AG 20-205 - Do Won East Asian Medicine ClinicCITY OF FEDERAL WAY LAW DEPARTMENT ROUTING FORM
ORIGTNAT'ING DEPT/DIV: ECONOMIC DEVELOPMENT
. ORIGINATING STAFF PERSON: TIM JOHNSON EXT: 2412 - 3_ DATE REQ. BY- , ASAP -
Cl PUBLIC WORKS CONTRACT o SMALL OR LIMITED PUBLIC WORKS CONTRACT
11 PROFESSIONAL SERVICE AGREEMENT o MAINTENANCE AGREEMENT
Ei GOODS AND SERVICE AGREEMENT D HUMAN SERVICES/ CDBG
Ei REAL ESTATE DOCUMENT o SECURITY DOCUMENT(E.G. BOND RELATEDDOC UNIENTS)
F --i ORDINANCE c.i RESOLUTION
* CUNT RACTA MENDMENT(AG#):— El INTERLOCAL
* OTHER CARES ACT FUNDS BUSINESS S [ TBPORTG RAN I'AGREEMENT
PROJI�.'.'CT NAMI----- CARES ACT GRANT ROt'ND I
NAME OF CONTRACTOR: DO WON EAST ASI MEDICINE CLINIC 011111--rurzs "We.
A.DDRE-SS: 33919 9TII AVE S, #101-B, FEDERALINAY, WA, 98003 ELEPHONE: (253)347-1838
E-MAIL: SULYEOP@IiO'I'MAIL.COM
SIGNATURE NAME: KFvI KIM TITLE: SFEA-T7AcHFD
EXHIBITS AND ATTACFIMENTS: 0 SCOPE, WORK OR SERVICES -0 COMPENSATION E INSURANCE REQUIREMENTS/CERTIFICATE 0 ALL
OTHER REFERENCED EXHIBITS 0 PROOF OF AUTHORITY TO SIGN F1 REQUIRED LICENSES :1 PRIOR CONTRACT/AMENDMENTS
TERM: COMMENCEMENT DATE; SEE NI-I'ACHFD AGREEMENT COMPLETION DATE:
.......... . .
TOTAL, COMPENSATION $ (INCLUDE EXPENSES AND SALES TAX, IF ANY) ONE TiiouSAND AND NO/100 ($I,000.00)
(IF CALCULATED ON HOURIY LABOR CHARGE- ATTACH SCHEDULES OF EMPLOYEES TITLES AND HOLIDAY RATES)
REIMBURSABLEE ENSE: El YES XND IF YES, MAXIMUM DOLLAR AMOUNT,' $s.
-
IS SALES TAX OWED DYES X NO IF' YES, S_ PAID BY: 0 CONTRACTOR D CITY
RETAINAGE: RETAINAGE AMOUNT: __ _ _, —,7jRFTk]NAGEA(.iREEA4ENI'(SFE CONTRACT) OR ORETAFNAGE BOND PROVIDE
0 PURCHASING: PLEASE CIIARGETO: 001-1800-990-518-10-490 Proiect Code it 2676,62-25060
0. DOC UMENT/CONTRACTRE, VIEW INITIALI'DATE REVIEWED INITIAL/ DAI'E APPROVED
El PROJECT MANAGER
p-143'11, ECTOR
F-1 RISK MANAGEMENT (IF APPLICABLE)
0 LAW
1. COUNCIL APPROVAL (IF APPLICABLE) S CHEDULCD COMM ITTE c D.&TE: COMMITTECAPPRONIAL DATE:
SCHEDULED COUNCIL DATE: CO[JNCILAPIIROVAL DArT,:
1 CON TR-ACTsiGiNxrURE'ROU'l'1N G
0 SENT TO VEN'DOWCONTP-ACTOR DATE SENT: — --1111 — ----- DATE REC'D'-
11 ATTACH: SIGNATURE AUTHORITY, INSURANCE CERTIFICATE, LICENSES, EXHIBITS
0 CREAI'E EI.EC'.1RONtC REMINDER ' /NOTIFICATION FOR I MONTH PRIOR TO EXPIRAFION DAIT
rt ,
(Include dept. support VnLcessary and feel free to set notification more than a month in advance ifcouncil approval is needed.)
INI'T'IAL / DATE SIGNED
.�LAW DEPARTMENT' Si(-�) m,14 07-28 10
YL, SIGNATORY (MAYOR OR DIRECTOR)
iK CITY CLERK A
1,4 ASSIGNED AG#
1/2020
C11rV Of 1."r HALL
'13325 8th A n . ouV'-r
'VAMN� Federal Way Federal 'j%"A 98003 6325
ORIENTAL(253) 835-7000
DO WON
ACUPUNCTURE
Ji Woo Kim
33919 9TH AVE S, #101 -.
FEDERAL :, WA 98003
(253) 347-1838 (telephone)
sulyeop@,hotmail.com
The Parties agree as follows:
OF FEDMAL'
Ade Ariwoola,
33325 8th Ave. m .
Federal Way, WA 98003-6325
(253) 835-2520 (t1 hoes)
(253) 835-2509 (facsimile)
L TERM, This agreement contemplates a one -timet of funds to the Grantee under the conditions
described E tna
CARES ACT BUSINESS 3 T AGREEMENT
Grantee s to retain receipts documenting use of grant fii ds and will provide thein to the City or its
designee upon request.
3. TERAMINA Should any of the conditions described in section 2.1 above, not be mthe City
may recover all disbuTsed grant funds and tenninate this agreement.
4. GRANT AMOUNT.
;1 Amount. In order to promote healthy econoinic activity 1. the City and in response to the lasses
Grantee has incurred due to the I -Id pandemic, the City shall provide t to the Chwtee in an aniount
riot to exceed One Thousand and NO11 00 Dollars1,000.00).
4.2 Not, Funds
roIf sufficient finds are not propriated or allocated for payment
der this Agreement for any fiscal period, the City will not be obligated to make payments tinder this
agreement.
5. INDEMNIFICATION.
. 1 It l t1 r _ t . I is specifically al expressly understood th t the Grantee
waives any immunity t may , granted t under the Washington State industrial insurance at, Title dl
solely " r the purposes this indemnification. r tee's indemnification shall not be limited in any way
by any limitation on the a tit of damages, compensation or beneffis payable to or by azry third party tinder
workers' sation acts, disability benefit acts or any other benefits _a is or pr a is. The Parties fWther
CARES T BUSINESS GRANT AGREEMENT
QTY OF CITY HALL
33325 Sth Avenue South
Federal Way Federal USF 0 -6325
(25 3) 835-7000
acknowledgecom
st they have mutually negotiated this waiver.
.4 Survival. The provisions of this Section shat survive the expiration or termination of this
Agreement with respect to any event occuning prior to such expiration or termination.
6. GENE&4L I'Icy NS.
6.3 Execution. Each individual executing this Agreement behalf of the City and Grantee
CARESACT BUSINESS GRANT AGREEMENT -3-
QTV OF CITY HALL
33325 Sth Avenue South
Federal, Way Federal Way, WA 98003-6325
(253,s83-5-700-0
1V0fkQ&.T,,UA MY Coin
represents and warrants that such individual is duty 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.
IN WITNESS, the Parties execute this Agreement below, effective the last date written below.
CITY OF FEDERAL WAY:
yor
Jim F Ma�' 07
DATE:/--
By:
Printed Name:
Title: &:yr e,
DATE:
I
Z -ARES ACT BUSINESS GRANT AGREEMENT -4-
", I
Services Business Lookup DO WON EAST ASIAN MEDICINE CLINIC
License Information:
Entity name:
DO WON ORIENTAL MEDICINE & ACUPUNTURE CLINIC INC
Business name:
DO WON EAST ASIAN MEDICINE CLINIC
Entity type:
Profit Corporation
UBI #:
602-542-202
Business ID:
001
Location ID:
0001
Location:
Active
Location address:
33919 9TH AVE S STE 101B
FEDERAL WAY WA 98003-6736
Mailing address:
33919 9TH AVE S STE 101B
FEDERAL WAY WA 98003-6736
Excise tax and reseller permit status: Click here
Secretary of State status:
Click here
Endorsements
Endorsements held at this location License It Count Details
Federal Way Home Occupation 05 -105070 -00 -BL
Business
Governing People May include governing people not registered with Secretary of State
Governing people Title
KIM, JI
Registered Trade Names
Registered trade names Status
DO WON EAST ASIAN MEDICINE CLINIC Active
New search Back to results
Status Expiration date
Active Oct -31-2020
The Business Lookup information is updated nightly. Search date and time: 7/2412020 4:07:25 PM
First issued
Oct -22-2015
https://secure.dor.wa.gov/gteunauth/,/#314 1/1