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Home My WebLink AboutAG 20-868 - Rachael N Gathoni--Lj RETURN TO: Tim Johnson EXT: 2412 CITY OF FEDERAL WAY LAW DEPARTMENT ROUTING FORM 1. ORIGINATING DEPT. XV. —ECONOMIC DEVELOPMENT 2. ORIGINATING STAFF PERSON: TIM JOHNSON EXT: 2412 3. DATE Q. BY -ASAP 4. TYPE OF DOCUMENT (CHECK ONE): El 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 • GOODS AND SERVICE AGREEMENT El HUMAN SERVICES/ CBG * REAL ESTATE DOCUMENT El SECURITY DOCUMENT (E.G. BOND RELATED DOCUMENTS) * ORDINANCE El RESOLUTION * CONTRACT AMENDMENT (AG#).-__ DINTERLOCAL * OTHER CARES ACT FUNDS BUSINESS SUPPORT GRANT AG E NT 5. PROJECT NAME: CARES ACT 6 ANT rRotj�ND2-- 6. NAME OF CONTRACTOR: RACHAELNGATHONI ADDRESS: 33025 18TK PL SE202, FEDERAL WAY, WA 98003 T ELEPHONE: 253-517-8372 E-MAIL: SOUTH KINGHEALTHCARE@OUTLOOK.COM SIGNATURE NAME: RACHAEL N GATHONI TITLE: SEE ATTACHED 7. EXHIBITS AND ATTACHMENTS: 0 SCOPE, WORK OR SERVICES El COMPENSATION 11 INSURANCE REQUIREMENTS/CERTIFICATE El ALL OTHER REFERENCED EXHIBITS 0 PROOF OF AUTHORITY TO SIGN EI REQUIRED LICENSES El PRIOR CONTRACT/AMENDMENTS 9. TOTAL COMPENSATION$ (INCLUDE EXPENSES AND SALES TAY, IF ANY) ONE THOUSAND AND No/100 ($JI� (IF CALCULATED ON HOURLY LABOR CHARGE - ATTACH SCHEDULES OF EMPLOYEES TITLES AND HOLIDAY RATES) REIMBURSABLE EXPENSE: 0 YES X NO IF YES, MAXIMUM DOLLAR AMOUNT: IS SALES TAX OWED El YES X No rFyEs,w.$ PAID BY: El CONTRACTOR El CITY RETAINAGE: RETAINAGE AMOUNT: --,-El RETAINAGE AGREEMENT (SEE CONTRACT) OR 0 RETAINAGE BOND PROVIDED 0 PURCHASING: PLEASE CHARGE TO: 001-1800-990-518-10-490 'q jektq #267662-25060 10. DOCUMENT/CONTRACT REVIEW INITIAL / DATE REVIEWED INITIAL / DATE APPROVED 0 PROJECT MANAGER M-R(RE,CTOR El RISK MANAGEMENT (IF APPLICABLE) z z 0 LAW 11. COUNCIL APPROVAL (IF APPLICABLE) SCHEDULED CONMTTEE DATE: CONINUTTEE APPRovAL DATE: SCHEDULED CouNcu, DATE: CouNcm APPRovAL DATE: 12. CONTRACT SIGNATURE ROUTING El SENT TO VENDOR/CONTRACTOR DATE SENT: DATE REC'D: 11 ATTACH: SIGNATURE AUTHORITY, INSURANCE CERTIFICATE, LICENSES, EXHIBITS El CREATE ELECTRONIC REMINDER/NOTIFICATION 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 LA ,j DEPARTMENT /A I G GRATORY(MkYOR OR DIRECTOR) 0 CITY CLERK 11 ASSIGNED AG # AG# COMMENTS: This Great Agreemcnt (" . r rrrt ntt) is made b t Cur. rr the City " Federal ways in ton municipal Porati (•� iVl and Rachael N G t rrri, sale Proprietor ("Gr t " t � e :r "Parties") are located ted and d business, at the below addresses which shall be valid for * notice require r ie dr r this Agreement:d tinder Rachael N Gathoni 33025 181h202 Federal Way, WA 98003 (233) 517-8372 (tllrrr) sqL10*4qu The Parties agree as follows: 1. • This agreement contemplates a orae -t• t f described herein, t rat • . ons 2. CONDIOF 2.1 lrtles: The Grantee warrants the following, a Grantee operas • a business physically lcatedWithinnthe political boundarieseligibility:-requ,isites for grant ite of Federdl Wof City ) Grantee maintains a ciwrent City of Federal Way business li ens ' ) Grantee has paid all taxes and rrrrnent fees due U to the date of execution of this agreement, grant d) lr tee*s businem employs no morc flian the equivalent of t 1 - ® toys 20,800 man-hours, total for m e l ees yearces Grantee's net revenues do not exceed more than $1 million per year; J) Grantee does not operate is a tax-exempt buss ssdefined ` ser l e rzt ) Due t 19, Grantee business (check all that apply requiredEl Was state or local order to dress El Was furca to lay off employees; due to reduced patronage Incurred over S 1,000 in Co [D- relined expense,.,, Experienced 10® % lost mvenue Experienced over % last revenue 2.2 s l t &, Grantee, affirms that _grant funds willor the following a) tviortgage or Rant b) PersOnal Protection Equipment CARES ACT BUSINESS GRANT AGREEMENT -- ?1202 CITY OF 'V Federal Way c) Insurance c) Insurance d) Utilities e) Marketing f) Payroll CITY HALL 33325 Sth Avenue South Fpdel,ral Way, WA 98003-6325 (253) 835-7000 �w.ciy'yrciffeder,.Yiwaycoiri Grantee agrees to retain receipts documenting use of grant funds and will provide the to the City or its designee upon request. 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 NOII 00 Dollars 4.2 N . If sufficient funds are not appropriated or allocated for payment Z11% fisy,,?] the Cil"ill n*t'_k,", ikli� tit) rtat-e u -t der V . gateiL L 5.1 Grantw 1hdenmiftcation. 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 of Afpr A piv -t s czi i -, e d -Cj�j g -H L=wj tV *JoTti itf the c12iT M MTS n ihe concurrent negligence ot the Urantee and the City, the Urantee'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 acknowledge that they have mutually negotiated this waiver. CARES ACT BUSINESS GRANT AGREEMENT -2- 7/2020 CITY OF r -ederal Way CITY'HALL 33325 Sth Avenue South Federal Way, WA 98003-6325 (253) 835-7000 w.vwa1yn&dbrahva,Vcam 53 Cily_L qd The City agrets to, release, indemnify, defend and hold the Grantee, its officers, directors, shareholders, partners, ernployces, agents, representatives, and subcori ftuctors harmless from any and all claims, demands, actions, suit,-;, eases of action, arbitrations, mediations-, proceedings, judgments, awards, injuries, darnages, liabilities, Josses, fines, 1-1:,es, penalties exirenses, attorney's fees, costs, rid or litigation expenses to or by any and all persons or entities,iricluding, 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 ori issions of the City. 5..urvi—val, The provisions of this Section shall survive the, expiration or termination of this Agreement %,itll respect to any event Occuning prior to such expiration or termination, 6. 91- LNE, RAL P.ROV ISIONS. &IWlk!1119t rti rir r tl l rrl tali r, This Agreement contains all of the agreements of the Parties with respIr-cl to any matter covered or incntioned 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 mid void, or illegal shall in no way affect or invalidate any other provision hereof` and sueb other provisions shall re, main in full force and effect. No provision of this Agreement, including this provision, may be arnended, waived, or modified except 'by written agaecinent signed by duly authorized representatives of the panie& 6*2 Enfo—mement. Any notices required to btu given by the Parties It be delivered at the add,,-� set forth at the beginning, of this Agreement, Any notices may be delivered personally to the addressee of the notice or inay be deposited in the Unitcd States mail, Postage prepaid, to the address sot> forth above. Any notice so posted in flie United States inail, 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 or relinquishment of a -r conferred by this Agreement in one or more instances shall not be c0 nstrued to be a w . ive those covenants, agreements or options, and the slime shall be and remain in full force and effect. Failure or delay of the City to declare any breach or default immediately upon occurrence shall not waive such breach or default. Failure. of the Cityto declare one breach or default does riot act as a waiver of the City's right to declare another breach or defaulL This Agreement shall be made in, governed by, and interpreted in accordance with the laws, of the State of W&shington. If the Parties are unable to settle any dispute, difference or claim arising from this Agreement, the exclitsfive means of resolving that, dispute� diBerence, or claim, shall be bY filing soil ander the venue, rules and jurisdiction of the King County Superior Court, Kh19Cottnty� Washington, unless the parties agree in writing to an altemative process, if the King County Superior Court doe , s 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 nnniiq "Y t)-tLl-igzsdt,'Ycla'mGrlawSUltsin gtromthiSA; each Party shall pay all its legal costs and attomey"s fees said expenses incurred in defending or brig; Claim or lawsuit, including all appeals, in addition to any other recovery or award provided by law; however, nothing in this pwagraph shall he construed to limit the Parties' rights to inderanification unrh 5 of this Agreement. CARES ACT BUSINESS GRANT AGREEMENT NNW TY OF I TY HALL Federal Way 33325 8th Avenue South Federal`Nay W 32 (253) 8,35-7000 www ci 6.3 RK-ecution. Each individual executing this Agreement on bqUf of the City and Gmthe Mromts rwarrants that such individualduly authorized to execute and deliver be ;r! in any numbersr i !:eachof M r f . r r;�' • . - r i i' ri r- is i r r► �r PartiesLN WITNESS, the ..e........ Printed Name: Title: 0040 P.w .mw. 10/13/2020 Washington State Department of Revenue V1/-ishmq-:.r)n State Department of Reven,j�, < Business Lookup Entity name- GATHONI, RACHAEL NYAVVIRA Business name: RACHAEL N GATHONI Entity type: Sole Proprietor UB1 4: 604-307-737 Business ID: 001 Location ID: 0001 Location: Active Location address: 3302518TH PL S Excise tax and re Iter permit status: Endorsements Endorsements lMd at this i,scafion License # Federal Way Home Occupation Business APT E202 FEDERAL WAY WA 98003-9408 33025 18TH PL S APT E202 FEDERAL WAY WA 98003-9408 Count Details Governing PeopleMay &,dud. goveming;mple ear nebumd with S—Warl ®i`Sww Governing people Title GATHONI, RACHAEL NYAMRA Registered Trade Names Registered trade names Status SOUTH I(ING HEALTHCARE SERVICES LLC Active New search Back to results Status Expirationdate First issuance daV Pending Oct -31-2021 First issued Jul -25-2019 View Additional Locations The Business Lookup information is updated nightly. Search date and time: 10/13/2020 2:23.48 PM f'-0-4 — https://secure.dor.wa.gov/gteunauth/—,/#5 1/2 Pamela Jones From: Scott Sproul Sent: Tuesday, October 13, 2020 1:35 PM To: Pamela Jones Subject: RE: I got another one for you She applied yesterday And approved From: Pamela ]ones Sent: Tuesday, October 13, 2020 12:31 PM To: Scott Sproul Subject: I of another one for you Hi Scott, Is Rachael N Gathoni good to go? Shea lied fora Home Occupation Business — 3302518th PI S #E202. This is an office for her. She is in healthcare and travels. Executive Assistant to the May City I of Federal Way 33325 8h Avenue South 0 Federal Way, WA 9803 Phone: (253) 835-2402 Fax: (253) 835-2409 R