HomeMy WebLinkAboutAG 20-774 - Kang DDS PLLCRETURN TO:
Johnson 4
12
CITY OF FEDERAL WAY LAW DEPARTMENT ROUTING FORM
ORIGINATING G DEPT./DIV. ECONOMIC, DEVELOPMENT
ORIGINATING JOHNSON DATE REQ BYL_,AsAP__
TYPE OF DOCUMENT (CHECK ONE):
❑ CONTRACTOR SELECTION DOCUMENT (E.G, RFB, REP, RFQ)
❑ PUBLIC WORKS CONTRACT ❑ SMALL OR LIMITED PUBLIC WORKS CONTRACT
❑ PROFESSIONAL SERVICE AGREEMENT ❑ MAINTENANCE AGREEMENT
❑ GOODS AND SERVICE AGREEMENT ❑ HUMAN SERVICES t CG
❑ REAL ESTATE DOCUMENT ❑ SECURITY DOCUMENT (E.G, BOND RELATED DOCUMENTS)
❑ ORDINANCE ❑ RESOLUTION
❑ CONTRACT AMENDMENT (AG#) DINTERLOCAL
X OTHER—CARES ACT FUNDS BUSINESS SUPPORT GRANT AGREEMENT
NAME OF CONTRACTOR: KANG, DDS PLL
DD2505 S 320TIl ST, FEDERAL WAY WA 98
E-MAIL: !. !. # #
SIGNATUREtTHOMAS
. � ... , ■ � ���# iii
EXHIBITS AND ATTACHMENTS: D SCOPE, WORK OR SERVICES 71 COMPENSATION 0 INSURANCE REQUIREMENTS/CERTIFICATE El A
OTHER REFERENCED EXHIBITS 0 PROOF OF AUTHORITY TO SIGN 0 REQUIRED LICENSES 0 PRIOR CONTRACT/AMENDMENTS I
. TERM: COMMENCEMENT DATE: i AGREEMENT r
TOTAL COMPENSATION$ (INCLUDE EXPENSES AND SALES TAX, IF ANY) TWO THOUSAND AND NO '.'100 (S2,000.00)
(IF CALCULATED ON HOURLY LABOR CHARGE - ATTACH SCHEDULES OF EMPLOYEES TITLES AND HOLIDAY RATES)
REIMBURSABLE EXPENSE: Ll YES X NO IF YES, MAXIMUM DOLLAR AMOUNT: $
IS SALES TAX OWED ■ YES X NO ! BY: 0 CONTRACTOR
RETAINAGE: RFTAfNAGE AMOUNT: — El RETAINAGE AGREEMENT (SEE CONTRACT) OR El RETAfNAGE BOND PROVIDE
■ PLEASE CHARGE001-1800-990-5t8-10400____j_"iso
RO.IECT MANAGER
l7 I IR E CTOR
❑ RISK MANAGEMENT(IFAPPLICABLE)
❑ LAW
PAKKII 'MT -01
r� r
COMMITTEE APPROVAL DATE:
COUNCIL APPROVAL DATE:
❑ SENT TO VENDOR/CONTRACTOR DATE SE DATE C'D:
❑ ATTACH: SIGNATURE AUTHORITY, INSURANCE CERTIFICATE, LICENSES, EXHIBITS
❑ CREATE ELECTRONIC REM1NDERINOTIFICATION 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
I PART _NT
LAW
(mm oR OR DIRECTOR)
❑ CITY CLERK
❑ ASSIGNED AG# AG# `
;O METS:
1/2020
city Of CITY HALL
33325 &th Avenue South
Federal Way Federal Way, WA 98003-6325
(253) 635-7000
w city. offederalway eom
CARES ACT FUNDS BUSINESS SUPPORT GRANT AGREEMENT
WITH
This Grant Agreement ("A ee e t") is made between the City of Federal Way, a Washington municipal
corporation ("City"), and Kang, DDS PLLC, a professional limited;liability company ("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:
KANG, DDS PLLC: CITY OF FEDERAL WAY:
THOMAS S Ade Ariwoola
2505 S 320th St # 330 33325 8th Ave. S.
FEDERAL A, WA 98003 Federal Way, WA 98003-6325
(253) 835-2414 (telephone)
(425) 577-9570 (telephone) (253) 835-2509 (facsimile)
drkangppugetsoundperio.com ade.ari;oa city ederlay.co
The Parties agree as follows:
. 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 re -requisites for grant eligibility:
a) Grantee operates a business physically located within the political boundaries of the City
of Federal ay;
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'.
Grantee's business employees no more than e equivalent of ten (10) full-time
employees (20;800 man-hours total for all employees per year);
e) `tee's net revenues do not exceed more 1million per year;
Grantee does not operate as a tax-exempt business as defined by the Internal Revenue
Service;
Due to V -1 , Grantee business (check all that Goll:
Was required by;stae or local order to close
Was forced to lay off employees due to reduced patronage
Incurred over 1,000in COVID-19 related expenses
Experienced 10-50% lost revenue
Experience over 50% lost revenue
CARESACT BUSINESS GRANT AGREEMENT - 1-
vwa�"MOF
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CITY HALL
33325 8th Avenue South
Federal Way, WA 98003-6325
(253) 835-7000
mm cilyoffederalway coo
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 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.
4.1 Amount. In order to promote healthy economic activity in the City and in response to the losses
not to exceed Two Thousand and NO/100 Dollars ($2,000.00).
4.2 Non-Approp ation 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 OtUtiteg Indoftifigado �1. 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 comoetent iurisdiction determine that this A219ement is subiect to RCW 4,24,115, tVl.�
-77 V-Sild-IT-ca Lce slial I dy cc vvi Tnewle",
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 of 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. solelii for the UUoses of this indemnification. Grantee's indemnification shall not be linifted in
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.
t �1-1 , �2
CITY Of
F6d&al y
CITY HALL
33325 Sth Avenue South
Federal Way, WA 98003-6325
(253) 835-7000
www- cifyoffederatway. coin
5.3 The City agrees to release, indemnify, defend and hold the Grantee, its
officers, directors, shareholders, partners, employees, agents, representatives, and subcontractors 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 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 Inte_L_ 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
provision, may be amended, waived, or modified except by written agreement signed by duly authorized
representatives of the Parties.
6.2 Enforcement. Any notices required to be given by the Parties shall be delivered at the addresses
set forth at the beginning of this Agreement. Any notices may be delivered personally to the addressee of the
notice or may be deposited in the United States mail, postage prepaid, to the address set forth above. Any notice
so posted in the United States mail shall be deemed received three (3) days after the date of mailing. Any
remedies provided for under the terms of this Agreement are not intended to be exclusive, but shall be
cumulative with all other remedies available to the City at law, in equity or by statute. The failure of the City to
insist upon strict performance of any of the covenants and agreements contained in this Agreement, or to
exercise any option conferred by this Agreement in one or more instances shall not be construed to be a waiver
r relin(mi-is -je-tt of tko�.,�,,?,.t,tsa,1Ce_ements or ogtions, and the same shall be and rem-ain-iv-fuf1fbm-e-and
-11 hTMIC-6 16141M as M M41 IRMI "M41
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accor ce w t e aws o e e o I astlington. It Me f arties are unable to settle any dispute, (111terence or
claim arising from this Agreement, the exclusive means of resolving that dispute, difference, or claim, shall be
by filing suit under the venue, rules and jurisdiction of the King County Superior Court, King County,
Washington, unless the parties agree in writing to an alternative process. If the King County Superior Court
does not have jurisdiction over such a suit, then suit may be filed in any other appropriate court in King County,
Washington. Each party consents to the personal jurisdiction of the state and federal courts in King County,
Washington and waives any objection that such courts are an inconvenient forum. If either Party brings any
claim or lawsuit arising from this Agreement, each Party shall pay all its legal costs and attorpey's fees and
expenses incurred in defending or bringing such claim or lawsuit, including all appeals, in addition to any other
recovery or award provided by law; provided, however, nothing in this paragraph shall be construed to limit the
Parties' rights to indemnification under Section 5 of this Agreement.
CITY OF CITY HALL
33325 Sth Avenue South
10%� Federal Way FederalWay. WA 98003-6325
400 (253) 835-7000
wwwcityoffederalwaycom
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 mag be executed in anp number of countejarts each of which shall be deemed an ori*nal 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.
F1,11a"NUNLUMM MUMIM
CITY OF FEDERAL WAY:
J, e IrTr Mayo
DATE: C>
By: V
Printed Name:
t 1 �111 �m * �" , �6 M
10/5/2020 Washington State Department of Revenue
< Business Lookup
License Information:
New search Back to results
Entity name: KANG DDS, PLLC
Business name: PAPER STREET PERIODONTICS AND IMPLANT DENTISTRY
Entity type: Professional Limited Liability Company
UBI #: 602-622-493
Business ID: 001
Location ID: 0001
Location: Active
Location address: 2505 S 320TH ST
STE 330
FEDERAL WAY WA 98003-5461
Mailing address: 2505 S 320TH ST
STE 330
FEDERAL WAY WA 98003-5461
Excise tax and reseller permit status: Click here
Secretary of to status: Click here
Endorsements
Endorsements held at this location Ucvnse # Count Details
Aatu
Exphation date
1::4 -sr issuanre dat
Dental X-Ray/CT/ Pan/Ceph 07976 1
Active
Jun -30-2021
Aug -11-2007
Federal Way General Business 06 -104570 -00 -BL
Active
Jun -30-2021
Sep -15-2006
X -Ray: Dental/Pod iatric/Veteri nary 07976
Active
Jun -30-2021
Aug -11-2007
Governing PeopleM®yLcfdegav L..gpeV[e.oErWLW&vd.UhSmdoy®fStft
,rverninq people Title
G
KANG, THOMAS
Registered Trade Names
Registered trade names Status
First issued
KANG DDS, PLLC Active
Jun -09-2020
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