AG 20-125 - Amazinail Beauty Salon_RETURNTO: TIMJOHNSON EXT: 2412
CITY OF FEDERAL WAY LAW DEPARTMENT ROUTING FORM
- -------------- -
I ORIGINATING DEPT./DIV: ECONOMIC DEVELOPMENT
*RIGINATING STAFF PERSON: TIM JOHNSON EXT: 2412 3 . DATE REQ BY.,_,, ASAP
TYPE OF DOCUMENT (CHECK ONE):
El CONTRACTOR SELECTION DOCUMENT (E.G., RFB, RFP, RFQ)
El PUBLIC WORKS CONTRACT Ei SMALL OR LIN41TED PUBLIC WORKS CONTRACT
El PRO FESSIONALStRVICE AGREEMENT El MAINTENANCE AGREEMENT
El GOODS AND SERVICE AGREEMENT 0 HUMAN SERVICES/ CDG
• REAL ESTATE DOCUMENT Ei SECURITY DOCUMENT (E.G. BOND RELATED DOCUMENTS)
• ORDINANCE El RESOLUTION
El CONTRACT AMENDMENT (AG#):_ D INTERLOCAL
X OTHER CARES ACT FUNDS BUSINESS SUPPORT GRANT AGREEMENT
PROJECT NAME: —CARES ACT GRANT- ROUND 1
NAME OF CONTRACTOR: AMAZINAIL BEAUTY SALON
ADDRESS: 2500 SW 36TH ST, #D, FEDERAL WAY, WA, 98023 TELEPHONE: (509) 969-0464
E-MAIL: LEE VT@YAHOO.COM
SIGNATURE NAME: LE LE TITLE: SEE ATTACHED
EXHIBITS AND ATTACHMENTS: 0 SCOPE, WORK OR SERVICES 0 COMPENSATION 0 INSURANCE REQUIREMENTS/CERTIFICATE El A
OTHER REFERENCED EXHIBITS El PROOF OF AUTHORITY TO SIGN D REQUIRED LICENSES 0 PRIOR CONTRACT/AMENDMENTS i
� TERM: COMMENCEMENT DAOMPLETION DATE:
TOTAL COMPENSATION$ (INCLUDE EXPENSES AND SALES TAX, IF ANY) ONE THOUSAND AND NO/100 ($1,000.00)
(IF CALCULATED ON HOURLY LABOR CHARGE - ATTACH SCHEDULES OF EMPLOYEES TITLES AND HOLIDAY RATES)
REIMBURSABLE EXPENSE: 0 YES X NO IF YES, MAXIMUM DOLLAR AMOUNT:
IS SALES TAX OWED El YES X NO IF YES, $ PAID BYE] CONTRACTOR El CITY
RETA1NAGE: RETAINAGEAmOUNT: .__E1 RETAINAGE AGREEMENT (SEE CONTRACT) OR EIRETAINAGE BOND PROVIDE
0. DOCUMENT/CONTRACT REVIEW
[I PROJECT MANAGER
0 DIRECTOR
El RISKMANAGEMENT (IF APPLICABLE)
11 LAW
lwy-010014111
9 0 , WE- 9 IN 115FT01TIFFINF,
I wovVagly
SCHEDULED COMMITTEE DATE: COMMITTEE APPROVAL DATE:
SCHEDULED COUNCIL DATE: COUNCIL APPROVAL DATE -
1:1 SENT TO VENDOR/CONTRACTOR DATE SENT:I—— DATE REC'D:—,-
El ATTACH: SIGNATURE AUTHORITY, INSURANCE CERTIFICATE, LICENSES, EXHIBITS
• CREATE ELECTRONIC REMINDER/NOTIFICATION FOR I MONTH PRIOR TO EXPIRATION DATE
(Include dept. support staff if necessary and feel free to set notification more than a month in advance if council approval is needed.)
INITIAL / DATE SIGNED
• LAW DEPARTMENT SIGNED By LAW 07-28-20
F-1 SIGNATORY (MAYOR OR DIRECTOR)
11 CITY CLE lSOTO
0 ASSIGNED AG # AG#
476-
1/2020
CITY OF
Fbdoral Woy
CITY HALL
33325 8th Avenue South
Federal Way, WA 98003-6325
(253) 835-7000
wwvv cityoffederalway cora
CARES ACT FUNDS BUSINESS SUPPORT GRANT AGREEMENT
WITH
AMAZINAIL BEAUTY SALON
This Grant Agreement ("Agreement") is made between the City of Federal Way, a Washington municipal
corporation ("City"), and Amazinail Beauty Salon 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:
Quynh Le Ade Ariwoola
2500 SW 36T ST, #D (2-5oo 5,d 33325 8th Ave. S.
FEDEL WAY, A 98023
Federal Way, WA 98003-6325
RAW
leeV'tI . M)
_ @yahoo.com
l835-2520 (telep835-2509 (facsimile)
k'Lgac
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 ands is
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
Was forced to lay off employees dueto reduced, patronage
Incurred over $ 1,000 in COVID- 19 related expenses
Experienced 10-50% lost revenue
Experienced over 50% lost revenue
CITY OF CITY HALL
33325 8th Avenue South
Federal Way Federal Way, WA 98003-6325
(253) 835-7000
www cifyoffeder-alway com
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.
I— 0 . .. . ........ . I
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 pandemic, the City shall provide a grant to the Grantee in an amount
riot to exceed One Thousand and NO/I 00 Dollars ($ 1,000. 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 Indemnification. 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
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 Grantee and the City, the Grantee's liability hereunder shall be
onl to the extent of the Grantee's nee-li-eence. Gra tee shall ensure that eqc4, sub-61ivilee SVq
M101II&C1111111y LIK, t–ltj, It'S CAVLACT V111kAdisl 0111cers,
F"Y", agUIRS, representatives, insurers, aftomeys, an
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 of 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 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 further
acknowledge that they have mutually negotiated this waiver.
CITY HALL
33325 Sth Avenue South
Federal Way, WA 98003-6325
(253) 835-7000
t,,awv cityoffederaiw1v cora
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. GENERAL PROVISIONS.
-- — ------- IMAVIMIUM01MILWAIMW401 MA
6.3 Execution. Each individual executing this Agreement on behalf of the City and Grantee
represents and warrants that such individual is duly authorized to execute and deliver this Agreement. This
CARES ACT BUSINESS GRANT AGREEMENT -3-
CITY OF CITYHALL
33325 5th Avenue South
Federal Way Federal May, WA 08003-6325
(253) 835-7000
6v cityotfederairvay corn
pagesAgreement 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
together to form a single instrument comprised of all pages of this Agreement and a complete set of
i
ll
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, the Parties execute this Agreement below, effective the last date written below.
CITY OF FEDERAL WAY:
ATE:
A AZ AILEA ,�Y SALON;
Y s,
Printed Name: ry
Title:
DATE:--j-,3o- O
0-1
CAT kCT BUSINESS GRANT
AGREEMENT
. ,..
7/24/2020
Wash�ngton State Departn'lent of Revenue
Z-3ervices Business Lookup AMAZINAIL, BEAUTY SALON
License Information:
Entity name:
AMAZINAIL BEAUTY SALON LLC
Business name:
AMAZINAIL BEAUTY SALON
Entity type:
Limited Liability Company
LIBI #:
604-580-907
Business ID:
001
Location ID:
0001
Location:
Active
Location address:
2500 SW 336TH ST
STE D
FEDERAL WAY WA 98023-3800
Mailing address:
5015 S 122ND LN
TLA WA 98178-3463
Excise tax and reseller permit status: Click here
Secretary of State status:
Click here
eServices
New search Back to results
Endorsements
Endorsements held at this location License # Count Details
Status Expiration date First issuance
Federal Way General Business
Active Feb -28-2021 Mar -06-2020
Governing People May Include governing people not registered with Secretary of State
Governing people Title
LE, QUYNH
Registered Trade Names
Registered trade names Status
First issued
AMAZINAIL BEAUTY SALON Active
Mar -01-2020
https://secure.dor.wa.gov/gteunauth/,/#63 1/1