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AG 23-257 - COLLABORATIVE PARTNERS, LLCRETURN TO: JULIANNA LABRAKE EXT: 2408 CITY OF FEDERAL WAY LAW DEPARTMENT ROUTING FORM 1. ORIGINATING DEPT./DIV: ECONOMIC DEVELOPMENT 2. ORIGINATING STAFF PERSON: TANJA CARTER EXT: 2412 3. DATE REQ. BY: 12/05/2023 4. TYPE OF DOCUMENT (CHECK ONE): ❑ CONTRACTOR SELECTION DOCUMENT (E.G., RFB, RFP, RFQ) ❑ PUBLIC WORKS CONTRACT ❑ SMALL OR LIMITED PUBLIC WORKS CONTRACT ® PROFESSIONAL SERVICE AGREEMENT ❑ MAINTENANCE AGREEMENT ❑ GOODS AND SERVICE AGREEMENT ❑ HUMAN SERVICES / CDBG ❑ REAL ESTATE DOCUMENT ❑ SECURITY DOCUMENT (E.G. BOND RELATED DOCUMENTS) ❑ ORDINANCE ❑ RESOLUTION ❑ CONTRACT AMENDMENT (AG#): ❑ INTERLOCAL ❑ OTHER_ S. PROJECTNAME: GRANT WRITER SERIES 6. NAME OF CONTRACTOR: COLLABORATIVE PARTNERS LLC ADDRESS: 13310 15TH AVE S TACOMA WA 98444-7113 TELEPHONE 253-722-6352 E-MAIL: ASILVA@THECPIN.COM FAX: SIGNATURE NAME: ANGELA S1 VA TITLE CHIEF EXECUTIVE OFFICER 7. EXHIBITS AND ATTACHMENTS: A SCOPE, WORK OR SERVICES O COMPENSATION ® INSURANCE REQUIREMENTS/CERTIFICATE ® ALL OTHER REFERENCED EXHIBITS N. PROOF OF AUTHORITY TO SIGN It REQUIRED LICENSES ❑ PRIOR CONTRACT/AMENDMENTS 8. TERM: COMMENCEMENT DATE: UPON APPROVAL COMPLETION DATE: DECEMBER 31, 2024 9. TOTAL COMPENSATION $ 95, 000.00 (INCLUDE EXPENSES AND SALES TAX, IF ANY) (IF CALCULATED ON HOURLY LABOR CHARGE - ATTACH SCHEDULES OF EMPLOYEES TITLES AND HOLIDAY RATES) REIMBURSABLE EXPENSE: ❑ YES A NO IF YES, MAXIMUM DOLLAR AMOUNT: $ IS SALES TAX OWED ®YES ONO IF YES, $ PAID BY: ❑ CONTRACTOR ❑ CITY RETAINAGE: RETAINAGE AMOUNT: ❑ RETAINAGE AGREEMENT (SEE CONTRACT) OR ❑ RETAINAGE BOND PROVIDED A PURCHASING: PLEASE CHARGE TO: ARPA 001-1800-990-518-10-490 - Po# 2s8102-24900 10. DOCUMENT/CONTRACT REVIEW INITIAL / DATE REVIEWED INITIAL / DATE APPROVED ❑ PROJECT MANAGER 0 DIRECTOR TC 11.30.23 ❑ RISK MANAGEMENT (IF APPLICABLE) 8 LAW JRC 12/4/2023 11. COUNCIL APPROVAL (IF APPLICABLE) COMMITTEE APPROVAL DATE: COUNCIL APPROVAL DATE: 12. CONTRACT SIGNATURE ROUTING ❑ SENT TO VENDOR/CONTRACTOR DATE SENT: DATE REC'D: ❑ ATTACH: SIGNATURE AUTHORITY, INSURANCE CERTIFICATE, LICENSES, EXHIBITS ❑ CREATE ELECTRONIC REMINDER/NOTIFICATION FOR 1 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 5IGNED ❑ LAW DEPARTMENT R SIGNATORY (MAYOR OR DIRECTOR) ❑ CITY CLERK Mr'L may$ ❑ ASSIGNED AG# AG# COMMENTS: 2/2017 CITY OF CITY HALL Federa I 1 a 33325 Avenue South f � Federal Way, WA 98003-6325 (253) 835-7000 www cityoffederal way. com PROFESSIONAL SERVICES AGREEMENT FOR GRANT WRITER SERIES This Professional Services Agreement ("Agreement") is made between the City of Federal Way, a Washington municipal corporation ("City"), and Collaborative Partners Initiative LLC, a Washington limited liability company ("Contractor"). The City and Contractor (together "Parties") are located and do business at the below addresses, which shall be valid for any notice required under this Agreement: COLLABORATIVE PARTNERS INITIATIVE LLC: I CITY OF FEDERAL WAY: Angela Silva, Chief Executive Officer 13310 15th Avenue S Tacoma, WA 98444-7113 (253) 722-6352 (telephone) The Parties agree as follows: Tanja Carter, Economic Development Director 33325 8th Avenue South Federal Way, WA 98003-6325 (253) 835-2412 (telephone) 1. TERM. The term of this Agreement shall commence upon the effective date of this Agreement, which shall be the date of mutual execution, and shall continue until the completion of the Services specified in this Agreement, but in any event no later than December 31, 2024 ("Term"). This Agreement may be extended for additional periods of time upon the mutual written agreement of the Parties. 2. SERVICES. The Contractor shall perform the services more specifically described in Exhibit A ("Services"), attached hereto and incorporated by this reference, in a manner consistent with the accepted professional practices for other similar services within the Puget Sound region in effect at the time those services are performed, performed to the City's satisfaction, within the time period prescribed by the City and pursuant to the direction of the Mayor or his or her designee. The Contractor warrants that it has the requisite training, skill, and experience necessary to provide the Services and is appropriately accredited and licensed by all applicable agencies and governmental entities, including but not limited to obtaining a City of Federal Way business registration. Services shall begin immediately upon the effective date of this Agreement. Services shall be subject, at all times, to inspection by and approval of the City, but the making (or failure or delay in making) such inspection or approval shall not relieve Contractor of responsibility for performance of the Services in accordance with this Agreement, notwithstanding the City's knowledge of defective or non -complying performance, its substantiality or the ease of its discovery. 3. TERMINATION. Either party may terminate this Agreement, with or without cause, upon providing the other party thirty (30) days' written notice at its address set forth above. The City may terminate this Agreement immediately if the Contractor fails to maintain required insurance policies, breaches confidentiality, or materially violates Section 12 of this Agreement. Termination for such conduct may render the Contractor ineligible for City agreements in the future. 4. COMPENSATION. 4.1 Amount. In return for the Services, the City shall pay the Contractor an amount not to exceed a maximum amount and according to a rate or method as delineated in Exhibit B, attached hereto and incorporated PROFESSIONAL SERVICES AGREEMENT 1 - Rev. 4/2023 CITY OF CITY HALL . 33325 8th Avenue South �� y Federal Way, WA 98003-6325 Federal Way (253) 835-7000 wwwcityoffederalway.coin by this reference. The Contractor agrees that any hourly or flat rate charged by it for its services contracted for herein shall remain locked at the negotiated rate(s) for the Term. Except as otherwise provided in Exhibit B, the Contractor shall be solely responsible for the payment of any taxes imposed by any lawful jurisdiction as a result of the performance of Services and payment under this Agreement. 4.2 Method of Payment. On a monthly basis, the Contractor shall submit a voucher or invoice in the form specified by the City, including a description of what Services have been performed, the name of the personnel performing such Services, and any hourly labor charge rate for such personnel. The Contractor shall also submit a final bill upon completion of all Services. Payment shall be made on a monthly basis by the City only after the Services have been performed and within thirty (30) days following receipt and approval by the appropriate City representative of the voucher or invoice. If the Services do not meet the requirements of this Agreement, the Contractor will correct or modify the work to comply with the Agreement. The City may withhold payment for such work until the work meets the requirements of the Agreement. 4.3 Non -Appropriation of Funds. If sufficient funds are not appropriated or allocated for payment under this Agreement for any future fiscal period, the City will not be obligated to make payments for Services or amounts incurred after the end of the current fiscal period, and this Agreement will terminate upon the completion of all remaining Services for which funds are allocated. No penalty or expense shall accrue to the City in the event this provision applies. 5. INDEMNIFICATION. 5.1 Contractor Indemnification. The Contractor 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 acts, errors or omissions of the Contractor in performance of this Agreement, except for that portion of the claims caused by the City's sole negligence. Should a court of competent jurisdiction determine that this Agreement is subject to RCW 4.24.115, then, in the event of liability for damages arising out of bodily injury to persons or damages to property caused by or resulting from the concurrent negligence of the Contractor and the City, the Contractor's liability, including the duty and cost to defend, hereunder shall be only to the extent of the Contractor's negligence. Contractor shall ensure that each sub -contractor 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 Contractor pursuant to this paragraph. The City's inspection or acceptance of any of Contractor'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 Contractor 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. Contractor'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 acknowledge that they have mutually negotiated this waiver. 5.3 City Indemnification. The City agrees to release, indemnify, defend and hold the Contractor, its officers, directors, shareholders, partners, employees, agents, representatives, and sub -contractors harmless from PROFESSIONAL SERVICES AGREEMENT - 2 - Rev. 4/2023 4! CITY Way,§�, CITY HALL 33325 8th Avenue South Federal Way, WA 98003-6325 (253) 836-7000 www.ci4vffedafaiway.com 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. INSURANCE. The Contractor agrees to carry insurance for liability which may arise from or in connection with the performance of the services or work by the Contractor, their agents, representatives, employees, or subcontractors for the duration of the Agreement and thereafter with respect to any event occurring prior to such expiration or termination as follows: 6.1. Minimum Limits. The Contractor agrees to carry as a minimum, the following insurance, in such forms and with such carriers who have a rating that is satisfactory to the City: a. Commercial general liability insurance covering liability arising from premises, operations, independent contractors, products -completed operations, stopgap liability, personal injury, bodily injury, death, property damage, products liability, advertising injury, and liability assumed under an insured contract with limits no less than $1,000,000 for each occurrence and $2,000,000 general aggregate. b. Workers' compensation and employer's liability insurance in amounts sufficient pursuant to the laws of the State of Washington. C. Automobile liability insurance covering all owned, non -owned, hired, and leased vehicles with a minimum combined single limit in the minimum amounts required to drive under Washington State law per accident for bodily injury, including personal injury or death, and property damage. d. Professional liability insurance with limits no less than $1,000,000 per claim and $2,000,000 policy aggregate for damages sustained by reason of or in the course of operation under this Agreement, whether occurring by reason of acts, errors or omissions of the Contractor. 6.2. No Limit of Liabili1y. Contractor's maintenance of insurance as required by this Agreement shall not be construed to limit the liability of the Contractor to the coverage provided by such insurance, or otherwise limit the City's recourse to any remedy available at law or in equity. The Contractor's insurance coverage shall be primary insurance with respect to the City. Any insurance, self-insurance, or insurance pool coverage maintained by the City shall be excess of the Contractor's insurance and shall not contribute with Contractor's insurance. 6.3. Additional Insured, Verification. The City shall be named as additional insured on all commercial general liability insurance policies. Concurrent with the execution of this Agreement, Contractor shall provide certificates of insurance for all commercial general liability policies attached hereto as Exhibit C and incorporated by this reference. At the City's request, Contractor shall furnish the City with copies of all insurance policies and with evidence of payment of premiums or fees of such policies. If Contractor's insurance policies are "claims made," Contractor shall be required to maintain tail coverage for a minimum period of three (3) years from the date this Agreement is terminated or upon project completion and acceptance by the City. 6.4 Survival. The provisions of this Section shall survive the expiration or termination of this Agreement. 7. CONFIDENTIALITY. All information regarding the City obtained by Contractor in performance of PROFESSIONAL SERVICES AGREEMENT - 3 - Rev. 4/2023 CITY 4F CITY HALL �, Federal Way Feder l Avenue South Federal Way, WA 98003-6325 (253) 835-7000 www.cityoffederalway.com this Agreement shall be considered confidential and subject to applicable laws. Breach of confidentiality by the Contractor may be grounds for immediate termination. All records submitted by the City to the Contractor will be safeguarded by the Contractor. The Contractor will fully cooperate with the City in identifying, assembling, and providing records in case of any public records request. 8. WORK PRODUCT. All originals and copies of work product, including plans, sketches, layouts, designs, design specifications, records, files, computer disks, magnetic media, or material that may be produced or modified by Contractor while performing the Services shall belong to the City upon delivery. The Contractor shall make such data, documents, and files available to the City and shall deliver all needed or contracted for work product upon the City's request. At the expiration or termination of this Agreement, all originals and copies of any such work product remaining in the possession of Contractor shall be delivered to the City. 9. BOOKS AND RECORDS. The Contractor agrees to maintain books, records, and documents which sufficiently and properly reflect all direct and indirect costs related to the performance of the Services specified in this Agreement, and maintain such accounting procedures and practices as may be deemed necessary by the City to assure proper accounting of all funds paid pursuant to this Agreement. These records shall be subject, at all reasonable times, to inspection, review, or audit by the City, its authorized representative, the State Auditor, or other governmental officials authorized by law to monitor this Agreement. 10. INDEPENDENT CONTRACTOR. The Parties intend that the Contractor shall be an independent contractor and that the Contractor has the ability to control and direct the performance and details of its work, the City being interested only in the results obtained under this Agreement. The City shall be neither liable nor obligated to pay Contractor sick leave, vacation pay, or any other benefit of employment, nor to pay any social security or other tax that may arise as an incident of this Agreement. Contractor shall take all necessary precautions and shall be responsible for the safety of its employees, agents, and subcontractors in the performance of the Services specified in this Agreement and shall utilize all protection necessary for that purpose. All work shall be done at Contractor's own risk, and Contractor shall be responsible for any loss of or damage to materials, tools, or other articles used or held for use in connection with the Services. The Contractor shall pay all income and other taxes due except as specifically provided in Section 4 of this Agreement. Industrial or any other insurance that is purchased for the benefit of the City, regardless of whether such may provide a secondary or incidental benefit to the Contractor, shall not be deemed to convert this Agreement to an employment contract. If the Contractor is a sole proprietorship or if this Agreement is with an individual, the Contractor agrees to notify the City and complete any required form if the Contractor retired under a State of Washington retirement system and agrees to indemnify any losses the City may sustain through the Contractor's failure to do so. 11. CONFLICT OF INTEREST. It is recognized that Contractor may or will be performing professional services during the Term for other entities or persons; however, such performance of other services shall not conflict with or interfere with Contractor's ability to perform the Services. Contractor agrees to resolve any such conflicts of interest in favor of the City. Contractor confirms that Contractor does not have a business interest or a close family relationship with any City officer or employee who was, is, or will be involved in the Contractor's selection, the negotiation, drafting, signing, administration of this Agreement, or the evaluation of the Contractor's performance. 12. EQUAL OPPORTUNITY EMPLOYER. In all services, programs, activities, hiring, and employment made possible by or resulting from this Agreement or any subcontract, there shall be no discrimination by Contractor or its subcontractors of any level, or any of those entities' employees, agents, subcontractors, or representatives against any person because of sex, age (except minimum age and retirement provisions), race, PROFESSIONAL SERVICES AGREEMENT - 4 - Rev. 4/2023 CITY OF CITY HALL Federal Wa 33325 8th Avenue South 1pmw1 Federal Way, WA 98003-6325 (253) 835-7000 www. crWoffederal way. com color, religion, creed, national origin, marital status, honorably discharged veteran or military status, sexual orientation including gender expression or identity, or the presence of any disability, including sensory, mental or physical handicaps, unless based upon a bona fide occupational qualification in relationship to hiring and employment. This requirement shall apply, but not be limited to the following: employment, advertising, layoff or termination, rates of pay or other forms of compensation, and selection for training, including apprenticeship. Contractor shall comply with and shall not violate any of the terms of Chapter 49.60 RCW, Title VI of the Civil Rights Act of 1964, the Americans With Disabilities Act, Section 504 of the Rehabilitation Act of 1973, 49 CFR Parts 21, 21.5, and 26, or any other applicable federal, state, or local law or regulation regarding non- discrimination. 13. GENERAL PROVISIONS. 13.1 Interpretation and Modification. This Agreement, together with any attached Exhibits, 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. Should any language in any Exhibits to this Agreement conflict with any language in this Agreement, the terms of this Agreement shall prevail. The respective captions of the Sections of this Agreement are inserted for convenience of reference only and shall not be deemed to modify or otherwise affect any of the provisions of this Agreement. 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. Any act done by either Party prior to the effective date of the Agreement that is consistent with the authority of the Agreement and compliant with the terms of the Agreement, is hereby ratified as having been performed under the Agreement. 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. 13.2 Assignment and Beneficiaries. Neither the Contractor nor the City shall have the right to transfer or assign, in whole or in part, any or all of its obligations and rights hereunder without the prior written consent of the other Party. If the non -assigning party gives its consent to any assignment, the terms of this Agreement shall continue in full force and effect and no further assignment shall be made without additional written consent. Subject to the foregoing, the rights and obligations of the Parties shall inure to the benefit of and be binding upon their respective successors in interest, heirs and assigns. This Agreement is made and entered into for the sole protection and benefit of the Parties hereto. No other person or entity shall have any right of action or interest in this Agreement based on any provision set forth herein. 13.3 Compliance with Laws. The Contractor shall comply with and perform the Services in accordance with all applicable federal, state, local, and city laws including, without limitation, all City codes, ordinances, resolutions, regulations, rules, standards and policies, as now existing or hereafter amended, adopted, or made effective. If a violation of the City's Ethics Resolution No. 91-54, as amended, occurs as a result of the formation or performance of this Agreement, this Agreement may be rendered null and void, at the City's option. 13.4 Enforcement. Time is of the essence in this Agreement and each and all of its provisions in which performance is a factor. Adherence to completion dates set forth in the description of the Services is essential to the Contractor's performance of this Agreement. 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 PROFESSIONAL SERVICES AGREEMENT - 5 - Rev. 4/2023 CITY OF Federal Wa � CITY HALL Feder l Avenue South Federal Way, WA 98003-6325 VA� (253) 835-7000 ww w cityofl ederal way. com 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 or relinquishment of those covenants, agreements or options, and the same 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 City to declare one breach or default does not act as a waiver of the City's right to declare another 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 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 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; however, nothing in this paragraph shall be construed to limit the Parties' rights to indemnification under Section 5 of this Agreement. 13.5 Execution. Each individual executing this Agreement on behalf of the City and Contractor represents and warrants that such individual is duly authorized to execute and deliver this Agreement. This Agreement may be executed in any number of counterparts, each of which shall be deemed an original 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. 14. DEBARMENT AND SUSPENSION. 14.1 Debarment and Suspension. Contractor certifies that, except as noted below, the firm, association, or corporation or any person in a controlling capacity associated therewith or any position involving the administration of federal funds; is not currently under suspension, debarment, voluntary exclusion, or determination of ineligibility by any federal agency; has not been suspended, debarred, voluntarily excluded or determined ineligible by any federal agency within the past three (3) years; does not have a proposed debarment pending; and has not been indicted, convicted, or had a civil judgment rendered against said person, firm, association or corporation by a court of competent jurisdiction in any matter involving fraud or official misconduct within the past three (3) years (Executive Orders 12549 and 12689, "Debarment and Suspension"). 14.2 Subcontract Approval Required. The Contractor shall not subcontract any portion of this Contract without City approval. Said approval must be sought in writing by the Contractor prior to executing a subcontract. The request for approval shall include Certification regarding Debarment and Suspension and verification of Labor and Industries eligibility. If the City approves in writing any subcontract, this Section shall nevertheless continue in full force and effect. Any subcontract without prior approval shall be void and not reimbursable under this contract. 14.3 Verification of Subcontractor's Eligibility. — 24 C.F.R. § 5. The Contractor shall maintain records documenting that the Contractor, all subcontractors, and consultants have been determined not to be currently PROFESSIONAL SERVICES AGREEMENT - 6 - Rev. 4/2023 CITY of CITY HALL Federal Way Feder l Avenue South Federal Way, WA 98003-6325 (253) 835-7000 www.cityaffederafwey com debarred, suspended, denied participation, or declared ineligible to participate in federal government funded programs. [Signature page follows] PROFESSIONAL SERVICES AGREEMENT - 7 - Rev. 4/2023 CITY OF CITY HALL 433325Federa111�1a Avenue Suth y Federall Way, WA 98003-6325 (253) 835-7000 wwwatyoffederalwaycom IN WITNESS, the Parties execute this Agreement below, effective the last date written below. CITY OF FEDERAL WAY: Jreell ayor i DATE: COLLABORATIVE PARTNERS INITIATIVE LLC: By: (2-41,jj Printed Name: ;10 Title: DATE: f �1� ?ws STATE OF WASHINGTON ) ) ss. COUNTY OF 1� ATTEST: APPROVED AS TO FORM: J. Ryan Call, City Attorney On this day personally appeared before me �C��to �1avol , to me known to be the _ of Collaborative Partners Initiative LLC that executed the within and foregoing instrument, and acknowledged the said instrument to be the free and voluntary act and deed of said limited liability company, for the uses and purposes therein mentioned, and on oath stated that he or she was authorized to execute said instrument. GIVEN under my hand and official seal this day of rx cew heY , 202'� .�`��LANfl4��►�� Notary's signature .r'k� �g,oN►► ��' � Notary's printed name ;F w : :u d�I3i7 = 2 PROFESSIftAi� VICES AGREEMENT Notary P I i c in and for the State of Washington. My commission expires [p Z?_►2r�2[A -8- Rev. 4/2023 CITY OF CITY HALL - Fe d e ra I Way 8th Avenue South - Feder Federal Way, WA 98003-6325 �• - -r (253) 835-7000 www.cityoffederalway.com EXHIBIT A SERVICES The City of Federal Way is potentially missing out on funding opportunities that are available through grant programs at the local, county, state and national level (including corporate and philanthropic). The City will therefore engage with Collaborative Partners Initiative (CPIN) to make use of their expertise in the area of grant writing services to solve the grant writing needs of the City. The services that CPIN will provide include: identifying funding priorities, finding funding programs, developing grant proposals which CPIN will submit on the City's behalf, reviewing grant awards and managing grants as needed. The tangible deliverables that CPIN will provide include a grant standard operating procedures (SOP) and various grant templates (including a grant "library") for City staff to use, set up of Federal Way on as many grant portals as possible, as well as receiving grant awards on the City's behalf based on grants that were applied for. 1. The Contractor shall do or provide the following: 1. Work with City staff to develop a process for finding grants, writing applications, and administering grants for City projects and programs 2. Create a grant standard operating procedure documentation (no more than 4-6 pages) in flowchart, decision tool & written form 3. Create a "library" of grants, grant sites etc., to include both public & private grant sources (including but not limited to Grants.gov, Washington State Department of Commerce, corporate foundations, philanthropic funders that support local governments, Congressional Appropriations) 4. While the grant process SOP is being created, CPIN will take City projects through the grant application process 5. Complete grant applications and monitor them through the process, including but not limited to award negotiations 6. Create a suite of grant templates and other set up for grants as needed for the City to functionally continue grant writing PROFESSIONAL SERVICES AGREEMENT - 9 - Rev. 4/2023 CETV OF Federal Way EXHIBIT B COMPENSATION CITY HALL 33325 8th Avenue South Federal Way, WA 98003-6325 (253) 835-7000 www.cstyoffederelway. com 1. Total Compensation: In return for the Services, the City shall pay the Contractor an amount not to exceed Ninety -Five Thousand and No/100 Dollars ($95,000.00). 2. Method of Compensation: Hourly rate In consideration of the Contractor performing the Services, the City agrees to pay the Contractor an amount calculated on the basis of the hourly labor charge rate schedule for Contractor's personnel as shown below: $145.00 per hour. PROFESSIONAL SERVICES AGREEMENT - 10 - Rev. 4/2023 CITY OF Federal Way EXHIBIT C CERTIFICATE OF INSURANCE CITY HALL 33325 8th Avenue South Federal Way, WA 98003-6325 (253) 835-7000 wwwdlyoffederalway. com PROFESSIONAL SERVICES AGREEMENT - 11 - Rev. 4/2023 Ac"R a CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) 11/21/2023 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endomement(s). PRODUCER NAME CONCT Kaleigh Romano SeibertKeck Insurance Partners PHONE (800) 229-5266 FAX Nc ; (330) 865-6826 AINo Exf X-MAIL ADDREss: kromano@seibertkeck.com 2950 W Market St INSURER(S) AFFORDING COVERAGE NAIC p INSURERA: Continental Casualty 20443 Fairlawn OH 44333 INSURED INSURER B : INSURERC: Collaborative Partners Initiative, LLC INSURER D : 1001 S YAKIMAAVE INSURERE: TACOMAARMORY, SUITE 5A INSURER F : TACOMA WA 98405 COVERAGES CERTIFICATE NUMBER: 2023-2024 v1.0 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE INSID WVp POLICYNUMBER POLICY EFF MMIDD MM/DD YYPOLICY LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS -MADE Fx_� OCCUR PREMISES fFaa'."'nce S 1,000,000 MED EXP (Any one person) $ 10,000 PERSONAL& ADV INJURY $ 1,000,000 A 7013073761 01/01/2023 01/01/2024 GEN'LAGGREGATE LIMITAPPLIES PER: GENERALAGGREGATE S 2,000,000 X POLICY ❑ PRO- ❑ LOC JECT PRODUCTS-COMP/OPAGG S 2,000,000 Employment Practices $ 10,000 OTHER: AUTOMOBILE LIABILITY CAWBIOED SINGLE LIMIT Es accIdenl $ BODILY INJURY (Per person) $ ANYAUTO OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY (Per accident) $ PROPERTY DAMAGE Par eaidern $ HIRED NON -OWNED AUTOS ONLY AUTOS ONLY UMBRELLA LIAR OCCUR EACH OCCURRENCE $ HCLAIMS-MADE AGGREGATE $ EXCESS LIAB DED I I RETENTION $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y/ N STATUTE ERH ANY PROPRIETOR/PARTNER/EXECUTIVE E L EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? ❑ N/A (Mandatory In NH) E.L DISEASE - EA EMPLOYEE $ If yes, describe under DESCRIPTION OF OPERATIONS below E.L DISEASE - POLICY LIMIT $ A Professional Liability 7013073761 01/01/2023 01/01/2024 Each Claim Limit Aggregate Limit $1,000,000 $5,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space Is required) SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Federal Way ACCORDANCE WITH THE POLICY PROVISIONS. 33325 8th Avenue South AUTHORIZED REPRESENTATIVE Federal Way WA 98003-6325 I Umu, V-Q&+vv @ 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD CNA SB146932G (Ed. 10-19) BLANKET ADDITIONAL INSURED AND LIABILITY EXTENSION ENDORSEMENT This endorsement modifies insurance provided under the following: BUSINESSOWNERS LIABILITY COVERAGE FORM BUSINESSOWNERS COMMON POLICY CONDITIONS TABLE OF CONTENTS I. Blanket Additional Insured Provisions A. Additional Insured — Blanket Vendors B. Miscellaneous Additional Insureds C. Additional Provisions Pertinent to Additional Insured Coverage 1.a. Primary — Noncontributory provision 1.b. Definition of "written contract" 2. Additional Insured — Extended Coverage II. Liability Extension Coverages A. Bodily Injury — Expanded Definition B. Broad Knowledge of Occurrence C. Estates, Legal Representatives and Spouses D. Fellow Employee First Aid E. Legal Liability — Damage to Premises F. Personal and Advertising Injury — Discrimination or Humiliation G. Personal and Advertising Injury — Broadened Eviction H. Waiver of Subrogation — Blanket I. BLANKET ADDITIONAL INSURED PROVISIONS A. ADDITIONAL INSURED — BLANKET VENDORS Who Is An Insured is amended to include as an additional insured any person or organization (referred to below as vendor) with whom you agreed under a "written contract" to provide insurance, but only with respect to "bodily injury" or "property damage" arising out of "your products" which are distributed or sold in the regular course of the vendor's business, subject to the following additional exclusions: 1. The insurance afforded the vendor does not apply to: a. "Bodily injury" or "property damage" for which the vendor is obligated to pay damages by reason of the assumption of liability in a contract or agreement. This exclusion does not apply to liability for damages that the vendor would have in the absence of the contract or agreement; b. Any express warranty unauthorized by you; c. Any physical or chemical change in the product made intentionally by the vendor; d. Repackaging, except when unpacked solely for the purpose of inspection, demonstration, testing, or the substitution of parts under instructions from the manufacturer, and then repackaged in the original container; e. Any failure to make such inspections, adjustments, tests or servicing as the vendor has agreed to make or normally undertakes to make in the usual course of business, in connection with the distribution or sale of the products; f. Demonstration, installation, servicing or repair operations, except such operations performed at the vendor's premises in connection with the sale of the product; g. Products which, after distribution or sale by you, have been labeled or relabeled or used as a container, part or ingredient of any other thing or substance by or for the vendor; or SB146932G (10-19) Page 1 of 7 Copyright, CNA All Rights Reserved. CNA CNA80103XX (09-14) THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. PRIMARY AND NONCONTRIBUTORY - OTHER INSURANCE CONDITION This endorsement modifies insurance provided under the following: BUSINESSOWNERS COMMON POLICY CONDITIONS The following is added to Paragraph H. Other Insurance and supersedes any provision to the contrary: Primary And Noncontributory Insurance This insurance is primary to and will not seek contribution from any other insurance available to an additional insured under your policy provided that: 1. The additional insured is a Named Insured under such other insurance; and 2. You have agreed in writing in a contract or agreement that this insurance would be primary and would not seek contribution from any other insurance available to the additional insured. All other terms and conditions of the Policy remain unchanged. CNA80103XX (09-14) Page 1 of 1 Copyright, CNA All Rights Reserved. Includes copyrighted material of Insurance Services Office, Inc., with its permission Articles of Organization A set of formal documents filed with the Secretary of State to legally document the creation of a new business entity. Prepared by indile QSnS Office of the Secretary of State Corporations & Charities Division CERTIFICATE OF FORMATION Filed Secretary of State State of Washington Date Filed: 10/02/2020 Effective Date: 10/02/2020 UBI #: 604 550 861 UBI NUMBER UBI Number: 604 550 861 BUSINESS NAME Business Name COLLABORATIVE PARTNERS INITIATIVE LLC REGISTERED AGENT Registered Agent Name Street Address Mailing Address LEGALINC CORPORATE 14205 SE 36TH ST STE 100, BELLEVUE, WA, 98006-1553, SERVICES INC. UNITED STATES REGISTERED AGENT CONSENT Customer provided Registered Agent consent? - Yes DURATION Duration: PERPETUAL EFFECTIVE DATE Effective Date: 10/02/2020 OTHER PROVISIONS Other Provisions: PRINCIPAL OFFICE Phone: 888-462-3453 This document is a public record. For more information visit www.sos.wa.gov/corps Work Order #: 2020092900512520 -1 Received Date: 09/29/2020 Amount Received: $200.00 Email: EFILE1234 @ INCFILE.COM Street Address: 14211113TH AVENUE CT E, PUYALLUP, WA, 98374-3929, UNITED STATES Mailing Address: 14211 113TH AVENUE CT E, PUYALLUP, WA, 98374-3929, UNITED STATES EXECUTOR Title Executor Entity Name First Last Address Type Name Name EXECUTOR ENTITY INCFILE.COM LOVETTE DOBSON 17350 STATE HIGHWAY 249, STE 220,HOUSTON, TX, 77064-1132, UNITED STATES RETURN ADDRESS FOR THIS FILING Attention: LOVETTE DOBSON Email: EFILE1234 @ INCFILE.COM Address: 17350 STATE HIGHWAY 249 STE 220, HOUSTON, TX, 77064-1132, UNITED STATES UPLOAD ADDITIONAL DOCUMENTS Name Document Type No Value Found. UPLOADED DOCUMENTS Document Type Source Created By Created Date No Value Found. EMAIL OPT -IN ❑ I hereby opt into receiving all notifications from the Secretary of State for this entity via email only. I acknowledge that I will no longer receive paper notifications. AUTHORIZED PERSON - STAFF CONSOLE R Document is signed. Person Type: ENTITY First Name: LOVETTE Last Name: DOBSON Entity Name: INCFILE.COM Title: This document is a public record. For more information visit www.sus.kva.gov/corps Work Order #: 2020092900512520 -1 Received Date: 09/29/2020 Amount Received: $200.00 ORGANIZER This document is a public record. For more information visit.www.sos.wa.-ggv/coM.s Work Order #: 2020092900512520 -1 Received Date: 09/29/2020 Amount Received: $200.00 QS()S Office of the Secretary of State Corporations & Charities Division Congratulations: You have completed the initial filing to create a new business entity. The next step in opening your new business is to complete a Business License Application. You may have completed this step already. The Business License Application can be completed online or downloaded at: http://www.bls.dor.wa.2ov/ If you have any questions about the Business License Application, or would like a Business License Application package mailed to you, please call Business License Services at 1-800-451-7985. LEGALINC CORPORATE SERVICES INC. 14205 SE 36TH ST STE 100 BELLEVUE WA 98006-1553 James M. Dolliver Building 801 Capitol Way South • PO Box 40234 Olympia, WA 98504-0234 Tel: 360.725.0377 www.sos.wa.gov/corps IMPORTANT You have completed the initial filing to create a new entity. To keep your filing status active and avoid administrative dissolution, you must: 1_ File an Annual Report and pay the annual license fee each year before the anniversary of the filing date for the entity. A notice to file your annual report will be sent to your registered agent. It is the corporation or LLC's responsibility to file the report even if no notice is received. 2. Maintain a Registered Agent and registered office in this state. You must notify the Corporations Division if there are any changes in your registered agent, agent's address, or registered office address. Failure to notify the Corporations Division of changes will result in misrouted mail, and possibly administrative dissolution. If you have questions about report and registered agent requirements, please contact the Corporations Division at 360-725-0377 or visit our website at: www.sos.wa.gov/coms (wsns Office of the Secretary of State Corporations & Charities Division INITIAL REPORT Filed Secretary of State State of Washington Date Filed: 10/02/2020 Effective Date: 10/02/2020 UBI #: 604 550 861 UBI NUMBER UBI Number: 604 550 861 BUSINESS NAME Business Name COLLABORATIVE PARTNERS INITIATIVE LLC REGISTERED AGENT Registered Agent Name Street Address Mailing Address LEGALINC CORPORATE 14205 SE 36TH ST STE 100, BELLEVUE, WA, 98006-1553, SERVICES INC. UNITED STATES REGISTERED AGENT CONSENT Customer provided Registered Agent consent? - Yes EFFECTIVE DATE Effective Date: 10/02/2020 OTHER PROVISIONS Other Provisions: PRINCIPAL OFFICE Phone: 888-462-3453 Email: EFILE1234@INCFILE.COM Street Address: 14211113TH AVENUE CT E, PUYALLUP, WA, 98374-3929, UNITED STATES This document is a public record. For more information visit www.sos.wa.Rov/corps Work Order #: 2020092900512520 -1 Received Date: 09/29/2020 Amount Received: $200.00 Mailing Address: 14211 113TH AVENUE CT E, PUYALLUP, WA, 98374-3929, UNITED STATES GOVERNORS Title Governor Type Entity Name First Name Last Name GOVERNOR INDIVIDUAL ANGELA SILVA GOVERNOR INDIVIDUAL TRACY ENGELS GOVERNOR INDIVIDUAL MICHAEL SILVA NATURE OF BUSINESS Nature of Business: PROPOSAL AND PROJECT MANAGEMENT CONSULTING RETURN ADDRESS FOR THIS FILING Attention: LOVETTE DOBSON Email: EFILE 1234 @ INCFILE. C OM Address: 17350 STATE HIGHWAY 249 STE 220, HOUSTON, TX, 77064-1132, UNITED STATES UPLOAD ADDITIONAL DOCUMENTS Name Document Type No Value Found. UPLOADED DOCUMENTS Document Type Source Created By Created Date No Value Found. EMAIL OPT -IN ❑ I hereby opt into receiving all notifications from the Secretary of State for this entity via email only. I acknowledge that I will no longer receive paper notifications. AUTHORIZED PERSON - STAFF CONSOLE R Document is signed. Person Type: ENTITY First Name: LOVETTE Last Name: DOBSON Entity Name: INCFILE.COM This document is a public record. For more information visit www.sos.wa.gov/coiys Work Order #: 2020092900512520 -1 Received Date: 09/29/2020 Amount Received: $200.00 Title: ORGANIZER This document is a public record. For more information visit www.sos.wa.gov/corns Work Order #: 2020092900512520 -1 Received Date: 09/29/2020 Amount Received: $200.00 syrALTES ale K STA '� ■ Secretary of State I, KIM WYMAN, Secretary of State of the State of Washington and custodian of its seal, hereby issue this CERTIFICATE OF FORMATION to COLLABORATIVE PARTNERS INITIATIVE LLC A WA LIMITED LIABILITY COMPANY, effective on the date indicated below. Effective Date: 10/02/2020 UBI Number: 604 550 861 STA7'y Given under my hand and the Seal of the State ' of Washington at Olympia, the State Capital a � d� +L Kim Wyman, Secretary of State +� 89 Date Issued: 10/02/2020 y: Y, STATE OF SHINGTC Limited Liability Company BUSINESS LICENSE COLLABORATIVE PARTNERS INITIATIVE LLC 13310 15TH AVE S TACOMA WA 98444-7113 UNEMPLOYMENT INSURANCE - ACTIVE TAX REGISTRATION - ACTIVE Issue Date: Nov 22, 2023 Unified Business ID #: 604550861 Business ID #: 001 Location: 0001 Expires: Nov 30, 2024 INDUSTRIAL INSURANCE -ACTIVE CITY/COUNTY ENDORSEMENTS: FEDERAL WAY GENERAL BUSINESS - NON-RESIDENT - ACTIVE LICENSING RESTRICTIONS: Not licensed to hire minors without a Minor Work Permit. This document lists the registrations, endorsements, and licenses authorized for the business named above. lly acceplingth4 document, the lictnsee certifies the informalion 1011 the application was complete, true, and accurate to the best of his nr [ter ItnoivII tdge, Aral that business will be conducted in compliance with all applicable Washington state, county, and city regulations. STATE OF wAsHINGTON U B I : 604550861 001 0001 COLLABORATIVE PARTNERS UNEMPLOYMENT INSURANCE - INITIATIVE LLC ACTIVE 13310 15TH AVE S INDUSTRIAL INSURANCE - ACTIVE TACOMA WA 98444-7113 TAX REGISTRATION - ACTIVE FEDERAL WAY GENERAL BUSINESS - NON-RESIDENT - ACTIVE Director, Department of Revenue Expires: Nov 30, 2024 Director, Department of Revenue IMPORTANT! PLEASE READ THE FOLLOWING INFORMATION CAREFULLY BEFORE POSTING THIS LICENSE General Information Endorsements Post this Business License in a visible location at your All endorsements should be renewed by the expiration place of business. date that appears on the front of this license to avoid any late fees. If you were issued a Business License previously, destroy the old one and post this one in its place. Login to My DOR at dor.wa.gov if you need to make changes to your business name, location, mailing address, telephone number, or business ownership. Telephone: 360-705-6741 If there is no expiration date, the endorsements remain active as long as you continue required reporting. Tax Registration, Unemployment Insurance, and Industrial Insurance endorsements require you to submit periodic reports. Each agency will send you the necessary reporting forms and instructions. For assistance or to request this document in an alternate format, visit http://business.wa.gov/BLS or call (360) 705-6741. Teletype (TTY) users may use the Washington Relay Service by calling 711. BLS-700-107 (07/27/20) 11/21/23, 9:19 AM Corporations and Charities System BUSINESS INFORMATION Business Name: COLLABORATIVE PARTNERS INITIATIVE LLC UBI Number: 604 550 861 Business Type: WA LIMITED LIABILITY COMPANY Business Status: ACTIVE Principal Office Street Address: 13310 15TH AVE S, TACOMA, WA, 98444-7113, UNITED STATES Principal Office Mailing Address: TACOMA ARMORY, ACE PROGRAM, 1001 S. YAKIMA AVE, SUITE 5A, TACOMA, WA, 98405-4869, UNITED STATES Expiration Date: 10/31/2024 Jurisdiction: UNITED STATES, WASHINGTON Formation/ Registration Date: 10/02/2020 Period of Duration: PERPETUAL Inactive Date: Nature of Business: ADMINISTRATION & BUSINESS SUPPORT SERVICES, PROPOSAL DEVELOPMENT, COMPLIANCE MANAGEMENT, CAPACITY BUILDING, AND PROJECT MANAGEMENT CONSULTING REGISTERED AGENT INFORMATION Registered Agent Name: REPUBLIC REGISTERED AGENT LLC Street Address: 9407 NE VANCOUVER MALL DR STE 104, VANCOUVER, WA, 98662-6191, UNITED STATES Mailing Address: 9407 NE VANCOUVER MALL DR STE 104, VANCOUVER, WA, 98662-6191, UNITED STATES GOVERNORS Title GOVERNOR GOVERNOR Governors Type INDIVIDUAL INDIVIDUAL hftps://cds.sos.wa.gov/#/BusinessSearch/Businessinformation Entity Name First Name ANGELA MICHAEL Last Name SILVA SILVA 1 /1 12/5/23, 9:47 AM An official website of the United States government Here's how you know Entity Validation Processing Show Details Dec 5, 2023 Download FASCSA Orders Show Details Dec 4, 2023 SAM*GOV@ Home Search Data Bank Data Services Help Core Data Entity Registration Core Data Business Information Entity Types Financial Information Points of Contact Assertions Reps and Certs (FAR/DFARS) SAM.gov 0 [ See All Alerts G�, [/j Requests Notifications oo Workspace Sign Out https:llsam.govlentiti"viewiDR33BCHJVRi4lcoraData?status=Active&emrKeyVatue=13Q38267-1692385540947173 in 12/5/23, 9:47 AM SAM.gov Reps and Certs (Financial Assistance) Exclusions Responsibility / Qualification COLLABORATIVE PARTNERS INITIATIVE LLC Unique Entity ID CAGE/NCAGE DR33BCHJVRI4 8ZFH4 Physical Address 1331015TH AVE S Tacoma, Washington 98444-7113, United States Purpose of Registration All Awards Version 1 Current Record Active Registration Mailing Address Tacoma ARMORY,1001 S. Yakima AVE Suite 5A Tacoma, Washington 98405-4869, United States Entity Information Expiration Date Aug 17, 2024 https://sam.gov/entities/view/DR33BCHJVRI4/coreData?status=ActiveBemrKeyValue=13038267-1692385540947173 2/7 12/5/23, 9:47 AM SAM.gov BUSINESS INFORMATION Doing Business As (blank) Division Name (blank) Congressional District Washington 10 Owner Immediate Owner Highest Level Owner Executive Compensation URL www.thecpin.com Division Number (blank) State/Country of Incorporation Washington, United States CAGE Legal Business Name (blank) (blank) (blank) (blank) Registration Dates Activation Date Aug 28, 2023 Submission Date Aug 18, 2023 Entity Dates Entity Start Date Oct 2, 2020 Initial Registration Date Mar 22, 2021 Fiscal Year End Close Date Dec 31 Registrants in the System for Award Management (SAM) respond to the Executive Compensation questions in accordance with Section 6202 of P.L.110-252, amending the Federal Funding Accountability and Transparency Act (P.L.109-282). This information is not displayed in SAM. It is sent to USAspending.gov for display in association with an eligible award. Maintaining an active registration in SAM demonstrates the registrant responded to the questions. SAM SEARCH AUTHORIZATION I authorize my entity's non -sensitive information to be displayed in SAM public search results: Yes https:I/sam.govlentitiestview/DR33BCHJVR14/coreData?status=Active&emrKeyValue=13038267-1692385540947173 3/7 12/5/23, 9:47 AM SAM.gov ENTITY TYPES Business Types Entity Structure Entity Type Profit Structure Organization Factors Partnership or Limited Liability Partnership Business or Organization For Profit Organization Limited Liability Company FINANCIAL INFORMATION Payments Accepts Credit Card Payments Yes ACCOUNT DETAILS Socio-Economic Types Women -Owned Small Business, Women -Owned Business Check the registrant's Reps & Certs, if present, under FAR 52.212-3 or FAR 52.219-1 to determine if the entity is an SBA -certified HUBZone small business concern. Additional small business information may be found in the SBA's Dynamic Small Business Search if the entity completed the SBA supplemental pages during registration. Debt Subject To Offset No https://sam.govlentities/view/DR33BCHJVR14/coreData?status=Active&emrKeyValue=13038267-1692385540947173 4/7 12/5/23, 9:47 AM SAM.gov EFT Indicator 0000 CAGE Code 8ZFH4 POINTS OF CONTACT Electronic Business Primary Point of Contact Angela Silva, President Address Tacoma ARMORY,1001 S. Yakima AVE Suite 5A Tacoma, Washington 98405 United States Government Business Primary Point of Contact Angela Silva, President https://sam.gov/entities/view/DR33BCHJVR14/coreData?status=Active&emrKeyValue=13038267-1692385540947173 5/7 1215123, 9:47 AM SAM.gov Address Tacoma ARMORY,1001 S. Yakima AVE Suite 5A Tacoma, Washington 98405 United States Our Website About This Site Our Community Release Notes System Alerts Policies Privacy Policy Disclaimers Freedom of Information Act Accessibility 0 Feedback Our Partners Acquisition.gov USASpending.gov Grants.gov More Partners Customer Service Help Check Entity Status Federal Service Desk External Resources Contact hilps:llsam.gov/entities/view/DR33SCHJVR14lcoredata7slatus=Active&emrKeyValue=13038267-1692385540947173 617 12/5/23, 9:47 AM SAM.gov G S`� WARNING This is a U.S. General Services Administration Federal Government computer system that is "FOR OFFICIAL USE ONLY." This system is subject to monitoring. Individuals found performing unauthorized activities are subject to disciplinary action including criminal prosecution. This system contains Controlled Unclassified Information (CUI). All individuals viewing, reproducing or disposing of this information are required to protect it in accordance with 32 CFR Part 2002 and GSA Order CIO 2103.2 CUI Policy. SAM.gov An official website of the U.S. General Services Administration https:llsam.gov/entitieslview/DR33SCHJVR141coreData?status=Active&emrKeyVafue=13038267-1692385540947173 717 em that is "FOR OFFICIAL USE ONLY." This system is subject to lisciplinary action including criminal prosecution. swing, reproducing or disposing of this information are required to cy. tion `IA Request for Taxpayer Give Form to the Form (Rev. October2018) Identification Number and Certification requester. Do not Department of the Treasury send to the IRS. Internal Revenue Service ► Go to www.irs.gov/FormW9 for instructions and the latest information. 1 Name (as shown on your income tax return). Name is required on this line; do not leave this line blank. Collaborative Partners Initiative, LLG 2 Business name/disregarded entity name, if different from above 3 Check appropriate box for federal tax classification of the person whose name is entered on line 1. Check only one of the 4 Exemptions (codes apply only to ca following seven boxes. certain entities, not individuals; see a instructions on page 3): Cp ElIndividual/sole proprietor or ElC Corporation ElS Corporation ❑ Partnership ElTrust/estate c single -member LLC Exempt payee code (if any) ao ✓❑ Limited liability company. Enter the tax classification (C=C corporation, S=S corporation, P=Partnership) ► P p 2 Note: Check the appropriate box in the line above for the tau classification of the single -member owner. Do not check Exemption from FATCA reporting +� = LLC if the LLC is classified as a single -member LLC that Is disregarded from the owner unless the owner of the LLC is code an rf (. y) a a w another LLC that is not disregarded from the owner for U.S. federal tax purposes. Otherwise, a single -member LLC that is disregarded from the owner should check the appropriate box for the tax classification of its owner. V 01 ❑ Other (see instructlons) ■ (Applies to accounts maintained outside the U.S.) to 5 Address (number, street, and apt. or suite no.l See instructions. Requester's name and address (optienal) in 13310 15th Ave S B City, state, and ZIP code Tacoma. WA 98444 7 List account number(s) here (optional) Taxpayer Identification Number (TIN) Enter your TIN in the appropriate box. The TIN provided must match the name given on line 1 to avoid Social security number backup withholding. For individuals, this is generally your social security number (SHowever, for a resident alien, sole proprietor, or disregarded entity, see the instructions for Part I, later. For other - LLI entities, it is your employer identification number (EIN). If you do not have a number, see How to aet a TIN, later. Note: If the account is in more than one name, see the instructions for line 1 Number To Give the Requester for guidelines on whose number to enter. or Also see What Name and I Employer identification number L j Certification Under penalties of perjury, I certify that: 1. The number shown on this form is my correct taxpayer identification number (or I am waiting for a number to be issued to me); and 2. 1 am not subject to backup withholding because: (a) I am exempt from backup withholding, or (b) I have not been notified by the Internal Revenue Service (IRS) that I am subject to backup withholding as a result of a failure to report all interest or dividends, or (c) the IRS has notified me that I am no longer subject to backup withholding; and 3. 1 am a U.S. citizen or other U.S. person (defined below); and 4. The FATCA code(s) entered on this form (if any) indicating that I am exempt from FATCA reporting is correct. Certification instructions. You must cross out item 2 above if you have been notified by the IRS that you are currently subject to backup withholding because you have failed to report all interest and dividends on your tax return. For real estate transactions, item 2 does not apply. For mortgage interest paid, acquisition or abandonment of secured property, cancellation of debt, contributions to an individual retirement arrangement (IRA), and generally, payments other than interest and dividends, yoya{e not required to .,%ign the certification, but you must provide your correct TIN. See the.instructions for Part 11, later. Sign U.S. pure of ifA i/�irt1L'Ili %� Here U.S. person ► [[ Date ► General Instructions U Section references are to the Internal Revenue Code unless otherwise noted. Future developments. For the latest information about developments related to Form W-9 and its instructions, such as legislation enacted after they were published, go to www.irs.gov/F6rmW9. Purpose of Form An individual or entity (Form W-9 requester) who is required to file an information return with the IRS must obtain your correct taxpayer identification number (TIN) which may be your social security number (SSN), individual taxpayer identification number (ITIN), adoption taxpayer identification number (ATIN), or employer identification number (EIN), to report on an information return the amount paid to you, or other amount reportable on an information return. Examples of information returns include, but are not limited to, the following. • Form 1099-INT (interest earned or paid) • Form 1099-DIV (dividends, including those from stocks or mutual funds) • Form 1099-MISC (various types of income, prizes, awards, or gross proceeds) • Form 1099-B (stock or mutual fund sales and certain other transactions by brokers) • Form 1099-S (proceeds from real estate transactions) • Form 1099-K (merchant card and third party network transactions) • Form 1098 (home mortgage interest), 1098-E (student loan interest), 1098-T (tuition) • Form 1099-C (canceled debt) • Form 1099-A (acquisition or abandonment of secured property) Use Form W-9 only if you are a U.S. person (including a resident alien), to provide your correct TIN. If you do not return Form W-9 to the requester with a TIN, you might be subject to backup withholding. See What is backup withholding, later. Cat. No. 10231X Form W-9 (Rev. 10-2018) CITY OF ...,,�: Federal Way 33325 81h Avenue South, Federal Way, WA 98003 ❑J New Vendor ❑ Update Form To add your business to our vendor file, or update information, please complete this form and mail to 33325 8tn Ave South Federal Way, WA 98003 or fax #253-835-2509 or email accountspayablepcityoffederalway.com Business Informadorr_ (as shown on your federal tax return) 1. Business Name: Collaborative Partners Initiative, LLC 2. Contact Name: 3. Business Address: DBA Angela J. Silva (For office use only) VN#: 13310 15th Ave S Tacoma, WA 98444 City State Zip Code 4. Remit To Address (if different): 5. Phone #: 253-722-6352 City/State Zip Code E-Mail: aSitVa@thecpin.com 6. Will you provide suppplies or service to the City of Federal Way? ❑ Supplies ❑✓ Services 7. City of Federal Way Staff/Department Contact Name: J, 4,4, c,c. 4 8 pake Business Type ( Please Check appropriate bos for federal tar classification ofnersonlentily_entered on line 11 ❑ C Corporation ❑ S Corporation ❑ Partnership ❑ Government Agency ❑ Trust/Estate ❑ Non -Profit (tfe..p� Exemptpyee ooae) ❑ Sole Proprietor 85-3324555 Federal ID/EIN # (9 digits) Federal ID # (9 digits) or Social Security Number If you are not a corporation, is your Business subject to 1099 reporting? State of Washington U. B. I. # ❑ Yes ❑ No ❑✓ Limited liability company. Enter the tax classification (C=C corporation, S=S corporation, P=Partnership) > P Note: Check the appropriate box in the line above for the tax classification of the single -member owner. Do not check LLC if the LLC is classified as a single -member LLC that is disregarded from the owner unless the owner of the LLC is another LLC that is not disregarded from the owner for US federal tax purposes. Otherwise, a single -member LLC that is disregarded from the owner should check the appropriate box for the tax classification of its owner. ❑ Other (see instructions)> Exemptions (codes apply only to certain entitles, not individuals; see instruction) Exempt payee code (if any) Exemption from FATCA reporting code (if any) Certification: Under penalties of perjury, I certify that: 1. The number shown on this form is my correct tax yer identification number (or I am waiting for a number to be issued to me); and 2. 1 am not subject to backup witholdin because: (ar am exempt from backup withholding. or (b) I have not been notified by the Intemal Revenue Service (IRS) that am am subject to backup withholding as a result of a failure to report all interest or dividends, or (c) the IRS has notified me that I am no longer subject to backup witholding; and 3. 1 am a US citizen or other U.S. person (defined below); and 4. The FATCA code(s) entered on this farm (if any) indicating that I am exempt from FATCA reporting is correct. The Internal Revenue Service does not re -quire your con3oqK to arty pravlom of this current other than the certification required to avoid backup ►vithhoidi Sign �7 I 1 Here Sienature of U.S. uerson > '�l) j Date > l G•2I(7e)2, For information call: 253.835.2525 or Fax: 253.835.2509 or e-mail: accountspa able@cityoffederalway_com Rev 12021 What is FATCA Reporting? The Foreign Account Tax Compliance Act (FACTA) requires a participating foreign financial institution to report all United States account holders that are specified United States persons. Certain payees are exempt from FATCA reporting. See Exemption from FATCA reporting code, later, and the Instructions for the Requester of Form W-9 for more information https://www.irs.gg�v/publirs-ndf/iw9.pdf IF the enti / erson on line 1 is a n .... THEN check the box for.... • Corporation Corporation • Individual Individual/sole proprietor or single member LLC • Sole proprietorship, or • Single -member limited liability company (LLC) owner by and individual and disregarded for U.S. federal tax purposes. ■ LLC treated as a partnership for U.S. federal tax Limited liability company and enter the appropriate tax purposes. classification. (P = Partnership; C = C corporation; or S = S • LLC that has filed FORM 8832 or 2553 to be taxed as a corporation) corporation, or • LLC that is disregarded as an entity separate from its owner but the owner is another LLC that is not disregarded for U.S. federal tax purposes. • Partnership Partnership • Trust/estate Trust/estate For information call: 253.835.2525 or Fax: 253.835.2509 or e-mail: accountspayablc(4cityoffederalway.com Rev 12021 December 11, 2023 COLLABORATIVE PARTNERS INITIATIVE LLC Angela Silva, Chief Executive Officer 13310151 Avenue S Tacoma, WA 98444-7113 Re: Professional Services Agreement; Grant Writer Series Signature Letter Dear Dr. Angela Silva: Enclosed for your review and approval is an original Professional Services Agreement, including exhibits, for Grant Writer Series between the City of Federal Way and COLLABORATIVE PARTNERS INITIATIVE LLC. As you review the contract, please make note of the following items: • Your signature is required on the Professional Services Agreement (page 6) in the presence of a notary public. • A Certificate of Insurance is required naming the City of Federal Way as an additional insured. (Refer to section 6.3 of the Professional Services Agreement.) • Provide the City with current Proof of Authority allowing signatory to sign on behalf of COLLABORATIVE PARTNERS INITIATIVE LLC;. Proof of Authority required is a certified copy of the Corporate Resolutions for COLLABORATIVE PARTNERS INITIATIVE LLC, resolving who is allowed to sign on behalf of the said corporation (in title only) and a complete list of the Corporate officers, name and title (updated annually with the Secretary of State). • Copy of current City of Federal Way Business License • Copy of current State of Washington Corporation Registration • Complete the enclosed Accounts Payable Vendor/W-9 Form and return as soon as possible to our Finance Department. The City will be unable to process payments for invoices without the completed form. Please note that the City is unable to execute the contract until the proof of authority documentation and appropriate insurance certificate with the appropriate insurance minimum limits are received. Time is of the essence and the prompt return of this document will be greatly appreciated. Once the contract has been fully executed by the City, the City will issue a formal Notice to Proceed. Should you have any questions or need additional information, please don't hesitate to contact me at 253- 835-2408. Sincerely, Julianna La Brake City of Federal Way