AG 15-228I
I RETURN TO: Jeri -Lynn Clark EXT: 2401
CITY OF FEDERAL WAY LAW DEPARTMENT ROUTING FORM
1. ORIGINATING
2. ORIGINATING
4. TYPE
❑ CONTRACTOR
❑ PUBLIC
❑ PROFESSIONAL
❑ GOODS
❑ REAL
❑ ORDINANCE
❑ CONTRACT
❑ OTHER
5. PROJECT
6. NAME
7. EXHIBITS
8. TERM:
9. TOTAL
REIMBURSABLE
IS SALES
CITY
❑ PURCHASING:
10. DOCUMENT
❑ PROJECT
❑ DIRECTOR
❑ ISK
y( LAW
11. COUNCIL
12. CONTRACT
❑ SENT
❑ ATTACH:
❑LAW
, C
SIGNATORY
❑ CITY
❑ ASSIGNED
❑ SIGNED
COMMENTS:
DEPT./DIV: CD /COMMUNITY SERVICES
STAFF PERSON: JERI -LYNN CLARK EXT: 2401 3. DATE REQ. BY:
OF DOCUMENT (CHECK ONE):
SELECTION DOCUMENT (E.G, RFB, RFP, RFQ)
WORKS CONTRACT ❑ SMALL
SERVICE AGREEMENT ❑ MAINTENANCE
AND SERVICE AGREEMENT ❑ HUMAN
ESTATE DOCUMENT ❑ SECURITY
❑ RESOLUTION
AMENDMENT (AG #): ❑ INTERLOCAL
OR LIMITED PUBLIC WORKS CONTRACT
AGREEMENT
SERVICES / CDBG
DOCUMENT (E.G. BOND RELATED DOCUMENTS)
PROMISSORY NOTE
NAME: ALEXSANDER C. GLADSTONE -BIG WOLF & MEMORIE F. GLADSTONE
OF CONTRACTOR: ALEXSANDER C. GLADSTONE -BIG WOLF & MEMORIE F. GLADSTONE
ADDRESS: 808 SW 304TH ST, FEDERAL WAY, WA 98023 TELEPHONE 206 930 -0963
E -MAIL: GLADSTONE_ALEX @YAHOO.COM FAX: N/A
SIGNATURE NAME: ALEXSANDER C. GLADSTONE -BIG WOLF & MEMORIE F. GLADSTONE TITLE HOMEOWNER
AND ATTACHMENTS: ❑ SCOPE, WORK OR SERVICES ❑ COMPENSATION ❑ INSURANCE REQUIREMENTS /CERTIFICATE ❑ ALL
OTHER REFERENCED EXHIBITS ❑ PROOF OF AUTHORITY TO SIGN ❑ REQUIRED LICENSES ❑ PRIOR CONTRACT /AMENDMENTS
LO 40
COMMENCEMENT DATE: DECEMBER/ 2014 COMPLETION DATE: DECEMBER 21, 2019
COMPENSATION $ 9,959.03 / (INCLUDE EXPENSES AND SALES TAX, IF ANY)
(IF CALCULATED ON HOURLY LABOR CHARGE - ATTACH SCHEDULES
EXPENSE: ❑ YES ❑ NO IF YES, MAXIMUM DOLLAR
TAX OWED ❑ YES ❑ NO IF YES, $
OF EMPLOYEES TITLES AND HOLIDAY RATES)
AMOUNT: $
PAID BY: ❑ CONTRACTOR ❑
PLEASE CHARGE TO: 119- 7300 - 996 - 594 -41 -410
/CONTRACT REVIEW INITIAL / DATE REVIEWED INITIAL / DATE APPROVED
MANAGER
5/ I t aY S
MANAGEMENT (IF APPLICABLE)
Ci Al( l
APPROVAL (IF APPLICABLE) COMMITTEE APPROVAL
SIGNATURE ROUTING q
TO VENDOR/CONTRACTOR DATE SENT: 1
DATE: COUNCIL APPROVAL DATE:
DC I (� DATE REC'D:
SIGNATURE AUTHORITY, INSURANCE CERTIFI ATE, LICENSES, EXHIBITS
INITIAL / DATE SI NED
DEPARTMENT j ' AVM �d
F OF STAFF M W/
(MAYOR OR DIRECTOR) '.DZ`�
CLERK MrdjWr i^
AG# AG# HMI
COPY RETURNED DATE SENT: \\
El
11/9
'%CITY OF
, Federal Way
LENDER:
CITY HALL
33325 8th Avenue South
Federal Way, WA 98003 -6325
(253) 835 -7000
www cityofiederatway corn
PROMISSORY NOTE
City of Federal Way Housing Repair Program (HRP)
City of Federal Way, a Municipal corporation
33325 8thAvenue South
Federal Way, WA 98003
BORROWER: Alexsander C. Gladstone - Bigwolf & Memorie F. Gladstone,
Homeowner(s)
HRP RESIDENCE: 808 SW 304th St
Federal Way, WA 98023
PRINCIPAL $9,959.03
AMOUNT:
LOAN DATE: December 6, 2014
DUE DATE: The earlier of "Default Date" or December 6, 2019
In consideration for the mutual undertakings and covenants contained in this Promissory
Note (the "Note "), Lender (also referred to hereinafter as the "City ") and Borrower agree as
follows:
1. Purpose for Loan. Borrower is eligible to participate in Lender's Housing Repair Program
( "HRP "), a program to assist eligible homeowners with home repair needs that maybe of an
emergency nature due to unforeseen circumstances that require immediate action to protect the
health and safety of its occupants, or that will improve the living conditions for the homeowner
and enhance the surrounding neighborhood. The program is funded by Community Development
Block Grant funds that have been made available to the City. Loan proceeds are being used to
fund repairs and improvements at the borrower's principal residence. Borrower's application for
a Housing Repair Program loan has been approved and the City is prepared to fund the loan upon
Borrower's execution of the "Loan Documents," which include this Promissory Note and a Deed
of Trust.
2. Promise to Pay. For value received, on or before the Due Date, Borrower, including its
assigns and successors, promises to pay Lender in lawful money of the United States of America,
at Lender's principal place of business, or such other place as Lender may designate in writing
from time to time, the Principal Amount listed above and, as shall have been advanced by Lender
to or on behalf of Borrower under this Note, plus interest (in the event of Default) as provided in
this Note.
3. Interest Rate. The unpaid Principal Amount shall bear interest at the rate of Zero Percent
(0 %) per annum (the "Effective Interest Rate ") unless or until a Default.
4. Payments. No payments will be required to be made on the Principal Amount unless or until
a Default occurs. In the event of Default, the entire unpaid balance of the Principal Amount as of
PROMISSORY NOTE 8/2015
HOUSING REPAIR PROGRAM Page 1
CITY OF
,�._ Federal Way
CITY HALL
33325 8th Avenue South
Federal Way, WA 98003 -6325
(253) 835-7000
www cityoffederalway corn
the date of Default shall immediately become due and payable and interest on the unpaid balance
shall commence to accrue at the "Default Interest Rate" on the date of Default.
5. Loan Account. All advances made to or on behalf of Borrower under this Note shall be
charged to a loan account in Borrower's name on Lender's books ( "Loan Account ") and Lender
shall debit to Borrower's Loan Account the amount of each advance, and credit the amount of
each repayment made by Borrower or "Forgiveness of Debt" granted by Lender.
6. Forgiveness of Debt. Commencing upon the date on which the Lender issues the last
advance of funds to, or on behalf of, Borrower under this Note (the "Repayment Commencement
Date "), Borrower shall be entitled to receive, and Lender shall grant, forgiveness of Twenty
Percent (20 %) of the Principal Amount for each consecutive twelve -month period after the
Repayment Commencement Date (a "Repayment Year ") that Borrower actually occupies the
Residence identified above as Borrower's principal place of residence. If Borrower resides in
the Residence for five (5) Consecutive Repayment Years, the entire Principal Amount shall be
forgiven and this Note shall be satisfied in full. If Borrower fails for any reason to live in the
Residence for five (5) Repayment Years, this Note shall be in Default as of the date upon which
Borrower no longer resides in the Residence. For purposes of calculating the amount of
forgiveness, if any, to which Borrower may be entitled for the Repayment Year in which
Borrower vacates the Residence, the amount of forgiveness to which Borrower would be entitled
for that Repayment Year shall be prorated for the number of days that Borrower actually
occupied the Residence in that Repayment Year.
7. Occupancy/Use. The property cannot be used as a rental home and must be the Borrowers
primary residence.
8. Default. Upon the occurrence of any of the following events ( "Events of Default "), Lender,
at its option, and without notice to Borrower, may declare the entire unpaid Principal Amount to
be immediately due and payable:
a. The Borrower rents out the home during the loan period. See Deed of Trust language 5.1.
b. The Borrower fails to comply with City Codes and Land Use regulations.
c. The Borrower no longer occupies the Residence as Borrower's primary residence;
d. The Borrower sells the Residence or conveys the Residence in lieu foreclosure, or forfeits
the Residence in foreclosure, bankruptcy or other insolvency proceeding;
e. The Borrower makes, or is deemed to have made, any materially incorrect, false,
fraudulent or misleading representation, warranty or certificate to the Lender, or makes, or is
deemed to have made, any materially incorrect, false, fraudulent, or misleading representation in
any statement or application to Lender in connection with Lender's consideration of Borrower's
EHRP application;
f. The Borrower defaults under the terms of this Note or the Deed of Trust granted in
connection herewith;
g. The Borrower is enjoined, restrained or in any way prevented by court order from
continuing to reside in the Residence;
h. Formal charges are filed against the Borrower under any federal, state or municipal
statute, law or ordinance for which forfeiture of the Residence is a potential penalty, or the
Residence is in fact so seized or forfeited;
PROMISSORY NOTE 8/2015
HOUSING REPAIR PROGRAM Page 2
CITY OF
�.., Federal Way
CITY HALL
33325 8th Avenue South
Federal Way, WA 98003 -6325
(253) 835-7000
www c#yoffederalway com
i. The Borrower fails to maintain the Residence, commits waste upon the Residence
property or allows the Residence or Residence property to become a nuisance;
j. The Borrower (1) makes an assignment for the benefit of creditors, (2) consents to the
appointment of a custodian, receiver or trustee for itself or for a substantial part of its assets or
(3) commences, consents to the commencement or continuation of, or has commenced upon it,
voluntarily or involuntarily, any proceeding under any bankruptcy, insolvency or similar laws of
any jurisdiction;
k. The Borrower defaults under the deed of trust executed in connection with this Note, it
being understood and agreed that this Note and the deed of trust shall be interpreted and
construed as a single integrated agreement between Lender and Borrower; or
1. The Borrower dies.
The term "Default Date" shall mean the date on which an Event of Default has occurred or the
date Borrower is no longer entitled to cure the Event of Default under the terms of this Note.
9. Default Interest Rate. Upon the occurrence of any Event of Default, the unpaid Principal
Amount balance shall bear interest at the per annum interest rate for judgments provided by
Washington law until the Note is satisfied in full.
10. Security. This Note is secured by and relates to a deed of trust of even date encumbering the
Residence.
11. Default Remedies. Upon the occurrence of any Event of Default, Lender shall have and may
exercise any one or more of the rights and remedies provided in this Note and the deed of trust
relating to this Note. The remedies provided in this Note and deed of trust are cumulative to the
full extent provided by law.
12. Application of Payments. All payments received on this Note shall first be applied against
accrued and unpaid interest and "Costs and Fees" owed to Lender under this Note, and the
balance against unpaid Principal Amount. Borrower expressly assumes all risks of loss or delay
in the delivery of any payments made by mail, and no course of conduct or dealing shall affect
Borrower's assumption of these risks.
13. Costs and Fees. Borrower agrees to pay all of Lender's costs incurred in the collection,
modification, review, monitoring, or termination of this Note, including actual attorney fees and
those incurred in any foreclosure, bankruptcy, or other similar insolvency proceeding.
14. No Waiver. Acceptance by Lender of any payment in an amount less than the amount then
due shall be deemed an acceptance on account only, and Lender's acceptance of any such partial
payment shall not constitute a waiver of Lender's right to receive the entire amount due.
15. Consent. Borrower hereby jointly and severally (i) waives presentment for payment,
demand, notice of non - payment, notice of protest or protest of this Note, (ii) waives Lender's
diligence in collection or bringing suit, and (iii) waives consent to any and all extensions of time,
renewals, waivers or modifications as may be granted by Lender with respect to payment or any
other provisions of'this Note. The liability of the Borrower under this Note shall be absolute and
unconditional, without regard to the liability of any other party.
16. Governing Law and Venue. This Note shall be interpreted, construed and governed by, and
in accordance with, the laws of the State of Washington. Venue for any action commenced by
PROMISSORY NOTE 8/2015
HOUSING REPAIR PROGRAM Page 3
CITY Of
Federal Way
CITY HALL
33325 8th Avenue South
Federal Way, WA 98003 -6325
(253) 835 -7000
www cityoffederalway corn
Borrower or Lender to interpret or enforce this Note or the deed of trust shall be in the Superior
Court of the State of Washington, For King County, at the Maleng Regional Justice Center,
Kent, Washington.
17. Entire Agreement. Except as otherwise expressly provided in this Note, this Note and the
deed of trust constitute the entire agreement of the Borrower and the Lender relating to its
subject matter.
ORAL AGREEMENTS OR ORAL COMMITMENTS TO LOAN MONEY, EXTEND
CREDIT, OR TO FORBEAR FROM ENFORCING REPAYMENT OF A DEBT ARE
NOT ENFORCEABLE UNDER WASHINGTON LAW.
PROMISSORY NOTE 8/2015
HOUSING REPAIR PROGRAM Page 4
CITY Of
..�,,.., Federal Way
Agreed to and accepted by:
LENDER:
CITY OF FEDERAL WAY
J
, Mayor
PROVED AS TO FORM:
City Attorney, Amy Jo Pearsall
BORROWER(S):
Alexsander C. Gladstone - Bigwolf
Printed Name
STATE OF WASHINGTON
COUNTY OF
) ss.
CITY HALL
33325 8th Avenue South
Federal Way, WA 98003 -6325
(253) 835-7000
www cityoffederatway corn
ATTEST:
Memorie F. Gladstone
Printed Name
On this day personally appeared before me, Alexsander C. Gladstone - Bigwolf & Memorie F.
Gladstone , to me known to be the individual(s) described in and who executed the foregoing instrument,
and on oath swore that he /she /they executed the foregoing instrument as his/her /their free and voluntary
act and deed for the uses and purposes therein mentioned.
GIVEN my hand and official seal this 20 day of
Notary's signature
Notary's printed name
, 201
Notary Public in and fo the State of Washington.
My commission expires
PROMISSORY NOTE 8/2015
HOUSING REPAIR PROGRAM
Page 5
CITY OF
l Way
edera
EMERGENCY HOUSING REPAIR PROGRAM
CERTIFICATION OF COMPLETION AND FINAL INSPECTION
Homeowner's Name: Alexander & Memorie Gladstone
Property Address: 808 SW 304th St, Federal Way, WA 98023
Date of Final Inspection:
12/2/14
Total Amount of Contract:
$ 161S-61-05
CONTRACTOR CERTIFICATION:
The emergency repair work on the above property has been satisfactorily completed in
accordance with the specifications and contract. I have obtained or prepared all required
Warranties or Releases of Liens. I further certify that there are no unpaid claims for materials,
supplies or equipment, and no claims of laborers or mechanics for unpaid wages in connection
with the perforP .nce of this contract.
Signature of Contractor
Date:
HOMEOWNER CERTIFICATION:
The emergency repair work on my property has been satisfactorily completed in accordance
with my contract with All 4 Construction (Contractor)
aiA4( e.�o -��.� Date: �( Zi4 /l1X Signature oomeowner /Applicant
CERTIFICATION OF FINAL INSPECTION:
Final inspection has been made of this property. The emergency repair work has been
completed in accordance with the specifications and contract.
Payment is authorized in the amount of $ -1 fq VD-5
nature of Inspector
Date:
Community, [Development Systems
Ir�t
n.,; dir.einont 1.1„ Infr }rm,III ii 1 4II
User:C27391
Role: Grantee
Organization:
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IDIS version 11.9.1_PR
•
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Voucher Created For:
FEDERAL WAY, WA
Activity Owner:
FEDERAL WAY, WA
Voucher Details
Line ! IDIS
Item *! Actv ID
1 96
IDIS Voucher *:
5766989
Created By:
B58109
Creation Date:
01/02/2015
Activity
Name
Gladstone
- 808 SW
304th St
Program
Grant
Year
Grant *
Fund Source Source Recipient Prior Drawdown Line Submission
rear Status
Type, Name Type Name Pro gram, Amount Item Date
CDBG 2013!813MC530015 EN HUD MC FEDERAL N $9,959.03 Approved, 01 /05/2015 Rev
WAY, WA Ca
This IDIS version was deployed on Sat Dec 20,
https: / /idis. hud.gov /idis /voucherMaintain.do 1/5/2015
U.S. DEPARTMENT OF HOUSING AND URBAN DEVELOPMENT
Community Development Systems
Integrated Disbursement & Information System (IDIS)
User:B58109
Role: Grantee
Organization:
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Plans/Projects/ Activities
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Voucher Created For:
FEDERAL WAY, WA
Activity Owner:
FEDERAL WAY, WA
Requested LOCCS Submission Date:
IDIS Voucher #:
5766989
Created By:
B58109
Creation Date:
01/02/2015
Voucher Details , 1
Line IDIS Activity Program Grant Fund Source Source Recipient Prior Program Drawdown
Item # Actv ID Name Year Grant # Type Name Type Name Amount
' Year
Gladstone FEDERAL
1 96 - 808 SW CDBG 2013 B13MC530015 EN HUD MC WAY, WA N $9,959.03
304th St
Total $9,959.031
This 1019 version was depioVed on Sat Dec 20, 2014 at 14119
https://idis.hud.gov/idis/voucherConfi rm.do 1/2/2015
%PI I I yr rcLPGrvML WW1'
CITY OF
Federal Way
US DEPT OF HOUSING & URBAN DVL
DAVID FOSTER, CPD PROGRAM MGR
909 FIRST AVE, STE 300
SEATTLE, WA 98104
MS: Finance
33325 8TH AVENUE SOUTH
FEDERAL WAY, WA 98003
INVOICE CD -0777
AMOUNT PAID
MAKE CHECKS PAYABLE TO THE "CITY OF FEDERAL WAY"
PLEASE RETURN WITH YOUR REMITTANCE
INVOICE
9,959.03
# 96 GLADSTONE, ALEXANDER & MEMORIE
ALL 4 CONSTRUCTION LLC
GRANT B- 14 -MC -53 -0015
HOUSING REPAIR PROGRAM
INV. #1
9010 NC# 119.7300.996.331.14.218
INVOICE #96 GLADSTONE
Total Amount Due:
9,959.03
•
For inquiries, contact Accounts Receivable at (253) 835 -2526
Fax: (253) 835 -2509
CUSTOMER NO. 0675 PAYABLE UPON RECEIPT 9,959.03
Federal Way
COMMUNITY SERVICES
Accounts Receivable Request or Invoice
Date: December 19, 2014
Type of Reimbursement: X Grant _B- 14 -MC -53 -0015_
❑ Contract
❑ Other
Project /Grant Name: Housing Repair Program
Reference Information: #96 Gladstone, All 4 Construction LLC
Invoice Number: #1
Amount of Invoice $9,959.03
Name on Invoice: #96 Gladstone, Alexander & Memorie
Send Invoice to:
Acct Number:
Copy of Invoice to:
Special Instructions:
Submitted By:
Approved By:
Reviewed by Finance:
ATTN: DAVID FOSTER, CPD PROGRAM MANAGER
US DEPARTMENT OF HOUSING & URBAN DEVELOPMENT
909 FIRST AVENUE, SUITE 300
SEATTLE, WA 98104
119 - 7300 - 996 - 331 -14 -218
CHASE DONNELLY, JERI -LYNN CLARK
PLEASE DON'T SEND OUT, GIVE FULL COPY TO CHASE & JERI -LYNN
All 4 Construction, LLC
3220 C St NE #I
Auburn, WA 98002
Bill To
Federal Way Housing Repair
33325 8th Ave S
Ferderal Way, WA 98003
Invoice
Date
Invoice #
12/12/2014
009
P.O. No.
Terms
Project
#14 -011 Gladstone 808 SW 304th St
Quantity
Description
Rate
Amount
1
Labor and material to remove existing roofing and replace with 30 yr Pabco:
1. Remove and replace 20 sheets 7/16 OSB sheeting.
2. Cut in 1 ft overhangs at gable ends.
3. Replace all vent boots.
4. Install ridge vent.
5. Install 3 ea 2.5 inch vents in each truss block.
Labor and material to remove and replace gutters and down spouts
Labor and materials to reattach sheetrock to truss and repair as needed
Labor and material to insulate attic space with R -38 blown in insulation
� / r
Ok to Pa
6,195.00
750.00
550.00
1,600.00
6,195.00T
750.00T
550.00T
1,600.00T
Date: /Ti L Cdr /4
Account # fp 4 561z_-
1 (q 3- . gg6,' 574 tit 6/7-o
-k" v1ttS ° ° GI e'-13 ret, ,, *t /ti -- Gij
Subtotal
$9,095.00
Sales Tax (9.5 %)
$864.03
Total $9,959.03
Federal Way
EMERGENCY HOUSING REPAIR PROGRAM
CERTIFICATION OF COMPLETION AND FINAL INSPECTION
Homeowner's Name: Alexander & Memorie Gladstone
Property Address: 808 SW 304th St, Federal Way, WA 98023
Date of Final Inspection:
12/2/14
Total Amount of Contract:
$ 91CM05
CONTRACTOR CERTIFICATION:
The emergency repair work on the above property has been satisfactorily completed in
accordance with the specifications and contract. I have obtained or prepared all required
Warranties or Releases of Liens. I further certify that there are no unpaid claims for materials,
supplies or equipment, and no claims of laborers or mechanics for unpaid wages in connection
with the perfor . nce of this contract.
Signature of Contractor
Date:
HOMEOWNER CERTIFICATION:
The emergency repair work on my property has been satisfactorily completed in accordance
with my contract with All 4 Construction
aex4( "I ;(/ Signature oomeowner /Applicant.
(Contractor)
Date: £ Z 1[t lX
CERTIFICATION OF FINAL INSPECTION:
Final inspection has been made of this property. The emergency repair work has been
completed in accordance with the specifications and contract.
Payment is authorized in the amount of $ t ` 5-l�G D-5
nature of Inspector
Date:
All 4 Construction, LLC
3220 C St NE #I
Auburn, WA 98002
Name / Address
Federal Way Housing Repair
33325 8th Ave S
Ferderal Way, WA 98003
Project
Estimate
Date
Estimate #
9/19/2014
45
#14 -011 Gladstone 808 SW 304th St
Description
Qty
Rate
Total
Labor and material to remove existing roofmg and replace with 30
yr Pabco:
1. Remove and replace 20 sheets 7/16 OSB sheeting.
2. Cut in 1 ft overhangs at gable ends.
3. Replace all vent boots.
4. Install ridge vent.
5. Install 3 ea 2.5 inch vents in each truss block.
Labor and material to remove and replace gutters and down spouts
Labor and materials to reattach sheetrock to truss and repair as
needed
Labor and material to insulate attic space with R -38 blown in
insulation
1
6,195.00
750.00
550.00
1,600.00
6,195.00T
750.00T
550.00T
1,600.00T
Subtotal $9,095.00
Sales Tax (9.5 %) $864.03
Total $9,959.03