AG 20-094 - 1st Caring AFHRETURN TOOHNSON EXT: 2412
CITY OF FEDERAL WAY LAW DEPARTMENT ROUTING FORM
VI'lGINATING STAFF PERSON: TIM JOHNSON - EXT: --24 —
Mali
El PUBLIC WORKS CONTRACT 0 SMALL OR LIMITED PUBLIC WORKS CONTRACT
• PROFESSIONAL SERVICE AGREEMENT 11 MAINTENANCE AGREEMENT
• GOODS AND SERVICE AGREEMENT 11 HUMAN SERVICES/ CBG
11 REAL ESTATE DOCUMENT El SECURITY DOCUMENT (E.G. BOND RELATED DOCUMENTS)
E] ORDINANCE 11 RESOLUTION
0 CONTRACT AMENDMENT (AG#): 0 INTERLOCAL
.
PROJECT E: CARES ACT GRANT- ROUND I
NAME OF CONTRACTOR: I STC G AFF1 LLC.
ADDRESS: 29933 2ND PL SW, FEDERAL WAY, WA, 98023 TELEPHONE: (206) 765-9775
E-MAIL: ISTCARING@GMAIL.COM
SIGNATURE NAME: DANIEL DANIEL TITLE: SEEATTACHED
EXHIBITS AND ATTACHMENTS: 0 SCOPE, WORK OR SERVICES El COMPENSATION El INSURANCE REQUIREMENTS/CERTIFICATE 0 ALL
OTHER REFERENCED EXHIBITS D PROOF OF AUTHORITY TO SIGN 0 REQUIRED LICENSES 0 PRIOR CONTRACT/AMENDMENTS
. TERM: COMMENCEMENT DATE: SEE ATTACHED AGREEMENT-- COMPLETION DATE:
TOTAL COMPENSATION$ (INCLUDE EXPENSES AND SALES TAX, IF ANY) Two THOUSAND AND NOII 00 ($2,000.00)
(IF CALCULATED ON HOURLY LABOR CHARGE - ATTACH SCHEDULES OF EMPLOYEES TITLES AND HOLIDAY RATES)
REIMBURSABLE EXPENSE: El YES X NO IF YES, MAXIMUM DOLLAR AMOUNT: $
IS SALES TAX OWED El YES X NO IF YES, $-- - PAID BY: L1 CONTRACTOR El CITY
RETAINAGE: RETAINAGE AMOUNT: [I RETAiNAGE AGREEMENT (SEE CONTRACT) OR 0 RETAINAGE BOND PROVID10
El PURCHASING: PLEASE CHARGE TO: 001-1800-990-518-10-490 Project Code #267662-25060
0. DOCUMENT/CONTRACT REVIEW INITIAL / DATE REVIEWED INITIAL / DATE APPROVED
11 PROJECT MANAGER
11 DIRECTOR
1:1 SIS AGES (IF APPLICABLE)
El LAW
1. CEL APPROVAL (IF APPLICABLE) SCHEDULED COMMITTEE DATE: COMMITTEE APPROVAL DATE:
SCHEDULED COUNCIL DATE: COUNCIL APPROVAL DATE:
NIM"11 - 21AF-1111 11 RMUCT418110M
E] SENT TO VENDOR/CONTRACTOR DATE SENT: DATE REC'D:
El ATTACH: SIGNATURE AUTHORITY, INSURANCE CERTIFICATE, LICENSES, EXHIBITS
El CREATE ELECTRONIC REMINDERJNOTIFICATION FOR I MONTH PRIOR TO EXPIRATION DATE
(hiclude dept. support staff if necessary and feet free to set notification more than a month in advance if council approval is need
INITIAL / DATE SIGNED
11 LAW DEPARTMENT SIGNED-B.Y."LAW
0 CITY CLERK
L1 ASSIGNED AG#
1/2020
CITY OF
AN 11%
P�deml Vft
CITY HALL
33325 8th Avenue South
Federal Way. WA 98003-6325
(253) 835-7000
wwwWyoffederalwaycom
CARES ACT FUNDS BUSINESS SUPPORT GRANT AGREEMENT
WITH
1ST CARING AFH LLC.
This Grant Agreement ("Agreement") is made between the City of Federal Way, a Washington municipal
corporation ("City"), and I ST CARING AFH LLC., a limited liability company ("Grantee"). The City and
Grantee (together "Parties") are located and do business at the below addresses which shall be valid for any
notice required under this Agreement:
Melaku Daniel
29933 2ND PL SW
FEDERAL WAY, WA 98023
13M
141
Ade Ariwoola
33325 8th Ave. S.
Federal Way, WA 98003-6325
(253) 835-2520 (telephone)
(253) 835-2509 (facsimile)
1. TERM. This agreement contemplates a one-time grant of funds to the Grantee under the conditions
described herein.
2. CONDITIONS OF GRANT
2.1 Warranties. The Grantee warrants the following, which are pre -requisites for grant eligibility:
a) Grantee operates a business physically located within the political boundaries of the City
of Federal Way;
b) Grantee maintains a current City of Federal Way business license
c) Grantee has paid all taxes and government fees due up to the date of execution of this
grant agreement
d) Grantee is not the recipient of other state or federal funding made available as a response
to the COVID-19 pandemic
e) Grantee's business employees no more than the equivalent of ten (10) full-time
employees (20,800 man-hours total for all employees per year).
f) Grantee's net revenues do not exceed more than $1.5 million per year
g) Grantee does not operate as a tax-exempt business as defined by the Internal Revenue
Service
h) Due to COVID- 19, Grantee business (check all that apply):
Was required by state or local order to close
E] Was forced to lay off employees due to reduced patronage
0 Incurred over $1,000 in COVID-19 related expenses
Experienced 10-50% lost revenue
Experienced over 50% lost revenue
2.2 Use of Funds: Grantee affirms that grant funds will be used for the following purposes:
CITY OF CUTY HALL
33325 Sth Avenue South
Federal Way Federal Way, VVA 98003-6325
(253) 835-7000
wim cityoffederalway coni
a) Mortgage or Rent
b) Personal Protection Equipment
c) Insurance
d) Utilities
e) Marketing
F) Payroll
Grantee agrees to retain receipts documenting use of grant funds and will provide them to the City or its
designee upon request.
3. TERMINATION. Should any of the conditions described in section 2.1, above, not be met, the City
may recover all disbursed grant funds and terminate this agreement.
4.1 Amount. In order to promote healthy economic activity in the City and in response to the losses
Grantee has incurred due to the COVID- 19 pandernic, the City shall provide a grant to the Grantee in an amourill
not
• exceed Two Thousand and NO/100 Dollars ($2,000.00).
4.2 Non -Appropriation of Funds. If sufficient funds are not appropriated or allocated for payment
under this Agreement for any fiscal period, the City will not be obligated to make payments under this
agreement.
5.1 Grantee hi8ehirdfication. The Grantee agrees to release indemnify, defend, and hold the City, its
elected officials, officers, employees, agents, representatives, insurers, attorneys, and volunteers harmless from
any and all claims, demands, actions, suits, causes of action, arbitrations, mediations, proceedings, judgments,
awards, injuries, damages, liabilities, taxes, losses, fines, fees, penalties expenses, attorney's fees, costs, and/or
litigation expenses to or by any and all persons or entities, including, without limitation, their respective agents,
licensees, or representatives, arising from, resulting from, or in connection with this Agreement or the
[�,erformance of this Agreement, except for that portion of the claims caused by the City's sole negligence.
9-Anubi_v. cou-t of ccrfuteteft iurisdiction determine that this Aureement is subiect to RCW 4.24.115, then, in the
resuiting Trom the concurrent negligence ot Lne ZITUIRCC d11U Ult; lUILY1 L11C UrdlILM S 11dDlIlLy nereuricer snai
only to the extent of the Grantee's negligence. Grantee shall ensure that each sub -Grantee shall agree to defend
and indemnify the City, its elected officials, officers, employees, agents, representatives, insurers, attorneys, and
volunteers to the extent and on the same terms and conditions as the Grantee pursuant to this paragraph. The
City's inspection or acceptance of any of Grantee's work when completed shall not be grounds to avoid any of
these covenants • indemnification.
5.2 Industrial Insurance Act Waiver. It is specifically and expressly understood that the Grantee
waives any immunity that may be granted to it under the Washington State industrial insurance act, Title 51
RCW, solely for the purposes of this indemnification. Grantee's indemnification shall not be limited in any way
by any limitation • the amount of •. compensation • benefits payable to • by any third party under
workers' compensation acts, disability benefit acts or any other benefits acts or programs. The Parties further
acknowledge that they have mutually negotiated this waiver.
& C,ITY Of
4;t� Fbderal Mlay
CITY HALL
th Avenue youth
Federal Way VVA 98003-6325
(253) 835-7000
mvw cifyoffederahvqy con?
4
5.3 bly; hidemmEcation. The City agrees to release, indemnify, defend and hold the Grantee, 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.
6.1 Inteq2retation and Modification. This Agreement 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. 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. 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.
city OF
F�deral Atay
CITY HALL
33325 3th Avenue South
Federal Way: WA 0$003-6325
(253) 835-7000
w cityoffederafway com
Agreement lie a ai in an37 =U1 RFUT co I iYi'-M `1 ( M
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 i " iY - signature and acknowledgment iYg_ from i ` i.rts may be assembled
together to form a single instrument comprised of all pages of this Agreement .. i .. complete set of
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.
IN WITNESS, a Parties executethisAgreement is i,effective thelast date written
below.
i
N
Mayor �I
I I"
n
DATE: —JLJ:5�]
I ` :C _ltC+�`l:�I:�ArL
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By:
� � m
Prime�'�ame: l..
Title: r
ATE:
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7/24/2020
J �i S,'t;.'i t D e ill
167, enilces Business Lo�:*up 15T CARING AFH U -C
eServices
License Information:
Entity name:
1ST CARING AFH LLC
Business name:
1ST CARING AFH LLC
Entity type:
Limited Liability C6mpany
UBI #:
604-114-742
Business ID:
001
Location ID:
0001
Location:
Active
Location address:
29933 2ND PL SW
FEDERAL WAY WA 98023-3571
Mailing address:
29933 2ND PL SW
FEDERAL WAY WA 98023-3571
Excise tax and reseller permit status: Click here
Secretary of State status:
Click here
Endorsements
Endorsements held at this
location License # Count Details
Federal Way General Business 17 -104865 -00 -BL
Governing People May include governing people not registered with Secretary of State
Governing people
Title
DANIEL, MELAKU
SEIFU, HIWOT
New search Back to results
Status Expiration date
Active May -31-2021
Working together to fund Washington's future
https://secure.dor.wa.gov/gteunauth/—,/#3 1/1