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HomeMy WebLinkAboutAG 20-146 - Baraka AFHCITY OF FEDERAL WAY LAW DEPARTMENT ROUTING FORM
ORIGINATING DEPT./DIV-.,
ORIGINATING STt : PERSON: TIi DATE
TYPE OF DOCUMENT (CHECK ONE):
❑ CONTRACTOR SELECTION Doc NT (E.G., RFB, RFP, RFQ)
❑ PUBLIC WORKS CONTRACT ❑ SMALL OR LIMITED PUBLIC WORKS CONTRACT
❑ PROFESSIONAL SERVICE AGREEMINT ❑ MAINTENANCE AGREEMENT
❑ GOODS AND SERVICE AGREEMINT ❑ HUMAN SERVICES/ CDG
❑ REAL ESTATE DOCUMENT ❑ SECURITY DOCUMENT (E.G. BOND RELATED DOCUMENTS)
❑ ORDINANCE ❑ RESOLUTION
❑ CONTRACT ANT (AG#): ❑ INTERLOCAL
X OTHER CARES ACT FUNDS BUSINESS SUPPORT GRANT AGREEMENT
. PROJECT NAME- CARES ACT GRANT --ROUND 1
NAME OF CONTRACTOR: BARAKA ADULT FAMILY HOME
ADDRESS: 2731 SW 314TH ST, FEDERAL WAY, WA, 95023 TELEPHONE: (253) 561-3693
E-MAIL:VUS 2 a@YA OO.COM
SIGAT E: MOSES WAMBUI TITLE: SEE ATTACHED
EXHIBITS AND ATTACHMENTS: Li SCOPE, WORK OR SERVICES El COMPENSATION 0 INSURANCE REQUIREMENTS/CERTIFICATE 0 ALL
OTHER REFERENCED EXHIBITS ■ PROOF OF i• TO SIGN ■ REQUIRED LICENSES ■ PRIOR CONTRACT/AMENDMENTS
TERM: COMMENCEMENT DATE: SEE ATTACHED AGREEMENT COMPLETION DATE:
• + i � i '� r � x r � • • � r � i ' ! ! � '. f f f f
CALCULATED ON HOURLYLABOR CHARGE - ATTACH SCHEDULES OF r HOLIDAY
REIMBURSABLE EXPENSE: 0 YES X NO IF YES, MAXIMUM DOLLAR AMOUNT: $
IS SALES TAX OWED DYES X NO
RETAINAGE: RETAINAGE AMOUNT: .._C 1'RETAINAGE AGREEMENT (SEE CONTRACT) OR ❑ RETAINAGE BOND
ROVIDED
f �r '
PROJECT
i 1 i
QiDI! • i-
■ RISK MANAGEMENT
■ 4 j
-77
S
SCHEDULED COMMITTEE DATE: COMMITTEE APPROVAL DATE:
SCHEDULED COUNCIL DATE: COUNCIL APPROVAL DATE:
■ i ifl' f1 ! � �• �
■ ATTACH: ii AUTHORITY, INSURANCE
3 REMINDER/NOTIFICATION tCERTIFICATE,
• CREATE ELECTRONIC
R I MONTH PRIOR TO EXPIRATION DATE
(Include dept. `if necessary
INITIAL DATE
■ LAW DEPARTMEf
41-0-0 WAO
42020
qTY OF
F;6djeral My,
CITY HALL
33325 8th Avenue South
Federal Way WA 98003-6325
(253) 335-7000
www cRyoffederalway com
CARES ACT FUNDS BUSINESS SUPPORT GRANT AGREEMENT
WITH
BARAKA ADULT FAMILY HOME
This Grant Agreement ("Agreement") is made between the City of Federal Way, a Washington municipal
corporation ("City"), and Baraka Adult Family Home, 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:
14y.11% 411.111K.W.Nu 0 IN 8 Kid I I WA;
Moses Wambui
2731 SW 314TH ST
FEDERAL WAY, WA 98023
I CITY OF FEDERAL WAY:
Ade Ariwoola
33325 8th Ave. S.
Federal Way, WA 98003-6325
(253) 835-2520 (telephone)
(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. 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):
Was required by state or local order to close
Was forced to lay off employees due to reduced patronage
Incurred over $1,000 in COVID-19 related expenses
Experienced 10-50% lost revenue
Experienced over 50% lost revenue
CITY Of CITY HALL
33325 Sth Aveme South
A'! Federal Way. WA 98003-6325
Fe d e ra I Wa y (253) 835-7000
wmv cltyoffederalway com
a) Mortgage or Rent
b) Personal Protection Equipment
c) Insurance
d) Utilities
e) Marketing
F) Payroll
Grantee agrees to retain receipts documenting use of grant funds and will provide them to the City or its
designee upon request.
3. TERMINATION. Should any of the conditions described in section 2.1, above, not be met, the City
may recover all disbursed grant funds and terminate this agreement.
4.1 Amount. In order to promote healthy economic activity in the City and in response to the losses
Grantee has incurred due to the COVID- 19 pandemic, the City shall provide a grant to the Grantee in an amount
not to exceed One Thousand and NO/I 00 Dollars ($ 1,000.00).
4.2 Non -Appropriation 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.
900191 i�
5.1 Granted 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
gation 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 comy,�Jurisdiction determine that this A,.yi�- - �—sub�ec VLL0_R1' ff_��_then_hLthe-
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
FORIVIRM �,, �111�10 �161 .1 �12,1 �Z,�M
4 CITY OF
F6deral VVoy
CITY HALL
33325 8th Avenue South
Federal Way, WA 98003-6325
(253) 835-7000
mwv. cityoffederah-va,v corn
5.3 City 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 • action, arbitrations, mediations, proceedings,
judgments, awards, injuries, damages, liabilities, losses, fines, fees, penalties expenses, attorney's fees, costs,
and/or litigation expenses to or • 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 extent
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 lntqWt4afiorI and 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
fprovision, may •` amended, waived, or modified except by written agreement signed • duly authorized
representatives of the Parties.
6.3 Execution. Each individual executing this Agreement on behalf of the City and Grantef
represents and warrants that such individual i authorized to execute and deliver this Agreement. This
CITY Of
A% V%lay
56deral
CITY MALL
33325 8th Avenue: South
Federal Way, WA 98003-5325
(253) 835-7000
Gv cltyoffederalway cram
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 i i. signature and acknowledgment pages fromrts 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: "
BARAZ ADULT FAMILY :
Printed Name:rv-/
Title:Pav-16LO
ATE: t
7/27/2020 eServices
VV—
L
,,e prices, Business Lookup BARPiKlk ADLALT FAM k1Y HOME
License Information:
Entity name:
WAMBUI, MOSES KABUI
Business name:
BARAKA ADULT FAMILY HOME
Entity type:
Sole Proprietor
UBI #:
603-150-197
Business ID:
001
Location ID:
0001
Location:
Active
Location address:
2731 SW 314TH ST
FEDERAL WAY WA 98023-7842
Mailing address:
2731 SW 314TH ST
FEDERAL WAY WA 98023-7842
Excise tax and reseller
permit status: Click here
Endorsements
Endorsements held at this location License # Count Details
Federal Way General Business 12 -104838 -00 -BL
Governing People May include governing people not registered with Secretary ol'State
Governing people Title
WAMBUI, MOSES KABUI
Registered Trade Names
Registered trade names Status
BARAKA ADULT FAMILY HOME Active
hps://secure.dor.wa.gov/gteunauth/_/17
Status Expiration date First issuance
Active Oct -31-2020 Nov -08-2012
to. -# # 6 INEMMIFT, M