AG 20-185 - Kwan M. Lee D.D.S.RETURN TO: TIM JOHNSON EXT: 2412
CITY OF FEDERAL WAY LAW DEPARTMENT ROUTING FORM
I ORIGINATING rIV: —ECONOMIC DEVELOPMENT
. ORIGINATING STAFF PERSON: -TIM JOHNSON —, EXT: 2412 1 DATE REQ.
TYPE OF DOCUMENT (CHECK ONE):
El CONTRACTOR SELECTION DOCUMENT (E.G., RIB, REP, RFQ)
El PUBLIC WORKS CONTRACT El SMALL OR LIMITED PUBLIC WORKS CONTRACT
El PROFESSIONAL SERVICE AGREEMENT Ei MAINTENANCE AGREEMENT
* GOODS AND SERVICE AGREEMENT Ei HUMAN SERVICES/ CDBG
* REAL ESTATE DOCUMENT El SECURITY DOCUMENT (E.G. BOND RELATED DOCUMENTS)
* ORDINANCE El RESOLUTION
El CONTRACT AMENDMENT (AG#):_ D INTERLOCAL
X OTHER CARES ACT FUNDS BUSINESS SUPPORT GRANT AGREEMENT
PROJECT NAME:1 CARES ACT GRANT– ROUND I
NAME OF CONTRACTOR: KWANM. LEE, D.D.S., P.L.L.C.
ADDRESS: 34616 11TH PL S, #4, FEDERAL WAY, WA, 98003 TELEPHONE: (253) 347-8072
E-MAIL: ICLICKu27@HOTMAIL.COM
SIGNATURE NAME: LEE LEE TITLE: SEE ArTACHFD
EXHIBITS AND ATTACHMENTS: Li SCOPE, WORK OR SERVICES 0 COMPENSATION 0 INSURANCE REQUIREMENTS/CERTIFICATE El ALL
OTHER REFERENCED EXHIBITS El PROOF OF AUTHORITY TO SIGN 0 REQUIRED LICENSES El PRIOR CONTRACT/AMENDMENTS
. TERM: COMMENCEMENT DATE: SEEKIIA0140AGRtIEMENT —_COMPLETICIN DATE:
TOTAL COMPENSATION$ (INCLUDE EXPENSES AND SALES TAX, IF ANY) Two THOUSAND AND NO/100 ($2,000.00)
(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 BYEl CONTRACTOR 11 CITY
RETAINAGE: RETAINAGEAmOUNT: RETAINAGE AGREEMENT (SEE CONTRACT) OR DRETAINAGE BOND PROVIDE
0 PURCHASING: PLEASE CHARGETO: T 001-1800-990-518-10-490 Ploi
qqILCgje # 267662-25060
0. DOCUMENT/CONTRACT REVIEW INITIAL / DATE REVIEWED- INITIAL / DATE APPROVED
El PROJECT MANAGER
0 DIRECTOR
11 RISKMANAGEMENT (IF APPLICABLE)
El LAW
1. COUNCIL APPROVAL (IF APPLICABLE) SCHEDULED COMMITTEE DATE: COMMITTEE APPROVAL DATE:
SCHEDULED COUNCIL DATE: COUNCIL APPROVAL DATE:
AWKIN 9 V IMT -4i 6*1 E" 001 a N
11 SENT TO VENDOR/CONTRACTOR DATE SENT:___ DATE REC'D:—
El ATTACH: SIGNATURE AUTHORITY, INSURANCE CERTIFICATE, LICENSES, EXHIBITS
El CREATE ELECTRONIC REMINDERINOTIFICATION 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 SIGNED BY LAw07-28-20
1i SIGNATORY (MAYOR OR DIRECTOR)
El CITY CLERK
El ASSIGNED AG# AG#
1/2020
CITY OF CITY HALL
33325 8th Avenue South
Federal Way Federal Way, WA 98003-6325
(253) 835-7000
www Cjty0ffedeTaAVqV com
CARES ACT FUNDS BUSINESS SUPPORT GRANT AGREEMENT
WITH
KWAN M. LEE, D.D.S., P.L.L.C.
This Grant Agreement ("Agreement") is made between the City of Federal Way, a Washington municipal
corporation ("City"), and Kwan M. Lee, D.D.S., P.L.L.C., a professional limited liability company ("Grantee").
The City and Grantee (together "Parties") are located and do business at the below addresses which shall is
valid for any notice required under this Agreement:
Kwan Lee
34616 1 ITH PL S, 44
1 Z__JJ.# i:�i
.
IBM
Ade Ariwoola
33325 8th Ave. S.
Federal Way, WA 98003-6325
((253) 835-2520 (telephone)
253) 835-2509 (facsimile)
9 - . y . A - i - I
r . TERM. This agreement contemplates a one-time grant of funds to the Grantee under the condition--,
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
,f) Grantee is not the recipient of other state or federal funding made available as a respon,,�A
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 order 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
2.2 Use of Funds: Grantee affirms that grant funds will be used for the following purposes-
CITY OF CrTY HALL
33325 8th Avenue South
4S Federal Way, WA 98003-6325
AN
Federal Way (253) 835-7000
mvw cityoffederalway con?
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.
900L��� M,
5. 1 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
gation 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
ri,erformance of this Agreement, except for that portion of the claims caused by the City's sole negligence.
event of liability for damages arising out of bodily injury to persons or damages to property caused by or
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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, attomeys, 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 coven
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 farther
acknowledge that they have mutually negotiated this waiver.
NEXIM �,, �11�119_1 %�L,- �61Z�M
CITY HALL
33325 Sth Avenue South
Federal Way, WA 98003-6325
{2 a3) 835-7000
mvw cRyoffederalway, corn
5.3 Oty !ftdemhi&qfion. 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 • 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 Interpretation and Modification. This ARreement contains all
• 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 ani
such other provisions shall remain in full force and effect. No provision of this Agreement, including this
provision, may be amended, waived, • modified except • written agreement signed by duly authorized
representatives of the Parties.
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
CrTY HALL
33325 3th Avenue South
Federal Way, WA 980073-6325
(253) 335-7000
www cityoffiederatwvay cora
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 constituteone instrument,but . iii hereof it shallonly be necessary to produce
one such counterpart. The signature and acknowledgment pages from such counterparts may be assembled
together * form s single instrument comprised of all iY*_ of this Agreement and . complete set of
signature and acknowledgment pages. The date upon. all of Parties have executed
counterpart i Agreement Y be the "date ofmutual execution" hereof.
IN WITNESS, the Parties execute this Agreement below, effective the last date written below.
l
Jim Frrel3, ayor -
ATE;
—ift lh�t-q;sp—
KWANM. LEE, D.D.S., .L.L.C.
Printed Name:
Title:
ATE: — o
7/24/2020
Services Business Lookup KWAN M. LEE, D.D.S., P.L.L.C.
License Information:
Entity name:
AN M. LEE, D.D.S., P.L.L.C.
Business name:
AN M. LEE, D.D.S., P.L.L.C.
Entity type:
Professional Limited Liability Company
UBI #:
602-549-595
Business ID:
001
Location ID:
0001
Location:
Active
Location address:
34616 11TH PL S
STE 4
FEDERAL WAY WA 98003-8705
Mailing address:
34616 11TH PL S
STE 4
FEDERAL WAY WA 98003-8705
Excise tax and reseller
permit status: Click here
Secretary of State status: Click here
eServices
New search Back to results
Endorsements
Endorsements held at this location License # Count Details Status Expiration date
Federal Way General Business 05 -105609 -00 -BL Active Oct -31-2020
Governing People May Include governing people not registered with Secretary of state
Governing people Title
LEE, KWAN M
Registered Trade Names
Registered trade names Status First issued
CLARITY DENTAL CENTER Active Oct -14-2019
The Business Lookup information is updated nightly. Search date and time: 7/24/2020 3:56:54 PM
https://secure.dor.wa.gov/gteunauth/—/#258 111