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AG 20-179 - Cha & Lee Chiropractic ClinicCITY OF FEDERAL WAY LAW DEPARTMENT ROUTING FORM I ORIGINATING DEPT./DIV: 59QNQM!q DEVELOPMENT . ..... __ ORIGINATING STAFF PERSON- HNSON - 3. DATE.*W-�Q� BY ASAP . JIM _JO_ EXT: 2412 • PUBLIC WORKS CONTRACT 0 SMALL OR LIMITED PUBLIC WORKS CONTRACT • PROFESSIONAL SERVICE AGREEMENT El MAINTENANCE AGREEMENT • GOODS AND SERVICE AGREEMENT 0 HUMAN SERVICES/ CG 11 REAL ESTATE DOCUMENT 0 SECURITY DOCUMENT (E.G. BOND RELATED DOCUMENTS) * ORDINANCE Ei RESOLUTION * CONTRACTAMENDMENT(AG#)-_ OINTERLOCAL * OTHER -,CARES ACT FUNDS BUSINESS SUPPORrGRANTAGRFEMENT PROJECT NAME: CME S ACT Cj R ANT - RO'U N D, J CKA-+ L.0-4 NAME OF CONTRACTOR: CHA CHIROPRACTIC CLINIC ADDRESS: 1700 S 305TH PL, #A, FEDERAL WAY, WA, 98003 E-MAIL: DRrNHOCRA@HOTMAIL.COM SIGNATURE NAME: CHA CHA TITLE: SEFA1TACHEQ im TERM: COMMENCEMENT DATE: SEE I'ACHEDAGREEMENT COMPLETION DATE: TOTAL COMPENSATION$ (INCLUDE EXPENSES AND SALES TAX, IF ANY) ONE THOUSAND AND NOII 00 ($1,000.00) (IF CALCULATED ON HOURLY LA13OR CHARGE -ATTACH SCHEDULES OF EMPLOYEES TITLES AND HOLIDAY RATES) REIMBURSABLE EXPENSE:0 YES XNO IF YES, MAXIMUM DOLLAR AMOUNT: $ IS SALES TAX OWED L1 YES X NO IF YES, PAID Br. 0 CONTRACTOR C1 CITY RETAINAGE: RFTAINACE AMOUNT: RETAINAGE AGREEMENT (SEE CONTRACT) OR El RETAINAGE BOND PROVIDE 0 PURCHASING: PLEASECHARGETO: 001-1800-990-518-10i. 0. DOCUMENTICONTRACT AFETIE"N' El PROJECT MANAGER Fj,CTOR El RISKMANAGEMENT (IFAPPLECABLE) El LAW 1welgilgrojignig-a"Tuffez- 0MIKIN9 y Raft wl 0"IM41y 111411 I INITIAL/ DATE APPROVED COMMI-ITEE APPROVAL DAFE: COUNCIL APPROVAL DATE: El SENT TO ii` •., DATE SENT: DATE REC'R_ 0 ATTACH. SIGNATURE AUTHORITY, INSURANCE CERTIFICATE, LICENSES, EXHIBITS 0 CREATE ELECTRONIC REMINDERINOTIFICATION FOR I MONTH PRIOR TO EXPIRATION DATE (Include dept. support staff ifnecessary and feel free to set notification more than a month in advance if council approval is needed.) INITIAL/BAIE5EQ�ffig 0 LAW DEPARTMENT 118�GNATORY (MAYOR OR DIRECTOR) • CITY CLERK • ASSIGNED AG# CATY OF Federal VVay CITY HALL 33325 Sth Avenue South Federal Way, WA 98003-6325 (253) 835-7000 wwwatyoffederalwayxom ,ARES ACT FUNDS BUSINESS SUPPORT GRANT AGREEMENT WITH CHA ANDLEE CHIROPRACTIC CLINIC This Grant Agreement ("Agreement") is made between the City of Federal Way, a Washington municipal corporation ("Cityand Cha and Lee Chiropractic Clinic, Inc., a Washington corporation ("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: Jason Cha 1700 S 3055TH PL, #A FEDERAL WAY, WA 980 RUM awlli0IliIJIM M.1% 1111 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 �aan�fies. 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 or to close Was forced to lay off employees due to reduced patronage Incurred over $ 1,000 in COVID- 19 related expenses Experienced 10-50% lost revenue Experienced over 50% lost revenue CITY OF Fbderal Mkky CITY HALL 33325 8th Avenue South Federal Way, WA 98003-6 (253) 835-7000 www. o(yoffederalway. coin 2.2 Use of Funds: Grantee affirms that grant funds will be used for the following purposes: 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 Ci may recover all disbursed grant funds and ten-ninate this agreement. 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 pandethe City shall provide a grant to the Grantee in an amount not to exceed One Thousand and NO/I 00 Dollars ($ 1,000.00). 4.2 Non-Appro graation 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 'Gtarittre The Grantee agrees to release indemnify, defend, and hold the City, i elected officials, officers, employees, agents, representatives, insurers, attorneys, and volunteers harmless fro any and all claims, demands, actions, suits, causes of action, arbitrations, mediations, proceedings, judgment awards, injuries, damages, liabilities, taxes, losses, fines, fees, penalties expenses, attorney's fees, costs, and/ litigation expenses to or by any and all persons or entities, including, without limitation, their respective agent licensees, or representatives, arising from, resulting from, or in connection with this Agreement or t , performance of this Agreement, except for that portion of the claims caused by the City's sole negligenc Should a court of competent jurisdiction determine that this Agreement is subject to RCW` 4.24.115, then, in t - event of liability for damages arising out of bodily injury to persons or damages to property caused by ' resulting from the concurrent negligence of the Grantee and the City, the Grantee's liability hereunder shall - only to the extent of the Grantee's negligence. Grantee shall ensure that each sub -Grantee shall agree to defen and indemnify the City, its elected officials, officers, employees, agents, representatives, insurers, attorneys, a volunteers to the extent and on the same terms and conditions as the Grantee pursuant to this paragraph. T ' Citka's insltection or accelytance of anp of Grantee's work when comwleted shall not be grounds to avoid anr these covenants of indemnification. 5.2 Industrial Insgrance 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 uni- i `, - eorkerscompensation acts, disability benefit acts or any other benefits acts or programs. The Parties further CITY Of CITY HALL 33325 Sth Avenue South Federal Way, WA 98003-6325 Federal Way (253) 835-7000 wwwcifyoffederalw4tcufn acknowledge that they have mutually negotiated this waiver. 5.3 CAy Wg1mgifiggion. The City agrees to release, indemnify, defend and hold the Grantee, i officers, directors, shareholders, partners, employees, agents, representatives, and sub- contractors harmle from any and all claims, demands, actions, suits, causes of action, arbitrations, mediations, proceedin judgments, awards, injuries, damages, liabilities, losses, fines, fees, penalties expenses, attorney's fees, cos and/or litigation expenses to or by any and all persons or entities, including without limitation, their respecti agents, licensees or reDresentatives, arising from resultini from or connected with this Ap-reement to the extel 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. 9111AMOMM"V Mugs 6.1 1—htgrardation and Modifitation. 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 rernain 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. Jill I I I IV M I I VIM MM 10 1 L -71-m I I I *M F -'BD I It; 17-1 to 4 1 is I vw q I Lei I am I I g Vdiffur-im-4 t*J I R*XqJ a q 1 6.3 Execution. Each individual executing this Agreement on behalf of the City and Grantee � � � �' I I 3r city OF Fbderal VWky C[TY HALL 33325 Sth Avenue South Federal Wav f WA 98003-6325 (253) 835-7000 www cityoffederatway. com represents and warrants that such individual is duly authorized to execute and deliver this Agreement, Th Agreement may be executed in any number of counterparts, each of which shall be deemed an original and wi the same effect as if all Parties hereto had signed the same document. All such counterparts shall be constru a together and shall constitute one instrument, but in making proof hereof it shall only be necessary to produ one such counterpart. The signature and acknowledgment pages from such counterparts may be assembl 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 is which the last of all of the Parties have executed 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. CHA AND LEE CHIROPRACTIC CLINIC: By: Printed Name: Title: DATE: 7/24/2020 eServices Services Business Lookup CHA CHIROPRACTIC CLINIC License Information: Expiration date Entity name: CHA & LEE CHIROPRACTIC CLINIC, INC. Business name: CHA CHIROPRACTIC CLINIC Entity type: Profit Corporation UI #: 602-8401116 Business ID: 001 Location ID: 0001 Location: Active Location address: 1700 S 305TH PL FEDERAL WAY WA 98003-4814 Mailing address: 1700 S 305TH PL STE A FEDERAL WAY WA 98003-4814 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 08 -100035 -00 -BL Medical Radiographic I X -Ray: Hospital/Medical/Chlropractic Governing People May Include governing people not registered with Secretary of State Governing people Title CHA, JASON Registered Trade Names Registered trade names Status CHA CHIROPRACTIC CLINIC Active New search Back to results Status Expiration date First issuancE Active Jun -30-2021 Feb -29-2008 Active Jun -30-2021 Nov -20-2014 Active Jun -30-2021 Nov -20-2014 View Additional Locations The Business Lookup information is updated nightly. Search date and time: 7/24/2020 3:54:06 PM First issued Jan -28-2014 https:Hsecure.dor.wa.gov/gteunauth/,/#240 1/1