AG 20-196 - CYM Insurance11 PUBLIC WORKS CONTRACT El SMALL OR LIMITED PUBLIC WORKS CONTRACT
El PROFESSIONAL SERVICE AGREEMENT El MAINTENANCE AGREEMENT
11 GOODS AND SERVICE AGREEMENT 0 HUMAN SERVICES/ CDG
0 REAL ESTATE DOCUMENT El SECURITY DOCUMENT (E.G. BOND RELATED DOCUMENTS)
E] ORDINANCE El RESOLUTION
El CONTRACT AMENDMENT (AG#): El INTERLOCAL
X OTHER ('ARESAC-I-'F[,INDSBLISINEiSSL�PPOKFGt,,NNTACiREENIEN-1
. PROJECT NAME: CARES ACT GRANT - ROUND I
NAME OF CONTRACTOR: CYM INSURANCE INC
ADDRESS: 930 S 336TH ST, #G, FEDERAL WAY, WA, 98003 TELEPHONE: (253) 883-4115
E-MAIL: JESSIE@GOCYM.COM
SIGNATURE NAME: ROBARE ROBARE TITLE: SEE ATTACHED
EXHIBITS AND ATTACHMENTS: El SCOPE, WORK OR SERVICES 0 COMPENSATION 0 INSURANCE REQUIREMENTS/CERTIFICATE El A
OTHER REFERENCED EXHIBITS El PROOF OF AUTHORITY TO SIGN El REQUIRED LICENSES 0 PRIOR CONTRACT/AMENDMENTS I
11 TERM: COMMENCEMENT DATE: SEE ATTACHED AGREEMENT COMPLETIONDATE-
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: 1:1 YES X NO IF YES, MAXIMUM DOLLAR AMOUNT:
IS SALES TAX OWED El YES X NO IF YES, $- PAID BY: El CONTRACTOR El CITY
RETAINAGE: RETAfNAGEAmOUNT: El RETAINAGE AGREEMENT (SEE CONTRACT) OR El RETAINAGE BOND PROVIDE
E] PURCHASING: PLEASE CHARGE TO: 001-1800-990-518-10-490 Erect Code -9 267662-25060
0. DOCUMENT/CONTRACT REVIEW INITIAL / DATE REVIEWED INITIAL / DATE APPROVED
El PROJECT MANAGER
E] DIRECTOR
D RISKMANAGEMENT (IF APPLICABLE)
El LAW
1. COUNCIL APPROVAL (IF APPLICABLE) SCHEDULED COMMITTEE DATE: COMMITTEE APPROVAL DATE:
SCHEDULED COUNCIL DATE: COUNCIL. APPROVAL DATE:
El SENT TO VENDOR/CONTRACTOR DATE SENT: DATE REC'D:-
El ATTACH: SIGNATURE AUTHORITY, INSURANCE CERTIFICATE, LICENSES, EXHIBITS
El 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
• LAW DEPARTMENT SIGNED By LAW 07-28-20
• SIGNATORY (MAYOR OR DIRECTOR)
El CITY CLERK
0 ASSIGNED AG# AGS
1/2020
CITY OF
Fbderal VWil
CITY HALL
33325 Sth Avenue South
Federal Way VVA 98003-6325
(253) 835-7000
www.cityoffederaiwaycom
CARES ACT FUNDS BUSINESS SUPPORT GRANT AGREEMENT
WITH
CYM INSURANCE INC
This Grant Agreement ("Agreement") is made between the City of Federal Way, a Washington municipal
corporation ("City"), and CYM Insurance Inc, a Washington corporation ("Grantee"). The City and Grantee
(together "Parties") are located and do business at the below addresses which shall be valid for any notics
required under this Agreement:
C"YM INSURANCE INC.
Chun Robare
930 S 336TH ST, #G
FEDERAL WAY, WA 9801
jessie@goeyin.com
Ade Ariwoola
33325 8th Ave. S.
Federal Way, WA 98003-6325
(253) 835-2520 (telephone)
835-2509 (facsimile)
1. TERM. This agreement contemplates a one-time grant of funds to the Grantee under the conditions
described herein.
2. CONDITIONS OF GRANT
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):
bg Was required by state or local order to close
E] Was forced to lay off employees due to reduced patronage
E] 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,
CITY OF CITY HALL
4 33325 8th Avenue South
Aw*
Federal Way Federal Way, WA 98003-6325
(253) 335-7000
www cRyoffederalway corn
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.
EMNIMMKIIJ�1 -V-Mpjgvd
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/I 00 Dollars ($ 1,000.00).
4.2 Non -Appropriation of Funds. If sufficient funds are not appropriated or allocated for paymen!
under this Agreement for any fiscal period, the City will not be obligated to make payments under this
Mgreement.
5.1 Grbrttge hidemnifloation. 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
[�erformance 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
onlp to the extent of the Grantee's neglituence. 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.
4S %3TY OF
AN
F6deml MMJ
CITY HALL
33325 8th Avenue South
Federal Way, 'V IA 98003-6325
(253) 835-7000
mwv cityoffederaiwqy coo
5.3 Cify hidermific�60ii. 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
gents, licensees or reiresentatives ansinQ from. resultini from or connected with this AQ-,reewwe�-f�m-me�n
MIJ U -J VAX, 14M7,11SWAN I ERB I W_!4 I J_!JN I m Im Itw.) a vol *-MIJ ati I of tommungs(ML"IF
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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 16igMretation and Modification. 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 and
such other provisions shall remain in fall force and effect. No provision of this Agreement, including this
provision, may be amended, waived, or modified except by written agreement signed by duly authorized
representatives of the Parties.
Rai
a MIJUJIM, Milt
41
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
CITY HALL.
33325 Sth Avenue South
Federal Way, WA 8003-5325
(253) 335-7000
wwwWyot`federalway com
Agreement executed r of r - •. of
the same effect all Parties hereto had signed the same document. All such counterpartsbe construed
together r shall constituteone instrument,but proof hereofonly be necessary to produce
one such counterpart.signature and acknowledgment pages fromi - r. . be _ r -s
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.
aaalft
i FerrellYar
ATE:
LOVAUTItU _ `
By:
Pri uteri ai e:
Title:A", . . .. .... .... ...
ATE: w.
4 CITY OF
Federal Way
Centered on Opportunity
Jessie Robare
CYM Insurance Inc
930 S 336th ST STE G
MAYORS OFFICE
33325 8th Avenue South
Federal Way, WA 98003-6325
(253) 835-2400
www.cityoffederalway.com
Jim Ferrell, Mayor
Congratulations! Your application for the City of Federal Way's Small Business Assistance Grant (2-V/19)
has been approved for $1000.00.
Enclosed is a grant contract for your review and signature. Upon signature please place in enclosed
iddressed envelope and return with postage to the City for processing. Upon receipt, the City will
process a check to your business.
Should you have any questions, contact the City of Federal Way's Small Business Assistance Grant
hotline at 253-835-2414.
We are committed to helping businesses like yours! Should you have any questions on business issues
or on the economy, please contact our Director of Economic Development, Tim Johnson at 253-835-
2412.
Best Wishes!
Jim Ferrell
Mayor
7/24/2020 eServices
Washingtori State Department of Revenue
SeRlices Business Lookup CYM INSURANCE INC
License Information:
Entity name:
CYMINSURANCE INC
Business name:
CYMINSURANCE INC
Entity type:
Profit Corporation
IJBI #:
604-381-563
Business ID:
001
Location ID:
0001
Location:
Active
Location address:
930 S 336TH ST
STE G
FEDERAL WAY WA 98003-6384
Mailing address:
3009 SW 311TH ST
FEDERAL WAY WA 98023-7849
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
Federal Way General Business 19 -103759 -00 -BL Active Jan -31-2021
Governing People May include governing people not registered with Secretary of State
Governing people Title
ROBARE,CHUN
Registered Trade Names
Registered trade names Status
JESSIE ROBARE AGENCY Active
https://secure.dor.wa.gov/gteunauth/—/#286 1/1