AG 20-137 - Art of the SmileRETURN TO: TIM JOHNSON EXT: 2412
CITY OF FEDERAL WAY LAW DEPARTMENT ROUTING FORM
I ORIGINATING DEPT./DIV: ECONOMIC DEVELOPMENT
I ORIGINATING STAFF PERSON: TIM JOHNSON --, EXT: 2412 3. DATE Q. BY: ASAP
11 PUBLIC WORKS CONTRACT 0 SMALL OR LIMITED PUBLIC WORKS CONTRACT
0 PROFESSIONAL SERVICE AGREEMENT El MAINTENANCE AGREEMENT
E] GOODS AND SERVICE AGREEMENT 0 HUMAN SERVICES/ C
El REAL ESTATE DOCUMENT El SECURITY DOCUMENT (E.G. BOND RELATED DOCUMENTS)
El ORDINANCE El RESOLUTION
El CONTRACT AMENDMENT (AG#):_ EIINTERLOCAL
X OUTER.I., CARES ACT FUNDS BUSMESS SUPPORT GRANT AGREEMENT
. PROJECT NAME: CARES ACT GRANT — ROUND I
NAME OF CONTRACTOR: ART OF THE SMILE
ADDRESS: 1706 S 320TH ST, #E, FEDERAL WAY, WA, 98003 TELEPHONE: (206) 552-1952
E-MAIL: AMANDAHUANG98@YAHOO.COM
SIGNATURE NAME: HUANG HUANG TITLE: SEE ATTACHED
EXHIBITS AND ATTACHMENTS: El SCOPE, WORK OR SERVICES D COMPENSATION 11 INSURANCE REQUIREMENTS/CERTIFICATE El ALL
OTHER REFERENCED EXHIBITS 11 PROOF OF AUTHORITY TO SIGN El REQUIRED LICENSES 1:1 PRIOR CONTRACT/AMENDMENTS
TOTAL COMPENSATION$ (INCLUDE EXPENSES AND SALES TAX, IF ANY) ONE THOUSAND AND NO/100 ($1,000M)
(IF CALCULATED ON HOURLY LABOR CHARGE - ATTACH SCHEDULES OF EMPLOYEES TITLES AND HOLIDAY RATES)
REIMBURSABLE EXPENSE: L1 YES XNO IF YES, MAXIMUM DOLLAR AMOUNT: $
IS SALES TAX OWED El YES X NO IF YES, $ PAID BY: El CONTRACTOR 0 CITY
RETAINAGE: R-ETAfNAGE AMOUNT: RETAINAGE AGREEMENT (SEE CONTRACT) OR El RETAINAGE BOND PROVIDE
a PURCHASING: PLEASE CHARGE TO: —001-1800-990-518-10-490-----Eiogq,���
0. DOCUMENT/CONTRACT REVIEW
El PROJECT MANAGER
D DIRECTOR
El RISKMANAGEMENT (IFAPPLICABLE)
0 LAW
INITIAL / DATE REVIEWED INITIAL / DATE APPROVED
SCHEDULED COMMITTEE DATE' COMMITTEE APPROVAL DATE:
SCHEDULED COUNCIL DATE: COUNCIL APPROVAL DATE:
El SENT TO VENDOR/CONT RACTOR DATE SENT: DATE
0 ATTACH: SIGNATURE AUTHORITY, INSURANCE CERTIFICATE, LI—C—E-N- 'SE -S," —EXHIBITS
11 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
11 LAW DEPARTMENT SIGNED By LAW 07-28-20
Ej SIGNATORY (MAYOR OR DIRECTOR)
0 CITY CLERK -7 IWU
El ASSIGNED AG# AG�f_
Eel TU fkvfd I Iva
1/2020
CITY Of
Awk
F�deral My
CITY HALL
33335 8th Avenue Guth
Federal Way, WA 08003-6.35
(253) 835-7000
w Wyoffede ralway cora
CARES ACT FUNDS BUSINESS SUPPORT GRANT AGREEMENT
WITH
ART OF
This Grant Lea("Agreement")
y g rra. • • e.:r between
ra. of
Federal •. •Washington municipal
corporation and * ofthe Smile,• professional limited liabilitycompany Y
Grantee (together "Parties") are located and do business at the below addresses which shall be valid for any
notice under thisAgreement:
Amanda Huang
1• S 320TH
FEDERAL 80
Ade ` •,• .
33325 •th Ave.
Federal98003-6325
i (telephone)
i•
1. TERM. This agreement contemplates a one-time grant of funds to the Grantee under the conditions
described herei-t.
2.1 Warranties. The Grantee warrants the following, which are pre -requisites for grant eligibility:
•i` • physicallylocated politicalboundaries•` City
I Grantee•
of Federal Way;
) 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
) Grantee is not the recipient of other state or federal funding made available as a response
to the C VI -19 pandernic
e) Grantee's business employees no more than the equivalent of ten (10) full-time
employees (20,800man-hours total for all employees per year).
f) Grantee's net revenues do not exceed more t $1.5 million per year
) Grantee does not operate as a tax-exempt business as defined by the Internal Revenue
Service
Due to COVI -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 CVI -19 related expenses
Experienced 10-50% lost revenue
Experienced over 50% lost revenue
2.2 Use of Funds: Grantee affirms that grant funds will be used for the following purposes:
CITY Of CITY HALL
33325 8th Avenue South
Federal Way Federal Way., WA 98003-6325
(253) 835-7000
vvww Wyoffederalway coo
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 Two Thousand and NO/100 Dollars ($2,000.00).
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.
-JONE"MAzinni
5.1 Giahtee I alfi6figg. 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
[�erfbrmance of this Agreement, except for that portion of the claims caused by the City's sole negligence.
gAould a-&i�wt of comnetent iurisdiction determine that this ALreement is subiect to RCW 4.24.115, then, in the
a rift 0 OWN[; _11WO Will
-M-41 I - X -
resuffing trom We concurrent negligence ot me kirdlILCU MU L11C %_ILY� LIX Ulan= S IR
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
6,ese cove-#-,?.tts 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
"SHIM
6 M 11
11MOOM Iramismifflo-
CITY HALL
33325 Sth Avenue South
Federal Way, VVA 98003-6325
{2 a3} 835-7000
vAwv.cityoffederahYovcc-if7q
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.
6.3 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 CITY HALL
33325 Sth Avenue South
Federal Way Federal Way, WA 98003-6325
(253) 835-7000
wwwotyoffederalwaycom
4lf Jim Ferrell, Mayor
DATE:,
By:
Printed Name:K ® CLAn (�' (A,
—A
'N
Title: f,
V �
DATE:
CARES ACT BUSINESS GRANT AGREEMENT -4-
"a 11
Services Business Lookup ART OF THE SMILE
License Information:
New search
Back to results
Entity name: AMANDA JIE HUANG DMD PLLC
Business name: ART OF THE SMILE
Entity type: Professional Limited Liability Company
U #: 603-290-475
Business ID: 001
Location ID: 0001
Location: Active
Location address: 1706 S 320TH ST STE E
FEDERAL WAY WA 98003-5424
Mailing address: 1706 S 320TH ST STE E
FEDERAL WAY WA 98003-5424
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
Dental X-ray/CT/ Pan/Ceph 3
Active
Apr -30-20211
Apr -12-2013
Federal Way General Business 13 -104983 -00 -BL
Active
Apr -30-2021
Nov -16-2013
Minor Work Permit
Active
Apr -30-2021
Apr -01-2015
X -Ray: Dental/Podiatric/Veterinary
Active
Apr -30-2021
Apr -12-2013
Governing People May include governing people not registered with Secretary of stare
Governing people Title
HUANG,AMANDA
Registered Trade Names
Registered trade names Status First issued
ART OF THE SMILES Active Feb -13-2014
The Business Lookup information is updated nightly. Search date and time: 7/24/2020 3:25:48 PM
https://secure.dor.wa.gov/gteunauth/,/#1 06