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AG 20-108 - Adeshe SalonRETURN 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 Q. BY: ASAP -- TYPE OF DOCUMENT (CHECK ONE): 1:1 CONTRACTOR SELECTION DOCUMENT (E.G., RFB, RFP, RFQ) 0 PUBLIC WORKS CONTRACT E] SMALL OR LIMITED PUBLIC WORKS CONTRACT El PROFESSIONAL SERVICE AGREEMENT El MAINTENANCE AGREEMENT 11 GOODS AND SERVICE AGREEMENT El HUMAN SERVICES/ CDG 0 REAL ESTATE DOCUMENT El SECURITY DOCUMENT (E.G. BOND RELATED DOCUMENTS) El ORDINANCE El RESOLUTION El CONTRACTA NT (AG#): 0 INTERLOCAL X OTHER, CARES ACT FUNDS BUSINESS SUPPORT GRANT AGREEMENT PROJECT NAME: CARES ACT GRANT -ROUND I NAME OF CONTRACTOR: ADESHE SALON ADDRESS: 1066 S 320TH ST, #A-407, FEDERAL WAY, WA, 98003 TELEPHONE: (206) 702-7622 E-MAIL: ADESHEBRAND@GMAIL.COM SIGNATURE NAME: WESTBROOKS WESTBROOKS TITLE: SEE ATTACHED EXHIBITS AND ATTACHMENTS: El SCOPE, WORK OR SERVICES 11 COMPENSATION 0 INSURANCE REQUIREMENTS/CERTIFICATE 11 ALL OTHER REFERENCED EXHIBITS El PROOF OF AUTHORITY TO SIGN 0 REQUIRED LICENSES 0 PRIOR CONTRACT/AMENDMENTS = a 1 ga a w"j IVA I kyj 111 g Lai a M I I - I I'll, 1 0 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: El YES X NO IF YES, MAXIMUM DOLLAR AMOUNT: $ IS SALES TAX OWED El YES X NO IF YES, $ PAID BY: El CONTRACTOR 0 CITY RETAINAGE: RETAINAGE AMOUNT: -E] RETAINAGE AGREEMENT (SEE CONTRACT) OR El RETAINAGE BOND ROVED a PURCHASING: PLEASECHARGETO: 001 -1800 -99Q. -j_. PrqjbgtCO&#!060�!5060 I1wjT#Tw14"-wAx4 # I 'L #,I'- - . D PROJECT MANAGER El DIRECTOR 0 RISKMANAGEMENT (IFAPPLICABLE) 11 LAW "Keows I "RET -41 ILI Vele"U" a 6,010 V KIM INITIAL / DATE REVIEWED INITIAL / DATE APPROVED SCHEDULED COMMITTEE DATE: COMMITTEE APPROVAL DATE: SCHEDULED COUNCIL DATE: COUNCIL APPROVAL DATE: E] SENT TO VENDOWCONTRACTOR, DATE SENT: DATE RECD: El ATTACH: SIGNATURE AUTHORITY, INSURANCE CERTIFICATE, LICENSES, EXHIBITS 0 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 0 LAW DEPARTMENT SIGNEQ BY LAW 07-28-20 X SIGNATORY (MAYOR OR DIRECTOR) CITE' CLERK '4ASSIGNED AG#i�G 'OMMENTS: 1/2020 f �6 d `. 3 Vt., y CITY OF CITY HALL 33325 3th Avenue South Federal Way, WA 98003-6325 (253)835-7009 CARES FUNDS BUSINESS k` SUPPORT ► GRANT AGREEMENI WITH ADESHESALON This Grant Agreement ("Agreement") .•. between the City of -•.ral Way, a Washingtonmunicipal corporation ("City"), and Adeshe Salon, a sole proprietor ("Grantee"). The City and Grantee (together �4parties") are located and do business at the below addresses which shall be valid for any notice required under this Ag - :1 - 122 Ade Ariwoola 33325 8th Ave. S. Federal Way, WA 98003-6325 r (telephone) ,1253) • r9 (facsimile) TERM. ----------------- This agreement conte plates a one-time grant of funds to the Grantee under the conditions described herein. Grantee2.1 Warranties. The warrants- following,. pre -requisites f•eligibility: a) Grantee operates a business physically located within the political boundaries of the City of Fedb) 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 eral grant agreement ) Grantee is not the recipient of other state or federal funding made available as a response to the COVI -19 pandemic e) Grantee's business employees no more than the equivalent of ten (10) full-time employees (20,800 -hours total for all employees per year). f) Grantee's net revenues do not exceed more t $1.5 million per year g) Grantee does not operate as a tax-exempt business as defined by the Internal Revenue Service Due to CVI -19, Grantee business (check all that apply): Was required by state or local order to close Was forced to lay off employees due to reduced patronage Incurred over $1,000 in COVI -19 related expenses Ej Experienced 10-50% lost revenue Experienced over 50% lost revenue - . • •.• I • - • • s r• CITY OF CITY HALL 33325 8th Avenue South Federal Way Federal Way, WA 98003-6325 (253) 835-7000 wwwWyoffederalwaycom 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 pandemic, the City shall provide a grant to the Grantee in an amount not to exceed One Thousand and NO/100 Dollars ($1,000.00). 4.2 Non-Awrooriation 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 Q_. 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 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 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. OTY Of A* Fbdjeral V%MJ CITY HALL 33325 8th Avenue South Federal Way, WA 98003-6325 (253) 835-7000 mvw cityoffederah-vay coo 5.3 City lftde� . 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 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 such other provisions shall remain in full force and effect. No provision of this Agreement, including this [mvision, may be amended, waived, or modified except by written agreement signed by duly authorizei- cepresentatives of the Parties. if me I gill 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 FORMIN NO EMM -9 R-191 R I % �i �-11, - �R r � I Fbderal CITY OF CITY MALL 33325 Sth Avenue South Federal Way, WA 93003-0323 (253) 335-7000 WWW cityoi%deralway coo 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 is 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 Agreement be the "dateof •hereof. IN WITNESS, the Parties execute this Agreement below, effective the last date written below. ,i �Fe�AMa�yor DATE: By:, f. Printed e: Title: /) DATE: 817/2020 VVashington State Department of Revenue Services Business Lookup ADESHE SALON M.M License Information: Entity name: WESTBROOKS, ANGELA UNIQUE Business name: ADESHE SALON Entity type: Sole Proprietor UBI #: 603-010-022 Business ID: 001 Location ID: 0002 Location: Active Location address: 1414 S 324TH ST ST E B206 FEDERAL WAY WA 98003-8444 Mailing address: 1066 S 320TH ST APT A407 FEDERAL WAY WA 98003-2003 Excise tax and reseller permit status: Click here Endorsements Endorsements held at this location License # Count Details Federal Way General Business Governing People ay include govemIng people not registered with Secretary at'state Governing people Title EST S, ANGELA UNIQUE Registered Trade Names Registered trade names Status ADESHE SALON Active New search Back to results Status Expiration date Active Mar -31-2021 View Additional Locations The Business Lookup information is updated nightly. Search date and time: 8/7/2020 2:09:06 PM =1r111111111111 211111Ipplil ,111 ;= IIII, 11,112-11,11IM-1.11 https://secure.dor.wa.gov/gteunauth/, /#72 1/1