETAINAGE BOND PROVIDII 0 PURCHASING: PLEASE CHARGE TO: _09J -1800z990-518-10 -490 Prosect Code# 267662-25060 !9 0. DOCUMENT/CONTRACT REVIEW INITIAL/ DATE REVIEWED 1NITIAL'DA- .u,APPRovED O'FROJECT MANAGER 7kDIRECTOR j, C'' RISKMANAGEMENT (IFAPPLICABLE) — ------------- — — ------- -- 11 LAW 1. COUNCIL APPROVAL (IF APPLICABLE) SCHEDULED COMMITTEE DATE-, COMMITTEE APPROVAL DATE: SCHEDULED COUNCIL DATE: w COUNCIL APPROVAL DATE - El SENT TO VENDOR/CCINTRACTOR DATE SENT: , DATE REC'D:..,;,, F-1 ATTACH: SIGNATURE AUTHORITY, INSURANCE CERTIFICATE, LICENSES, EXHIBITS 0 CREATE ELECTRONIC REMINDERiNOTIFICATION FOR I MONTH PRIOR TO EXPIRATION DATE (Include dept. support staff if necessary and feel free to set notification more than a month in advance if council approval is needed.) INITIAL DATE SIGNED 0 2LA 'DEPAKIVE�NT L 07 8 Qj. NYOPW�MAYOR' OR DIRECTOR) 0 CITY CLERK El ASSIGNED AG# AG# 1/2020 city Of Federal Way CITY HALL 33325 8th Avenue South Federal Way, WA 98003-6325 (253) 835-7000 www,cityoffederalwaycom CARES ACT FUNDS BUSINESS SUPPORT GRANT AGREEMENT WITH JS1 HOLDING CORP DBA AM/PM TWIN LAKES CLEANERS This Grant Agreement ("Agreemenf) is made between the City of Federal Way, a Washington municip] corporation ("City"), and JSI Holding Corp dba AMfPM Twin Lakes Cleaners, a Washington corporati ("Grantee"). The City and Grantee (together "Partiee) are located and do business at the below address which shall be valid for any notice required under this Agreement: JSP HOLDING CORP DBA AM/PM TWIN LAKES CLEANERS: Jung Ilan 4616 SW 320TH ST FEDERAL WAY, WA 98023 (253) 3329586 (telephone) charliehail.com The Parties agree as follows: OF FEDERAL WAY: Ade Ariwoola 33325 8th Ave. S. Federal Way, WA 98003-6325 (253) 8352520 (telephone) (253) 8352509 (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. CONDITIONS OF GRANT -CARES ACT BUSINESS GRANT AGREEMENT - I - CITY OF CITY HALL 33325 8th Avenue South AIS, Federal Way Federal Way, WA 98003-6325 (253) 835-7000 www atyoffederalway com 2.2 Use of Funds: Grantee anns that grant funds will be used for the following purposes: Grantee agrees to retain reccipts 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 insection 2. 1, above, not be met, the City may recover all disc ad grant fun&, 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 lossil ms jfaggl, due- tg4g.-W 2av4wffjj,, Ag ';b IL 4.2 Nl . If sufficient fiinds are riot appropriated or allocated for payment under this Agreement for any fiscal period, the City will not be obligated to mike payments -under this agreement. 5. INDEMNIFICATION. 5.2 Industrial In 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 dainages, compensation or benefits payable to or by any third petty under CARES ACT BUSINESSGRANT AGREEMENT - 2 - CITY OF CrrY HALL 33325 Sth Avenue South Federal Way, WA 98003-6325 Federal Way (253) 835-7000 www a1yoffederahvey com workers' compensation acts, disability benefit acts or any other benefits acts or programs. The Parties further acknowledge that they have mutually negotiated this waiver. 5.3 The City agrees to release, indemnify, defend and hold the Grantee, antee �J �7 officers, directors, shareholders, partners, employees, agents, representatives, and sub- contractors harmle from any and all claims, demands, actioms, suits, causes of action, arbitrations, inediations, 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 a2ents, iicenseei f r fr -0 2, _ mi SEE== 5.4 SUM — �val. The provisions of this Section shall survive the expiration or termination of th Agreement, with respect to any event, occurring prior to such expiration or termination, I 6. GENERAL PROVISIONS. CARE S ACT BUSINESS GRANT AGREEMENT -3- coly OF CITY HALL 33326 8th Avenue South Federal Way Federal Way, WA 98003-6325 (253) 835-7000 .coo CITY OF FEDERAL WAY: JS1 HOLDING CORP DBA AMIPM TWIN Printed Name-, Title: DATE: CARES ACT BUSINESS GRANT AGREEMENT -4- 7/25/2020 Wa, �' 'n i n g t oo, 3t a 1, e D r,,,p a r is i � e I t () f R, --V te, n Ll SeiMce's B,,,miness 1-ookuq�,, TWiN LAKES CLEANERS License Information: Entity name: JSI HOLDING CORPORATION Business name: TWIN LAKES CLEANERS Entity type: Profit Corporation UBI #: 602-879-992 Business ID: 001 Location ID: 0002 Location: Active Location address: 3440 SW 320TH ST FEDERAL WAY WA 98023-2293 Mailing address: 4616 SW 320TH ST FEDERAL WAY WA 98023-2400 Excise tax and reseller permit status: Click here Secretary,of State status: Click here R -Mm New search Back to results Endorsements Endorsements held at this location License # Count Details Status Expiration date First issuanCE Federal Way General Business 01 -102846 -00 -BL Active Nov -30-2020 Jul -26-2001 Governing People May include governing people not registered with Secretary of State Governing people Title HAN, IN HAN, JUNG View Additional Locations The Business Lookup information is updated nightly. 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