AG 20-320 - Just Like Home AFHRETURN TO: TIM JOHNSON EXT: 2412
CITY OF FEDERAL WAY LAW DEPARTMENT ROUTING FORM
ORIGINATING DEPT./DIV: ECONOMIC DEVELOPMENT
ORIGINATING 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 PL313LIC WORKS CONTRACT El SMALL OR LIMITED PUBLIC WORKS CONTRACT
El PROFESSIONAL SERVICE AGREEMENT El MAINTENANCE AGREEMENT
El GOODS AND SERVICE AGREEMENT 11 HUMAN SERVICES/ CDBG
El REAL ESTATE DOCUMENT 0 SECURITY DOCUMENT (E.G. BOND RELATED DOCUMENTS)
El ORDINANCE 0 RESOLUTION
* CONTRACT AMENDMENT (AG#):_ El INTERLOCAL
* OTHER CARES ACT FUNDS BUSINESS SUPPORT GRANT AGREEMENT
PROJECT NAME: CARES ACT GRANT — ROUND I
NAME OF CONTRACTOR: JUST LIKE HOME AFH LLC
ADDRESS: 31420 41 STAVE SW, FEDERAL WAY, WA, 98023 TELEPHONE: (253) 561-5050
E-MAIL: TUUSTLIKEHOME@GMAIL.COM
SIGNATURE NAME: MANDEVILLE MANDEVILLE TITLE: SEEATTACHED
EXHIBITS AND ATTACHMENTS: Li SCOPE, WORK OR SERVICES El COMPENSATION 0 INSURANCE REQUIREMENTS/CERTIFICATE E3 ALL
OTHER REFERENCED EXHIBITS 0 PROOF OF AUTHORITY TO SIGN El REQUIRED LICENSES El PRIOR CONTRACT/AMENDMENTS
. TERM: COMMENCEMENT DATE: SEE ATTACHED AGREEMENT-----, COMPLETION DATE:
TOTAL COMPENSATION$ (INCLUDE EXPENSES AND SALES TAX, IF ANY) ONE THOUSAND AND NO/I 00 ($ 1,000.00)
(IF CALCULATED ON HOURLY LABOR CHARGE - ATTACH SCHEDULES OF EMPLOYEES TITLES AND HOLIDAY RATES)
REIMBURSABLE EXPENSE: 11 YES X NO IF YES, MAXIMUM DOLLAR AMOUNT:
IS SALES TAX OWED El YES X NO IF YES, PAID BY: E CONTRACTOR 0 CITY
RETAINAGE: RETAINAGEAmoUNT: — El RETAINAGE AGREEMENT (SEE CONTRACT) OR Ei RETAINAGE BOND PROVID3
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
0 PROJECT MANAGER
El DIRECTOR
El RISKMANAGEMENT (IF APPLICABLE}
D LAW
1. COUNCIL APPROVAL (IF APPLICABLE)
SCHEDULED COMMITTEE DATE: COMMITTEE APPROVAL DATE:
SCHEDULED COUNCIL DATE: COUNCIL APPROVAL DATE:
2. CONTRACT SIGNATURE ROUTING
11 SENT TO VENDOR/CONTRACTOR,
DATE SENT: DATE REC'D:--,
El 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 / DATE SIGNED
El LAW DEPARTMENT
SIGNED By LAW 07-28-20
El SIGNATORY (MAYOR OR DIRECTOR)
❑ CITY CLERK
0 ASSIGNED AG#
1/2020
4S CITY OF CP Y HALL
t 33325 8th Avenue South
A
Federal Way Federal Way, WA 98003-6325
400*4'21ft�� (253) 835-7000
www a1yoffederalway corn
CARES ACT FUNDS BUSINESS SUPPORT GRANT AGZ1,TF?AE'f1T
WITH
JUST LIKE HOME AFH LLC
This Grant Agreement ("Agreement") is made between the City of Federal Way, a Washington municipal
corporation ("City"), and Just Like Home AFH LLC, a limited liability company ("Grantee"). The City and
Grantee (together 'Tarties") are located and do business at the below addresses which shall be valid for any
JUST LIKE HOME AFH LLC:
Dara Mandeville Ade Ariwoola
31420 41 ST AVE SW 33325 8th Ave. S.
FEDERAL WAY, WA 98023 Federal Way, WA 98003-6325
(253) 561-5050 (telephone) (253) 835-2520 (telephone)
tljustlikehome@gmail.com (253) 835-2509 (facsimile)
ade.ariwoola@cityoffederalway.com
1. TERM. This agreement contemplates a one-time grant of funds to the Grantee under the conditions
described herein.
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):
El Was required by state or local order to close
E] Was forced to lay off employees due to reduced patronage
Incurred over $ 1,000 in COVID- 19 related expenses
Experienced 10-50% lost revenue
E] Experienced over 50% lost revenue
2.2 Use of Funds: Grantee affirms that grant funds will be used for the following purposes:
CARES ACT BUSINESS GRANT AGREEMENT
A CITY OF CITY HALL
33325 Sth Avenue South
ZmFederal Way, WA 98003-6325
FOader*My (253) 835-70,00
www.�*�lway.com
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. TERMNMIQN,� 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 pandemic, the City shall provide a grant to the Grantee in an amount
not to exceed One Thousand and NO/1 00 Dollars ($ 1,000.00).
4.2 Nom��mi on of Fun&- If sufficient funds are not appropriated or allocated for paymeni-
under this Agreement for any fiscal period, the City will not be obligated to make payments under this
agreement.
MENEM
5.1 6fbntft WeInnification. 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.
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
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 of indemnification.
5.2 hdustrial Insurance Act M�� 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
CARES ACT BUSINESS GRANT AGREEMENT -2-
CITY OF
oFederal Way
rt%,16
CITY HALL
33325 8th Avenue South
FaAemUV-aV,�"-fflV3-6325
(253) 835-7000
ve"46voh��Waycom
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
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 execution7' hereof.
IN WITNESS, the Parties execute this Agreement below, effective the last date written below.
CITY OF FEDERAL WAY:
I
JiF,F IL, ayor
DATE:
djjj,16qW:[q
By:
Printed Name:
Title:
DATE.
CARES ACT BUSINESS GRANT AGREEMENT -4-
VVashin-z.0ri State Departnnent, oil" Revenl.ie
Services Business Lookup JUST LIKE HOME AFF! LI -C
License Information:
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Entity name:
JUST LIKE HOME AFH, LLC
Business name:
JUST LIKE HOME AFH LLC
Entity type:
Limited Liability Company
UBI #:
602-972-994
Business ID:
001
Location ID:
0002
Location:
Active
Location address:
31420 41 ST AVE SW
FEDERAL WAY WA 98023-2115
Mailing address:
33250 34TH AVE SW
FEDERAL WAY WA 98023-2737
Excise tax and reseller permit status: Click here
Secretary of State status:
Click here
Endorsements
Endorsements held at this location License Count Details Status Expiration date First Issuance
Federal Way General Business 10 -100044 -00 -BL Active Dec -31-2020 Jan -15-2010
Governing People May Include governing people not registered with Secretary of State
Governing people Title
MANDEVILLE, DARA
Working together to fund Washington's future
https://secure.dor.wa.gov/gteunauth/,/#377 111