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AG 23-263 - SCHRAMM MARKETING, LLCRETURN TO: JULIANNA LABRAKE EXT: 2408 CITY OF FEDERAL WAY LAW DEPARTMENT ROUTING FORM 1. ORIGINATINGDEPT./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 N 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 5. PROJECT NAME: BUSINESS RESILIENCY PROGRAMMING & PROMOTION 6. NAME OF CONTRACTOR: SCHRAMM MARKETING, LLC ADDRESS: 1509 PEACH PARK LN PUYALLUP, WA 98371-4033 TELEPHONE (253) 318-5847 E-MAIL: STEPHANIE@MADCAPMARKETING.COM FAX: SIGNATURENAME: STEPHANIE SCHRAMM TITLE PRESIDENT 7. EXHIBITS AND ATTACHMENTS: (it SCOPE, WORK OR SERVICES 0 COMPENSATION ❑ INSURANCE REQUIREMENTS/CERTIFICATE N ALL OTHER REFERENCED EXHIBITS ❑ PROOF OF AUTHORITY TO SIGN ❑ REQUIRED LICENSES ❑ PRIOR CONTRACT/AMENDMENTS 8. TERM: COMMENCEMENT DATE: UPON APPROVAL COMPLETION DATE: December 31, 2025 9. TOTAL COMPENSATION $ 19-000.00 (INCLUDE EXPENSES AND SALES TAX, IF ANY) (IF CALCULATED ON HOURLY LABOR CHARGE - ATTACH SCHEDULES OF EMPLOYEES TITLES AND HOLIDAY RATES) REIMBURSABLE EXPENSE: ❑ YES 19 NO IF YES, MAXIMUM DOLLAR AMOUNT: $ IS SALES TAX OWED ®YES IDNO IF YES, $ PAID BY: ❑ CONTRACTOR ❑ CITY RETAINAGE: RETAINAGE AMOUNT: ❑ RETAINAGE AGREEMENT (SEE CONTRACT) OR ❑ RETAINAGE BOND PROVIDED A PURCHASING: PLEASE CHARGE TO: MO-001-1100-020-513-10-410 10. DOCUMENT/CONTRACT REVIEW INITIAL/DATE REVIEWED INITIAL/DATE APPROVED ❑ PROJECT MANAGER A DIRECTOR TC 11.30.23 ❑ RISK MANAGEMENT (IF APPLICABLE) X LAW JRC 12/5/2023 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.) IN ATE SIGNED tA LAW DEPARTMENT ❑ SIGNATORY (MAYOR OR DIRECTOR) ❑ CITY CLERK ❑ ASSIGNED AG# AG# COMMENTS: 2/2017 December 19, 2023 SCHRAMM MARKETING, LLC Stephanie Schramm, President 1509 Peach Park Ln Puyallup, WA 98371-4033 Re: Professional Services Agreement, Business Resiliency Prograaaaming & Promotion Signature Letter Dear Stephanie Schramm: Enclosed for your review and approval is an original Professional Services Agreement, including exhibits, for Business Resiliency Programming & Promotion between the City of Federal Way and MadCap Marketing. 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 Business Resiliency Programming & Promotion;. Proof of Authority required is a certified copy of the Corporate Resolutions for MadCap Marketing, 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). O Copy of current City of Federal Way Business License (or Register Company Name with the City of Federal Way • 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 CITY OF CITY HALL Federal Way 33325 Avenue South Federal Way, WA 98003-6325 (253) 835-7000 www cityoffederalway com PROFESSIONAL SERVICES AGREEMENT FOR BUSINESS RESILIENCY PROGRAM This Professional Services Agreement ("Agreement") is made between the City of Federal Way, a Washington municipal corporation ("City"), and Schramm Marketing, LLC, dba MadCap Marketing, 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: SCHRAMM MARKETING, LLC dba MADCAP CITY OF FEDERAL WAY: MARKETING: Stephanie Schramm, President 1509 Peach Park Ln Puyallup, WA 98317-4033 (253) 318-5847 (telephone) The Parties agree as follows: Tanja Carter, Economic Development Director 33325 8th Avenue South Federal Way, WA 98003-6325 (253 )835-2402(telephone) Tani a. 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, 2025("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 parry 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. PROFESSIONAL SERVICES AGREEMENT - 1 - Rev. 4/2023 CITY OF AN � Federal Way CITY HALL 33325 Sth Avenue South Federal Way, WA 98003-6325 (253) 835-7000 www_ cityoffederalway. com 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 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 -A ro nation 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. PROFESSIONAL SERVICES AGREEMENT - 2 - Rev. 4/2023 '%CITY OF s, Federal Way CITY HALL 33325 8th Avenue South Federal Way, WA 98003-6325 (253) 835-7000 www cityoffederalway com 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 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 $2,000,000 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 $2,000,000 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 Liability. 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. PROFESSIONAL SERVICES AGREEMENT - 3 - Rev. 4/2023 CITY OF Federal Way CITY HALL 33325 8th Avenue South Federal Way, WA 98003-6325 (253) 835-7000 www aryoifederatway com 7. CONFIDENTIALITY. All information regarding the City obtained by Contractor in performance of 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 PROFESSIONAL SERVICES AGREEMENT - 4 - Rev. 4/2023 CITY OF Federal Way CITY HALL 33325 8th Avenue South Federal Way, WA 98003-6325 (253) 835-7000 www cityotfederaiway com 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, 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 PROFESSIONAL SERVICES AGREEMENT - 5 - Rev. 4/2023 CITY OF � Federal Way CITY HALL 33325 8th Avenue South Federal Way, WA 98003-6325 (253) 835-7000 www cifyoffederalway com 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 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. [Signature page follows] PROFESSIONAL SERVICES AGREEMENT - 6 - Rev. 4/2023 A�kCITY OF Federal Way CITY HALL 33325 8th Avenue South Federal Way, WA 98003-6325 (253) 835-7000 www cityoffederalway. com IN WITNESS, the Parties execute this Agreement below, effective the last date written below. CITY OF FvriERAL W ATTEST: Wm6ut,, Tanja C rter, conomic bevelopment Director Sh6ie Courtney, C ity Clerk DATE: _a GfJ • APPROVED AS TO FORM: cil J. Ryan Call, City Attorney SCHRAMM MARKETING, LLC dba MADCAP MARKETING: By: Printed Name: kg --- Title: le_1�0 DATE: de ao ;�-_3 STATE OF WASHINGTON ) ) ss. COUNTY OF On this _d4y personally appeared before me 1 lvwvto me known to be the of Schramm Marketing, LLC dba MadCgR Marketing 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 hc--or-she was authorized to execute said instrument. GIVEN and official seal this f ` day of Notary's signature Notary's printed n� 2fl;�3 o ubli in and for the S to f Washington. c mm n expires ' PROFESSIONAL SERVICES AGREEMENT - 7 - Rev. 4/2023 CITY OF t. Federal Way EXHIBIT A SERVICES CITY HALL 33325 8th Avenue South Federal Way, WA 98003-6325 (253) 835-7000 www_ cityof"e ❑are lway. com The City of Federal Way has more than 3,000 businesses. These businesses have struggled in recent years and continue to do so as a result of theft and vandalism. The City of Federal Way will contract for services with MadCap Marketing (MCM) to push and promote the following programs; commercial retail security and protection programs that support Federal Way businesses, and the multiple business resiliency programs that the economic development American Rescue Plan Act (ARPA) funding supports over the next 18 to 24 months. MCM shall do or provide the following: 1. Work with City staff to create a strategic marketing plan with goals laid out by the City for both programs 2. Create a mock of the potential layouts and messages 3. Provide marketing material to City staff for approval 4. Circulate approved media through multiple marketing platforms 5. Monitor and report marketing metrics to City staff PROFESSIONAL SERVICES AGREEMENT - 8 - Rev. 4/2023 CITY OF CITY HALL �. Federal Way Feder 8th Avenue South Federal Way, WA 98003-6325 (253) 835-7000 www_ cttyotfederal way. com EXHIBIT B COMPENSATION 1. Total Compensation: In return for the Services, the City shall pay the Contractor an amount not to exceed Nineteen Thousand and NO/100 Dollars ($19,000.00). 2. Method of Compensation: TASK 1 - Strategy Create a plan to meet the goals laid out by City staff $2,000 TASK 2 - Create a mock of potential layouts and $2,000 TASK 3 — Provide City marketing material for approval TASK 4 — Circulate media through marketing platforms $8,000 $5,000 TASK 5- Monitor and report to the City how media is performing $2,000 Not to exceed TOTAL $19,000 PROFESSIONAL SERVICES AGREEMENT - 9 - Rev. 4/2023 CITY OF A. Federal Way EXIMIT C CERTIFICATE OF INSURANCE CITY HALL 33325 8th Avenue South Federal Way, WA 98003-6325 (253) 835-7000 www cdyoffedefnh: a r com PROFESSIONAL SERVICES AGREEMENT - 10 - Rev. 4/2023 4S DATE (MMIDOIYYYY) A`� a CERTIFICATE OF LIABILITY INSURANCE 11/07/2023 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 endorsement(s). PRODUCER CONTACT ANNA GONZALES _.NAME: State&rm COREY WILKINS INS FIN SER INC PHn W—cn rl 253-922-8746 Fn No : NIA - e COREY WILKINS, AGENT E-MAIL SS: S: ANNA@CC]REYWlLKINS.COM 4505 PACIFIC HWY E„ STE C-5 INSURER(S) AFFORDING COVERAGE NAIC # FIFE, WA 98424 INSURER A: State Farm Fire and Casualty Company 25143 INSURED INSURER B : SCHRAMM MARKETING LLC INSURER C : PO BOX 553 INSURER D : PUYALLUPWA 98371-0174 INSURERE: INSURER F: COVERAGES CERTIFICATE NUMBER: 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 CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE 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. TffLTR TYPEOFINSURANCE NSD WV0 POLICY NUMBER MMIDDIYYYY MM DCN LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 2,000,000 OArr1YG RENTED $ 300'000 CLAIMS -MADE OCCUR MED EXP (Anyone person) $ 5.000 Y 98-BR-0005-6 03/15/2023 03/15/2024 PERSONAL S ADV INJURY s 2,000.000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE s 4,000,000 ❑ PRO- POLICY LOC PRODUCTS -COMPIOPAGG $ 4,000,000 JECT STOP GAP s 2,000,000 OTHER. L Ir AUTOMOBILE LIABILITY e I I S ANY AUTO BODILY INJURY (Ptrrporsm) S OWNED SCHEDULED BODILY INJURY (Perauldeni) S AUTOS ONLY AUTOS HIRED NON -OWNED rxideM $ AUTOS ONLY AUTOS ONLY I S UMBRELLA LIAB OCCUR HCLAIMS-MADE EACH OCCURRENCE 5 EXCESS LIAB AGGREGATE S DED I I RETENTIONS PER OTH- S WORKERS COMPENSATION S AND EMPLOYERS' LIABILITY ANY PRO PR I ETORIPARTN ERIEXECUTIVE YIN E.L. EACH ACCIDENT 5 OFFICER/MEMBER EXCLUDED? N ! A E.L.DISEASE-EA EMPLOYEE S (Mandatory In NH) Ryes describe under E L. DISEASE- POLICY LIMIT 5 DESCRIPTION OF OPERATIONS below DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORO 101, Addlll9n4l Remarks Schedule, may be attached IT more space Is required) MARKETING CITY OF FEDERAL WAY ARE LISTED AS ADDITIONAL INSURED CERTIFICATE HOLDER CANCELLATION SHOULD NY 0 THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE PIRATI DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCO DANCE T THE POLICY PROVISIONS. CITY OF FEDERAL WAY 33325 8TH AVE S r` I FEDERAL WAY. WA 98003 II ¢¢ �� F48 [ 7MORD CORPORATION. All rights reserved. ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD 1001486 132849.14 04-13-2022 DECLARATIONS (CONTINUED) Office Pollcy for CITY OF FEDERAL WAY Policy Number 98-BR-U005-6 SECTION 11- LIABILITY COVERAGE LIMIT OF INSURANCE Coverage L- Business Liability $2,000,000 Coverage M - Medical Expenses (Any One Person) $5,000 Damage To Premises Rented To You $300,000 AGGREGATE LIMITS LIMIT OF INSURANCE Products/Completed Operations Aggregate $4,000,000 General Aggregate $4,000,000 Each paid claim for Liability Coverage reduces the amount of insurance we provide during the applicable annual period. Please refer to Section II - Liability in the Coverage Form and any attached endorsements. Your policy consists of these Declarations, the BUSINESSOWNERS COVERAGE FORM shown below, and any other forms and endorsements that apply, including those shown below as well as those issued subsequent to the issuance of this policy. FORMS AND ENDORSEMENTS CMP-4102 Businessowners Coverage Form CMP-4779 'Employers Liability CMP-4786 "Addl Insd Owners Lessee Sched CMP-4247.2 Amendatory Endorsement FE-6999.3 Terrorism Insurance Cov Notice CMP-4819.1 Unauthorized Business Card Use CMP-4706 Back -Up of Sewer or Drain CMP-4704.1 Dependent Prop Loss of Income CMP-4710 Employee Dishonesty CMP-4709 Money and Securities CMP-4703.1 Utility Interruption Loss Incm CMP-4705.2 Loss of Income & Extra Expnse CMP-4572 Amendment of Premium Cond Prepared DEC 15 2023 © Copyright, State Farm Mutual Automobile Insurance Company, 200E CMP-4000 Includes copyrighted material of Insurance Services Office, Inc., with its permission. 008084 290 Continued on Reverse Side of Page Page 5 of 6 N Julianna La Brake From: Anna Gonzales <anna.gonzales.iybe@statefarm.com> Sent: Tuesday, December 19, 2023 10:01 AM To: Julianna La Brake Cc: Stephanie Schramm Subject: RE: Business resiliency, programming, promotion/ Schramm Marketing LLC Attachments: Declaration_$2M_ Al with Stop Gap.pdf [EXTERNAL EMAIL WARNING] This email originated from outside of the City of Federal Way and may not be trustworthy. Please use caution when clicking links, opening attachments, or replying to requests for information. If you have any doubts about the validity of this email please contact IT Help Desk at x2555. Here is the policy with the $2M. Thanks for your patience. Have a wonderful holiday season. Anna M. GonzakS, L.S.A.5 State Farm Insurance Companies 4505 Pacific Hwy E. Suite C-5 Tacoma (Fife), WA 98424-2638 (253) 922-8746 Office IF YOU APPRECIATED THIS TRANSACTION, PLEASE LEAVE US A REVIEW BY CLICKING HERE! IF YOU DIDN'T --GO AHEAD AND JUST HIT DELETE! From: Julianna La Brake <Julianna.LaBrake @cityoffederalway.com> Sent: Monday, December 11, 2023 12:44 PM To: Anna Gonzales <anna.gonzales.iybe@statefarm.com> Cc:'Stephanie Schramm' <stephanie@madcapmarketing.com> Subject: [EXTERNAL] RE: Business resiliency, programming, promotion/ Schramm Marketing LLC Hi Anna, That should be fine, whatever they have under "professional liability" that covers the 2mil occurrence, 2 mil aggregate. Thank you! Julianna La Brake Economic Development Admin II Llv r.. Federal Way Ph: 253-835-2408 33325 8th Avenue South Federal Way, WA 98003-6325 www.citvoffederalway.com Share your Update 2024 thoughts, ideas, and comments by visiting https://engagefw.com/ From: Anna Gonzales <anna. onzales.i be statefarm.com> Sent: Monday, December 11, 2023 12:08 PM To: Julianna La Brake <Julianna.LaBrake@citvoffederalway.com> Cc: Stephanie Schramm<stephanie@madcapmarketing.corn> Subject: Business resiliency, programming, promotion/ Schramm Marketing LLC Afternoon, Julianna! Stephanie sent me your email requesting Professional liability coverage. Are you looking for Marketing Professional liability? I just want to make sure since we offer a couple different types. Thank you. Anna M. Gonzales, L.SA.s State Farm Insurance Companies 4505 Pacific Hwy E. Suite C-5 Tacoma (Fife), WA 98424-2638 (253) 922-8746 Office IF YOU APPRECIATED THIS TRANSACTION, PLEASE LEAVE US A REVIEW BY CLICKING HERE! IF YOU DIDN'T --GO AHEAD AND JUST HIT DELETE! From: Stephanie Schramm <ste hanie madca marketin .com> Sent: Monday, December 11, 2023 12:03 PM To: Anna Gonzales <anna.gonzales.ivbe@statefarm.com> Subject: Re: [EXTERNAL] Fwd: Business resiliency, programming, promotion She said "professional "?!? Want ke to connect you with her? Would that be easier? On Mon, Dec 11, 2023 at 11:41 AM Anna Gonzales <anna.gonzales.ivbe@statefarm.com> wrote: Are they looking for Marketing Professional liability? Anna M. Gonzales, L.SA.s State Farm Insurance Companies 4505 Pacific Hwy E. Suite C-5 Tacoma (Fife), WA 98424-2638 (253) 922-8746 Office ti1W yrn7r R,. � 4 a S 4TE OF a°�A� HiNCTON Issue Date: Nov 09, 2023 Limited Liability Company Unified Business ID #: 603152779 Business ID #: 001 Location: 0001 SCHRAMM MARKETING, LLC Expires: Oct 31, 2024 MADCAP MARKETING 1509 PEACH PARK LN PUYALLUP WA 98371-4033 UNEMPLOYMENT INSURANCE - ACTIVE INDUSTRIAL INSURANCE - ACTIVE TAX REGISTRATION - ACTIVE CITY/COUNTY ENDORSEMENTS: PUYALLUP HOME OCCUPATION BUSINESS -ACTIVE CENTRALIA GENERAL BUSINESS - NON-RESIDENT (EXPIRES 11/30/2024) - ACTIVE CHEHALIS GENERAL BUSINESS - NON-RESIDENT (EXPIRES 11/30/2024) - ACTIVE OLYMPIA GENERAL BUSINESS - NON-RESIDENT #50421 (EXPIRES 11/30/2024) - ACTIVE FEDERAL WAY GENERAL BUSINESS - NON-RESIDENT (EXPIRES 11/30/2024) - ACTIVE AUBURN GENERAL BUSINESS - NON-RESIDENT #BUS-40050 (EXPIRES 11/30/2024) -ACTIVE LICENSING RESTRICTIONS: It is the business's responsibility to obtain a home occupation permit from the City of Puyallup if the nature of the business meets any of the criteria found in PMC 20.75.005. Application available here: http://www.cityofpuyallup.org/BusinessLicense Not licensed to hire minors without a Minor Work Permit. REGISTERED TRADE NAMES: .his doc[ln'£'lA lkk isle 3"eg;!iU,adoii5, 2.i.�C1;'Se!-F;ei-i:s, �3I3F: li�_'esises imhoriZ d feE 1hp business Named a borer. By acceptin—t �isdocument, the licensee certifies the in�famalirn On'ile arPl."Hcation /�� °.l•.cs conyiefe, true, and accu a;e. to 'dic best oT iris of her kno;lafedge, and thm ibusiness wif be _ con€Iucted in conlpiiance -with <10 applicable 1^Jashington state, cotmta and ciP.:"egui ations. !JimcGn• ??ep:rtm+•o-i of Ro,�e<<ur STATE OF WA:>HJWGTL%N UBI: 603152779 001 0001 SCHRAMM MARKETING, LLC UNEMPLOYMENT INSURANCE - MADCAP MARKETING ACTIVE 1509 PEACH PARK LN INDUSTRIAL INSURANCE - ACTIVE PUYALLUP WA 98371-4033 TAX REGISTRATION - ACTIVE PUYALLUP HOME OCCUPATION BUSINESS - ACTIVE CENTRALIA GENERAL BUSINESS - NON-RESIDENT (EXPIRES 11 /30/2024) -ACTIVE CHEHALIS GENERAL BUSINESS - NON-RESIDENT (EXPIRES 11/30/2024) - ACTIVE OLYMPIA GENERAL BUSINESS - NON-RESIDENT #50421 (EXPIRES 11/30/2024) -ACTIVE Expires: Oct 31, 2024 i?u'o�l r�;. ;1run�lmrnl nl Rreer.;r . I BUSINESS LICENSE �Y I STATE OF VVASHINGTON I Limited Liability Company SCHRAMM MARKETING, LLC MADCAP MARKETING 1509 PEACH PARK LN PUYALLUP WA 98371-4033 REGISTERED TRADE NAMES. MADCAP MARKETING Issue Date: Nov 09, 2023 Unified Business ID #: 603152779 Business ID #: 001 Location: 0001 Expires: Oct 31, 2024 This document lists the registrations, endorsements, and licenses authorized for lisp hlisiuess named a1mve. By accepting this docuttient, tile licensee certifies Ilre in€ormaILon on the application ++ems complete, true, aifd aceurale to the nest of It is or Iier Wowl edge, and that ltlr$iiieZ Vd11 Gr conducted it; compliamice with all applicable Washington s#, Le, county, and city regulations. Director, De�s,rlmenl ,i R enuc• UBI: 603152779 001 0001 STATE OF WASHINGTON Expires: Oct 31, 2024 SCHRAMM MARKETING, LLC UNEMPLOYMENT INSURANCE - MADCAP MARKETING ACTIVE 1509 PEACH PARK LN INDUSTRIAL INSURANCE - ACTIVE PUYALLUP WA 98371-4033 TAX REGISTRATION -ACTIVE PUYALLUP HOME OCCUPATION BUSINESS - ACTIVE CENTRALIA GENERAL BUSINESS - NON-RESIDENT (EXPIRES 11/30/2024) - ACTIVE CHEHALIS GENERAL BUSINESS - NON-RESIDENT (EXPIRES 11 /30/2024) - ACTIVE OLYMPIA GENERAL BUSINESS - NON-RESIDENT #50421 (EXPIRES 11/30/2024) -ACTIVE I )irncfor_ t)ru. ...miff of R,-venue 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 (rM users may use the Washington Relay Service by calling 711. BLS-700-107 (07127120) 786 JA Policy No. 98—BR—UO05-6 2811—FBE1 Page 1 of ge1 of 1 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY CMP-4786 ADDITIONAL INSURED — OWNERS, LESSEES, OR CONTRACTORS (Scheduled) This endorsement modifies insurance provided under the following: BUSINESSOWNERS COVERAGE FORM SCHEDULE Policy Number: 98-BR-UO05-6 Named Insured: SCHRAMM MARKETING LLC PO BOX 553 PUYALLUP WA 98371-0174 Name And Address Of Additional Insured Person Or Organization: City of Federal Way 33325 8th Ave S. Federal Way, WA, 98003 1. SECTION II — WHO IS AN INSURED of SECTION II — LIABILITY is amended to in- clude, as an additional insured, any person or organization shown in the Schedule, but only with respect to liability for "bodily in- jury", "property damage", or "personal and advertising injury" caused, in whole or in part, by: a. Ongoing Operations (1) Your acts or omissions; or (2) The acts or omissions of those acting on your behalf; in the performance of your ongoing opera- tions for that additional insured; or CMP-4786 b. Products -Completed Operations "Your work" performed for that additional insured and included in the "products - completed operations hazard". 2. Any insurance provided to the additional in- sured shall only apply with respect to a claim made or a "suit" brought for damages for which you are provided coverage. 3. Primary Insurance. The insurance afforded the additional insured shall be primary insur- ance. Any insurance carried by the additional insured shall be noncontributory with respect to coverage provided by you. There will be no refund of premium in the event this endorsement is cancelled. All other policy provisions apply. 1006104 137713.1 10-23-2013 m, Copyright, State Farm Mutual Automobile Insurance Company, 2008 Includes copyrighted material of Insurance Services office, Inc., with its permission. 11/13/23, 11:28 AM Corporations and Charities System BUSINESS INFORMATION Business Name: SCHRAMM MARKETING, LLC UBI Number: 603 152 779 Business Type: WA LIMITED LIABILITY COMPANY Business Status: ACTIVE Principal Office Street Address: 1509 PEACH PARK LN, PUYALLUP, WA, 98371-4033, UNITED STATES Principal Office Mailing Address: PO BOX 553, PUYALLUP, WA, 98371-0174, UNITED STATES Expiration Date: 10/31/2024 Jurisdiction: UNITED STATES, WASHINGTON Formation/ Registration Date: 10/20/2011 Period of Duration: PERPETUAL Inactive Date: Nature of Business: PROFESSIONAL, SCIENTIFIC & TECHNICAL SERVICES REGISTERED AGENT INFORMATION Registered Agent Name: SCHRAMM MARKETING, LLC Street Address: 1509 PEACH PARK LN, PUYALLUP, WA, 98371-4033, UNITED STATES Mailing Address: PO BOX 553, PUYALLUP, WA, 98371-0174, UNITED STATES GOVERNORS Title Governors Type Entity Name First Name GOVERNOR INDIVIDUAL STEPHANIE Last Name SCHRAMM https://ccfs.sos.wa.gov/#/BusinessSearch/Businessinformation 1/1 4. WASHINGTON Secretary of State Corporations & Charities Division Annual Report BUSINESS INFORMATION Business Name: SCHRAMM MARKETING, LLC UBI Number: 603 152 779 Business Type: WA LIMITED LIABILITY COMPANY Business Status: ACTIVE Principal Office Street Address: 1509 PEACH PARK LN, PUYALLUP, WA, 983714033, UNITED STATES Principal Office Mailing Address: PO BOX 553, PUYALLUP, WA, 98371-0174, UNITED STATES Expiration Date: 10/31/2024 Jurisdiction: UNITED STATES, WASHINGTON Formation/Registration Date: 10/20/2011 Period of Duration: PERPETUAL Inactive Date: Nature of Business: PROFESSIONAL, SCIENTIFIC & TECHNICAL SERVICES REGISTERED AGENT RCW 23.95.410 Registered Agent Name Street Address SCHRAMM MARKETING, 1509 PEACH PARK LN, PUYALLUP, WA, 98371-4033, LLC UNITED STATES PRINCIPAL OFFICE Phone: 2533185847 Email: STEPHANIE@MADCAPMARKETING.COM Filed Secretary of State State of Washington Date Filed: 11/01/2023 Effective Date: 11/01/2023 UBI #: 603 152 779 Mailing Address PO BOX 553, PUYALLUP, WA, 98371-0174, UNITED STATES This document is a public record. For more information visit v w gal&= Work Order N: 2023110100708780 - 1 Received Date: 11/01/2023 Amount Received: $95.00 Street Address: 1509 PEACH PARK LN, PUYALLUP, WA, 98371-4033, USA Mailing Address: PO BOX 553, PUYALLUP, WA, 98371-0174, USA GOVERNORS Title Type Entity Name First Name Last Name GOVERNOR INDIVIDUAL STEPHANIE SCHRAMM NATURE OF BUSINESS • PROFESSIONAL, SCIENTIFIC & TECHNICAL SERVICES EFFECTIVE DATE Effective Date: 11/01/2023 CONTROLLING INTEREST 1. Does this entity own (hold title) real property in Washington, such as land or buildings, including leasehold improvements? - No 2. In the past 12 months, has there been a transfer of at least 16-2/3 percent of the ownership, stock, or other financial interest in the entity? -No a. If "Yes", in the past 36 months, has there been a transfer of controlling interest (50 percent or greater) of the ownership, stock, or other financial interest in the entity? - No 3. If you answered "Yes" to question 2a, has a controlling interest transfer return been filed with the Department of Revenue? -No You must submit a Controlling Interest Transfer Return form if you answered `yes" to questions 1 and 2a. Failure to report a Controlling Interest Transfer is subject to penalty provisions of RCW 82.45.220. For more information on Controlling Interest, visit www.dor.wa.gov/REET. RETURN ADDRESS FOR THIS FILING Attention: Email: Address: UPLOAD ADDITIONAL DOCUMENTS Do you have additional documents to upload? - No AUTHORIZED PERSON RrI am an authorized person. Person Type: ENTITY First Name: ALEXA Last Name: KERR Entity Name: This document is a public record For more information visit.-yamSoSma gnvlgnras Work Order #: 2023110100708780 -1 Received Date: 11/01/2023 Amount Received: $95.00 BOOKEEZY SOLUTIONS LLC Title: BOOKKEEPER RrThis document is hereby executed under penalty of law and is to the best of my knowledge, true and correct. This document is a public record For more information visit www.sos.wa.g vo /cores Work Order M 2023110100708780 -1 Received Date: 11/01/2023 Amount Received: $95.00 4kC" OF Federal Way 33325 8" Avenue South, Federal Way, WA 98003 ❑New Vendor [Y[]pdate Form To add your business to our vendor file, or update information, please complete this form and mail to 33325 8' Ave South Federal Way, WA 98003 or fax #253-835-2509 or email accountspayabie-@cityoffederalway.com Business Information (as shown on your federal tar return) (For office use only) VN#: 1. Business Name: r `ins t.._t.. DBA 2. Contact Name: � �����.� �l/1 3. Business Address: �ti �1_— m ch Pa LL 61, td 36 City#W ll 'r ,, Zip Code I 4. Remit To Address (if different).. D ��x S M %" W I II -- u City1S Zip o 5. Phone #: S 3 lP � 5 4 f �'6 Fax #_ _ N E-Mail: �C 6. Wi I I you provide suppplies or service to the City of Federal Way? ❑ Supplies Services 7. City of Federal Way Staff/Department Contact Name: Businem T e Pleases (peck appropriate has for Mleral tav ebrulfleadon ofperson/end entered on line l ❑ C Corporation O5 Corporation ❑ Partnership ❑ Government Agency ❑ Trust/Estate ❑ Non -Profit (if w=wm Exempt payee code) 4ss- 361(P-15 Federal ID/EIN # (9 digits) ❑ Sole Proprietor Federal ID # (9 digits) or Social Security Number If you are not a corporation, is your Business subject to 1099 reporting? ❑ Yes ❑ No State of Washington U. S.1. # - 1 Limited liability company. Enter the tax classification (C=C corporation, S=S corporation, P=Partnership) > _ 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 insWctions)>_ 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: I . The number shown on this form is my correct tax aver identification number (or I ant waiting for a number to be issued to me); and 2. 1 am not subject to backup witholding;er cause: (a j) I am exempt from backup withholding, or (b) I have not been notified by the Internal Revenue Service (IRS] that i subjecttobacolding as a result of a iatlure to report all interest or dividends, or (c) the IRS hasnotifiedmethatIIthis; notsubject to backup witholding; and 3. I atn a US citizen or other U.S{�efinedeow]; an4. The FATCA code(s) entered famr {if any} indicating that I am exempt from FATCA reporting is correct. t he Internal Revenue Service does not r uire your consent to any provKioin of this document other than the certification required to avoid backup withholding SiMa Here S' atum of U-S rson >(� 2• pate > --P 22 For information call: 253.835.2525 or Fax: 253.835.2509 or e-mail: accountspayableia7cityoffederalway,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 hDs://www.irs.a,ovlpub/irs-r)df/iw9-od 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: accountsp"able@cilyoffederalway.com cityotl'ederalway_.com Rev 12021