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HomeMy WebLinkAboutAG 20-872 - Chiropractic WellnessRETURN TO: Tim Johnson EXT: 2412 CITY OF FEDERAL WAY LAW DEPARTMENT ROUTING FORM . ORIGINATING DEPT./DIV- ECONOMIC DEVELOPMENT ORIGINATING STAFF PERSON: TlMM JOHNSON EXT: 2412 3. DATE Q. BY. ASAP TYPE OF DOCUMENT (CHECK ONE): [I CONTRACTOR SELECTION DOCUMENT (E.G., RFB, RFT, RFQ) El PUBLIC WORKS CONTRACT El SMALL OR LIMITED PUBLIC WORKS CONTRACT * PROFESSIONAL SERVICE AGREEMENT El MAINTENANCE AGREEMENT * GOODS AND SERVICE AGREEMENT El HUMAN SERVICES / CBG El REAL ESTATE DOCUMENT El SECURITY DOCUMENT (E.G. BOND RELATED DOCUMENTS) El ORDINANCE El RESOLUTION * CONTRACTA NT (AG#):_ E-1 INTERLOCAL * OTHER CARES ACT FUNDS BUSINESS SUPPORT GRANT AGREEMENT PROJECT E: CARES ACT GRANT ROUND 2 NAME OF CONTRACTOR: CHIROPRACTIC WELLNESS ADDRESS: 32114 1 ST AVE S # 104, FEDERAL WAY, WA TELEPHONE: (253) 431-5343 E-MAIL: DOCTORCWRCLMCS@GMAIL.COM SIGNATURE NAME: ALNOOR BHANJI TITLE: SEE ATTACHED TOTAL COMPENSATION $ (INCLUDE EXPENSES AND SALES TAX, IF ANY) TWO THOUSAND AND NO/100(L,2,000A) (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' El YES X NO IF YES, $ — PAID BY: 0 CONTRACTOR C] CITY RETAINAGE: RETAINAGE AMOUNT: 0.1 RETAINAGE AGREEMENT (SEE CONTRACT) OR El RETAINAGE BOND ROVED 0 PURCHASING: PLEASE CHARGE TO: 001-1800-990-51S-10-4,99 Prpject Code #267662-25060 0. DOCUMENT/CONTRACT REVIEW INITIAL DATE REVIEWED INITIAL / DATE -APPROVED O��PRECT MANAGER IRE TO 'V /o - /2:7-2Z El RISK MANAGEMENT (IF APPLICABLE) / D LAW IL SCHEDULED COMMITTEE DATE: EDULED COUNCIL DATE: COMMITTEE APPROVAL DATE: CouNal, APPROVAL DATE: El 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 11 LAW DEPARTMENT /A 4-66<NATORY (MAYOR OR DIRECTOR) El CITY CLERK El ASSIGNED AG# AG# 'OMMENTS: 2A4 -A 1/2020 AOL CITY OF 01TY HALL 33328 81h Avenwe SQU;h 4A� Pederal Way, WA 98003-5325 (253) A354000 CARES ACT FUNDS BUSINESS SUPPORT GRANT AGREEMEJ WITH CHIROPRACTIC WELLNESS This Grant Agreement ("Agreement") is made between the City of Federal Way, a Washington Mutlicipal corporation ("City"), and Chiropractic Wellness, a professional service corporation C'Grantee"). The City and Grantee (together "Parties') are located and do busitim at the below addresses which shall be valid for any notice required under this Agreement- FODURIDIT-07.114"Ef CITY OF FEDERAL WAYt Ade Ariwoola 33325 8th Ave. S. Federal Way, WA 98003-6325 (253) 835-2414 (telephone) (253) $35-2509 (facsimile) This agreement contemplates a one-time grant of funds to the Grantee under the conditions described herein. AL 0" Op CITY HALL 4W 33,325 Sth ManuaFOdeml OY 60" VVby, WA 96003�6325 0 www effyoffoderalway COM 2.2 Use of Funds,: Grantee affirms that grant funds will be used for the following purposes: a) Mortgage or Rent b) Personal Protection Equipment c) Insurance d) Utilities e) Marketing f) Payroll Orantee agrees to retain receipts documenting use of grant funds and will provide them to the City or il fesignee upon request- M 3. TERAiINATION. Should any of the conditions described in section 2,1 above, not be met, the City may recover all disbursed grant fimds and terminate this agreement, 4, C_,IRANT A—THQUNT. 4.1 AMougt, In order to promote healthy economic activity in the City znd in response to i gme w a m 'Fe i tjih .egwg -7. wxm 4.21N.of,Ftinds, If sufficient fiinds are not appropriated or allocated for payment under this Agreement for any fiscal period, the City will not be obligated to make payments under this agreement. ilujrzw�Q. 7K," 5 IIISPMULi J1 11LIMLICU N W0171L Wnen zPe naff Jo a" Any 0 wIt'L CL s not Pe Von" Pow any o these covenants of mdoncation. 5.2 h! ij9tL1q99A9e- Act )YAJ It is specifically and expressly understood that the Grantee waives any irnmunity that may be granted to it under the Washington State industrial insurance act, Title 51 RCW, sole1v for the Mi ses of this indemnification- Groa i pai V�-tTuWWW:,,F-S1q1 lk ail -Ari-Ayfff-UMI'Urd, - - tp� ' 11 1 Okuuxvs P4jztujLu LO OT Dy any itinu pany under Tj workers' compensation acts, disability benefit acts or any other benefits acts or program& The Parties fin-ther acknowledge that they have mutually negotiated this waiver, CARES ACT BUSMSS GRANT AGREEMENT -2- 7/2020 CrrY HALL 3332$ 8th AVehue Sou 44�� iQera,l, VVOY Federef Way, WA �MOth :1-6-326 �25S) $35-7000 5.3 The City agrees to release, indemnify, defend and hold the Grantee, its officers- directors- shareholders. .-artners, employ any and all claims, demands, acelons, 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 r^ .# or entities, including without hinitatioll, their respective agents, 16 nsff �q i hi, "i-Ii.6 gsll F-.1gaulkAg I its I (jg31g-!W 04wik 1 9 4 Thz- provisions of this Section shall survive the expiration or termination of Agreement with respect to any event occurring prior to such expiration or termination. 6,1 This AgTeement Contains all of the agreements of the Parties with respect to any matter covered or mentioned in this Agreement and no pTior statements or agreements, whether oral or written, shall be effective, for any purpose. Any provision of this AgTcernent 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 pro'6sioR of this Agreement, including this provision, may be amended, waived, or modified except by written agreement signed by duly authorized represeritatives of the Parties. 6,2 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 fortb above. Any notice so posted in the United States mail shall be deemed received ftee (3) days after the date of mailing. Any remedies provided for under the terrns of this Agreement are not intended to be exclusive, but sball be cumulative with all other remedies available to the City at law, in equity or bystatate. 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 b this A cement in one or more instances shall q 111 ............ I Pip "I ru may IF n ea in any 011er 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 foram. If either T)arty brings any claim or lawsuit arising from this Agreezuent, each Party shall M 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, however, nothing in this paragraph shall be construed to limit the Parties' rights to indemnification under Section 5 of this Agreement. CARES ACT 13USINESS GRANT AGREEMENT -3- 7/2020 41s� K�6rai way Cilrf"?SALL 33Z25 13th Avenue So t Fedora Wi I WA lumg= "WWOOMME j 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 may be executed in ank-A number of counterparts. each of which JLJ-Iftjj I _4t_l the same effect as if all Parties hereto had signed the s=e document. -All s-uch counterparts shall be construed together and shall constitute one instbut in making proof hereof it shall only be necessary to produce one such countarput, 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 gignature and acknowledgment pages, Tbt 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, 11 Ilk *Twyn=-Vtm�� I 1 11 1 1 1, 0 -0 CHIROPRACTIC WELLNESS: By: A Printed Name: Title.� P/L-,5, r rd DATE: I cy,- CARES ACT BUSWESS GRANT AGREEMENT .4- 7/2020 10/7/2020 Washington State Department of Revenue < Business Lookup License Information: New search Back to results Entity name: CHIROPRACTIC WELLNESS & REHABILITATION CLINICS PS Business name: CHIROPRACTIC WELLNESS Entity type: Professional Service Corporation U #: 602-041-073 Business ID: 001 Location ID: 0001 Location: Active Location address: 32114 IST AVE SOUTH, SUIT 104 BLDG 104 FEDERAL WAY WA 98003 Mailing address: 321141ST AVE S STE 104 FEDERAL WAY WA 98003-5760 Excise tax and reseller permit status: Click here Secretary of State status: Click here Endorsements Endorsements held at this location License # Count Details Status Expiration date First issuance dal Federal Way General Business Active Sep -30-2021 Sep -22-2020 Governing People May include governing people not registered with Secretary ofStft Governing people Title BHANJI, ALNOOR Regisiered Trade Names Registered trade names Status First issued CHIROPRACTIC WELLNESS Active Jun -01-2000 CHIROPRACTIC WELLNESS CENTERS Active Dec -18-2000 CHIROPRACTIC WELLNESS CLINICS Active Dec -18-2000 SOUND DIETETICS Active May -25-2010 URGENT CARE MEDICAL Active May -25-2010 WELLNESS CHIROPRACTIC CENTERS Active Dec -18-2000 https://secure.dor.wa.gov/gteunauth/—,/#9 1/2