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Home My WebLink AboutAG 20-853 - With Dignity Adult Family Home LLCRETURN TO: Tim Johnson EXT: 2412 CITY OF FEDERAL WAY LAW DEPARTMENT ROUTING FORM 1. ORIGINATING DEPT. IV: —ECONOMIC DEVELOPMENT 2. ORIGINATING STAFF PERSON: TIM JOHNSON EXT: 2412 3. DATE REQ.BY: ASAP 4. TYPE OF DOCUMENT (CHECK ONE): 0 CONTRACTOR SELECTION DOCUMENT (E.G., RFB, REP, RFQ) El PUBLIC WORKS CONTRACT El SMALL OR LIMITED PUBLIC WORKS CONTRACT El PROFESSIONAL SERVICE AGREEMENT El MAINTENANCE AGREEMENT El GOODS AND SERVICE AGREEMENT El HUMAN SERVICES/ CG El REAL ESTATE DOCUMENT El SECURITY DOCUMENT (E.G. BOND RELATED DOCUMENTS) 0 ORDINANCE El RESOLUTION 11 CONTRACTA NT (AG#): DINTERLOCAL X OTHER CARES ACT FUNDS BUSINESS SUPPORT GRANT AGREEMENT S. PROJECT NAME: CARES ACJ' 6RANT--/,'�ROUND 2 I'll ......... 6. NAF CONTRACTOR: WITH DIGNITY ADULT FAMILY HOME, LLC ADDRESS: 2213 S 362' ST, FEDERAL WAY, WA 98003 T ELEPHONE: 253-486-8940 E-MAIL: AMARPREETLIDHAR@HOTMAIL.COM SIGNATURE NAME: ARmARPREET SINGH TITLE: SEE ATTACHED 7. EXHIBITS AND ATTACHMENTS: El SCOPE, WORK OR SERVICES El COMPENSATION El INSURANCE REQUIREMENTS/CERTIFICATE D ALL OTHER REFERENCED EXHIBITS 0 PROOF OF AUTHORITY TO SIGN El REQUIRED LICENSES 0 PRIOR CONTRACT/AMENDMENTS 1115 11` i I I I wSmam 9. TOTAL COMPENSATION$ (INCLUDE EXPENSES AND SALES TAX, IF ANY) ONE THOUSAND & NO/100 ($1, '0 i (IF CALCULATED ON HOURLY LABOR CHARGE -ATTACH SCHEDULES OF EMPLOYEES TITLES AND I=V MATE �S) REIMBURSABLE EXPENSE: El YES XNO IF YES, MAXIMUM DOLLAR AMOUNT:$ IS SALES TAX OWED EI YES X NO IF YES,$ PAID BY: 0 CONTRACTOR 11 CITY RETAINAGE: RETAiNAGE AMOUNT: D RETAINAGE AGREEMENT (SEE CONTRACT) OR El RETAINAGE BOND PROVIDED 0 PURCHASING: PLEASECHARGETO: 001-1800-99.0-518-10-490 —Project CO& #267662-25060 10. DOCUMENT/CONTRACT REVIEW INITIAL DATE REVIEWED INITIAL1 DATE APPROVED 2fR"'ECT MANAGER ECTOR q El RISK MANAGEMENT (IF APPLICABLE) 0 LAW 11. COUNCIL APPROVAL (IF APPLICABLE) SCHEDULED CONIMITTEE DATE: COMIVIITTEE APPRovAL DATE: SCHEDULED CouNcit, DATE: CouNciL APPRovAL DATE: 12. CONTRACT SIGNATURE ROUTING El SENT TO VENDOR/CONTRACTOR. DATE SENT: DATE REC'D:---- El ATTACH: SIGNATURE AUTHORITY, INSURANCE CERTIFICATE, LICENSES, EXH113ITS 0 CREATE ELECTRONIC REMINDER/NOTIFICATION FOR I MONTH PRIOR TO EXPIRATION DATE (Include dept. supports if necessary and feet free to set notification more than a month in advance if council approval is needed.) INITIAL DATE SIGNED 0 L?A��PARTMENT N/A GNATONATO7 GRY (MAYOR OR DIRECTOR) E] CITY CLERK El ASSIGNED AG# AG COMMENTS: inon This Grant Agreement ("Agreement") is made between the City of Federal Way, a Washington municipal corporation ("City"), and With Dignity Adult Family Home, 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 notice required under this Agreement: UFEj�� Armarpreet Singh 2213S362 nd St Federal Way, WA 98003 (253) 486-8940 (telepho•ne) . . . . . . . . . . . CITY OF FEDERAL WAY. Ade Ariwoola 33325 8th Ave. S. Federal Way, WA 98003-6325 (253) 835-2414 (telephone) (253) 835-2509 (facsimile) 1. TERM. This agreement contemplates a one-time grant of Rmds to the Grantee under the conditions i'' b`# 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's business employs 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 million per year; f) Grantee does not operate as a tax-exempt business as defined by the Internal Revenue Service-, g) Due to COVID- 19, Grantee business (check all that apply): D Was required by state or local order to close E] Was forced to lay off eniployees due to reduced patronage V Incurred over $1,000 in COVID-19 related expenses E] Experienced 10-50% lost revenue 0 Experienced over 50% lost revenue CARES ACT BUSINESS GRANT AGREEMENT 7/2020 kCITY Of .�Tederal Way CITY HALL 33325 8th Avenue SOLIth Federal Way, WA 98003-6325 (2 53) 835-7000 www cityoffederalway- rom 2.2 Use of Funds: Grantee affirms that grant funds will be used for the following purposes: a) Mortgage or Rent b) Personal Protection Equipment a) aeon Rent b) Personal Protection Equipment c) Insurance d) Utilities e) Marketing f) Payroll Grantee agrees to retain receipts documenting use of grant funds and will provide them to the City or its designee upon request. JAMMU, 4.1 Amount. In order to promote healthy economic activity in the City and in response to the losses Grantee has incurred due to the COVID- 19 pandemic, the City shall provide a grant to the Grantee in an amount not to exceed One Thousand and NO/I 00 Dollars ($ 1,000.00). 4.2 NogjAppropriation of Funds. If sufficient fLmds are not appropriated or allocated for payment 1- 91 U D1 1911 KV -11, 5.1 Q- . 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 11�,6116%wlll Icamull C; luo Llur LUV L I I t ;V LU UVIVIlu Y-LIU J MuLljr 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. ago 1� 11 1911111411111111111111111 LffL11n7LLj LYTHL to it MUT ME T1 wrITYgLIFTIMITME 17ITNI-R-1di JUNIJEWFIC0 UL;L, Ft CARES ACT BUSINESS GRANT AGREEMENT -2- 7/2020 Cow Y Ot, CrrY HALL 4 33325 8th Avenue out Federal Way Federal Way, WA 90003-6325 (253) 835-7000 wmv. c*ofAltf�,rahvAy- co,m 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. 5.3 Cit ndepig 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 6ingr from resulting from or o cnnected with this Agreement to the extent solely caused by gresentatives, aris' R I 1,701112_1 1 J!_4M4 HrRfth-M I M IMIJ t iVM1 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 Intmet -retafioll -,,I 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, i iii' nul I and vo i d o r i I lkgal shal I in no w—a-k, affe ct o r i nvali d.te aiXA a ther i ga 41f &wjiexk&�4� 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. M 9 T17 M- IT. I I a 2TX# M 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 kat& RM TU =I MISS= Mi 'Utc" Mtl I T breach or default. This Agreement shall be made in, governed by, and interpreted in accordance with the laws of the State of Washington. If the Parties are unable to settle any dispute, difference 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 a•ee in writing to an alternative process. If the King Coun i' for Court does -olotiaye-•iction-over-suclu each Party shall pay all its legal costs and attorney'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, NXIM] CfTy OF Federal Way CITY HALL 33325 8th Avenue South Federal Way, WA 98003-6325 (253) 835-7000 www. dtyoffederg Way. rom Maemm c ion un=er Section 5 of this Agreement. 6.3 Execution. Each individual executing this Agreement on behalf of the City and Grantee represents and warrants that such individual is dulv authorized to exe eewg41_--7PijLjLjx_, eeg git Tfc7 L M0 4 WIRIVITHIMM. MIM&WIRMlin I - OM 't I V unterp Fic-THS P1 It WIWI WILY ou necessary to proauce one sucil co no =,,#,LTtTff I a"T7 r. 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. CITY OF FEDERAL WAY: Jim 11, ayor DATE:Z-, By: (r, I "W"k, Printed Name: ArnirpreetSingh Title: Owner DATE: 101612020 . ... . ..... �1_ 0�Z I Washington State Department of ReielIUE Business Lookup License Information: Entity name: WITH DIGNITY ADULT FAMILY HOME, LLC Business narne- WITH DIGNITY AFH Entity type- Limited Liability Company LJBI #.. 604-122-987 Business ID- 001 Location 11D.- 0001 Location: Active Location address: 2213 S 362ND ST FEDERAL WAY WA 98003-7238 Mailing address: 2213 S 362ND ST FEDERAL WAY WA 98003-7238 Excise tax and reseller permit status: Click here Secretary of State status: Click here Endorsements Endorsements heid at this location License # Count Details Status Federal Way Gfneral Business Active Governing People nor Wdudeg—&oy pnisk wt regatefed with Sweeas, of Rate Governing people Title KAUR VIRK RUPINDER SINGH, AMARPREET Registered Trade Names Registered trade names Status WITH DIGNITY AFH Active The Business Lookup information is updated nightly. Search date and time: 10/6/2020 12:36:37 PIVI Contact us How are we doing? Take our survey! 1. NEWseas ch 113acktonesuks Expiration date Ph st Issuance date Jan -31-2021 Jan -07-2020 Ph st ksued Sep -26-2017