No preview available
HomeMy WebLinkAboutAG 20-830 - Todd G Yoshino DDSRETURNTO: TirnJohnson EXT: 2412 CITY OF FEDERAL WAY LAW DEPARTMENT ROUTING FORM 1. ORIGINATING DEPT./DIV: --ECONOMIC DEVELOPMENT 2. ORIGINATING STAFF PERSON: -TIM JOHNSON EXT: 2412 3. DATE REQ.BY' ASAP 4. TYPE OF DOCUMENT (CHECK ONE): • CONTRACTOR SELECTION DOCUMENT (E.G., RFB, RFP, RFQ) • PUBLIC WORKS CONTRACT El SMALL OR LIN41TED PUBLIC WORKS CONTRACT • PROFESSIONAL SERVICE AGREEMENT 11 MAINTENANCE AGREEMENT 11 GOODS AND SERVICE AGREEMENT El HUMAN SERVICES/ CBG 0 REAL ESTATE DOCUMENT El SECURITY DOCUMENT (E.G. BOND RELATED DOCUMENTS) El ORDINANCE El RESOLUTION El CONTRACT AMT-NDMENT(AG#): El INTERLOCAL �Mvmflj 6. NAME OF CONTRACTOR: TODD G YOSHINO, D.D.S. ADDRESS: 33516 9TH AVE S # 3, FEDERAL WAY WA 98003-6322 T ELEPHONE: (253) 815-0441 E-MAIL: YOSHINODDS@COMCAST.NET SIGNATURE NAME: TODD YOSHINO TITLE: SEE ATTACHED 7. EXHIBITS AND ATTACHMENTS: 0 SCOPE, WORK OR SERVICES El COMPENSATION D INSURANCE REQUIREMENTS/CERTIFICATE 0 ALL OTHER REFERENCED EXHIBITS El PROOF OF AUTHORITY TO SIGN El REQUIRED LICENSES El PRIOR CONTRACT/AMENDMENTS, 8. TERM: COMMENCEMENT DATE: SEE ATTACHED AGREEMENT COMPLETION DATE: 9. TOTAL COMPENSATION $ (INCLUDE EXPENSES AND SALES TAX, IF ANY) TWO THOUSAND AVD NO/100 ($2,000.00) (IF CALCULATED ON HOURLY LABOR CHARGE - ATTACH SCHEDULES OF EMPLOYEES TITLES AND HOLIDAY RATES) REIMBURSABLE EXPENSE: El YES X NO IF YES, MAXIMUM DOLLAR AMOUNT: $_ IS SALES TAX OWED 0 YES X NO IF YES, I PAID BY: El CONTRACTOR 11 CITY RETAINAGE AGREEMENT (SEE CONTRACT) OR o RETAfNAGE BOND El PURCHASING: PLEASE CHARGE TO: —001-1800-990-518-10-490111 1[gigpt Code #267662-25060 10. DOCUMENT/CONTRACT REVIEW INITIAL DATE REVIEWED INITIAL / DATE APPROVED El PR dECT MANAGER RECTOR * RISKMANAGEMENT (IF APPLICABLE) * LAW 11. COUNCIL APPROVAL (IF APPLICABLE) SCHEDULED COMMITTEE DATE: COMMITTEE APPROVAL DATE: SCHEDULED COUNCIL DATE: COUNCIL APPROVAL DATE: Inc II fill!" �_14 112 I El SENT TO VENDOWCONTRACTO R DATE SENT: DATE C'D: El ATTACH: SIGNATURE AUTHORITY, INSURANCE CERTIFICATE, LICENSES, EXHIBITS 11 CREATE ELECTRONIC REMINDERfNOTIFICATION 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 D LAW DEPARTMENT N/A iNATORY (MAYOR OR DIRECTOR) 1:1 CITY CLERK El ASSIGNED AG# AG# COMMENTS: 11 V FAM 1� CITY OF CITY HALL 33325 8th Avenue South Federal Way Federal Way, WA 98003-6325 (253) 835-7000 wwwo"#969ralwaycorn WITH TODD G YOSHINO, D.D.S. This Grant Agreement ("Agreement") is made between the City of Federal Way, a Washington municip corporation ("City"), and Todd G Yoshino, D.D.S., a sole proprietor CGrantee"). The City and Grant (together "Parties") are located and do business at the •below addresses which shall be valid l for any noti required under this Agreement: TODD YOSHINO 33516 9th Ave S # 3 FEDERAL WAY, L41-4 3 DI 11 A "AN IM Ade Ariwoola 33325 8th Ave. S. Federal WaX, RUERR F T, l,7 to 1. TERM. This agreement contemplates a one-time grant of funds to the Grantee under the conditions described herein. t, I Warranties: The Grantee wan -ants the following, which are pre -requisites for grant eligibility: — a) Grantee operates is 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's business employees no more than the equivalent of ten (10) full-time employees (20,800 man-hours total for all employees per year); e) Grantee's net revenues do not exceed more than $1.5 mon per year; Grantee does not operate as a tax-exempt business as defined by the Internal Revenue Service; g) Due to COVID- 19, Grantee business Was required by state or local order to close Was forced to lay off employees due to reduced patronage Incurred over S 1,000 in COVID- 19 related expenses Experienced 10-501/6 lost revenue Experienced over 50% lost revenue CARES ACT BUSINESS GRANT AGREEMENT7/2020 CITY 09 Fbideiml My CITY HALL 33325 Sth Avenue South (253) 835-7000 ,*ww. ciooffedetahviny 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. 1EMNATIOX 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. qGRANT AMOUNT. 4.1 Amount. In order to promote healthy economic activity in the City and in response to the losses WiWAV"""W" 1p-tl" WA A41- "77-7 iia�� 'VAKJJt T XJ'11 i 4.2 -�f r► .fi�Ln ofFujids. 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 The Grantee agrees to release, indemnify, defend, and hold the City, i elected officials, officers, employees, agents, representatives, insurers, attorneys, and volunteers harmless fro any and all claims, demands, actions, suits, causes of action, arbitrations, mediations, proceedings, judgment awards, injuries, damages, liabilities, taxes, losses, fines, fees, penalties expenses, attorney's fees, costs, and/ litigation expenses to or by any and all persons or entities, including, without limitations their resvective a ent a WM[Crr-Ms MUMMM FrT47o#TM-9 =re MrAWE1 IFERITI-M Rn MUMMER P-M-MR1 Implexect snall not Ge grV these covenants of 11111111W 11 goill IIIIJIq ilts :1 11rizz IIIIIJI!JII OAffi to -tam ANF1 c M, AcU4 dis"ity benefit or Any other benefits acts or programs. The Parties further acknowledge that they have mutually negotiated this waiver. CARES ACT BUSINESS GRANT AGREEMENT -2- 7/2021 CITY OF F6deral VWky CITY HALL 33325 Sth Avenue South Federal W• (253) 835- 1i0 www 01yoffederalway com 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 the same effect as if all Parties hereto had signed the same document- All such counterparts shall be construed together and shall coimfitute 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. 1111� 111111 F i lilillill M1111pill I to) 6) C Eel Wal -M I I z 0 10 1 , 4 - 41 , 11 Nlllqrlim!q�ll CA.1-4S ACT BUSINESS GRANT AGREEMENT -4-- 7/202% Services Business Lookup TODD G YOSHINO, D.D.S, License Information: Entity name: YOSHINO, TODD G Business name: TODD G YOSHINO, D.D.S. Entity type: Sole Proprietor UI #: 601-561-929 Business ID: 001 Location ID: 0001 Location: Active Location address: 33516 9TH AVE S STE 3 FEDERAL WAY WA 98003-6322 Mailing address: 33516 9TH AVE S STE 3 FEDERAL WAY WA 98003-6322 Excise tax and reseller permit status: Click here Endorsements Endorsements held at this location License # Count Dental X-ray/CT/ Pan/Ceph 02964 4 Federal Way General Business 95 -104061 -00 -BL X -Ray: Dental/Pod iatdc/Veteri nary 02964 Details Status Expiration date First issuanCE Active Mar -31-2021 Nov -07-2007 Active Mar -31-2021 Dec -10-1999 Active Mar -31-2021 Nov -07-2007 Governing People May include governing people not registered with Secretary of State Governing people Title YOSHINO, TODD G 6 a . -6 6 Working together to fund Washington's future