AG 20-199 - David L. ThorstadRETURN TO: TIM JOHNSON EXT: 2412
CITY OF FEDERAL WAY LAW DEPARTMENT ROUTING FORM
ORIGINATING DEPT./DIV: —ECONOMIC DEVELOPMENT------.------_—.
ORIGINATING STAFF PERSON: -_LIN4 JOHNSON_,____--- EXT: 2412 3. DATE REQ � BY. ASAP
D PUBLIC WORKS CONTRACT El SMALL OR LIMITED PUBLIC WORKS CONTRACT
El PROFESSIONAL SERVICE AGREEMENT El MAINTENANCE AGREEMENT
1:1 GOODS AND SERVICE AGREEMENT El HUMAN SERVICES/ CDBG
F-1 REAL ESTATE DOCUMENT 0 SECURITY DOCUMENT (E.G. BOND RELATED DOCUMENTS)
El ORDINANCE El RESOLUTION
El CONTRACT AMENDMENT (AG#):_ El INTERLOCAL
X OTHER., CARES ACT FUNDS BUSINESS SUPPORT GRANTAGREEMENT
PROJECT NAME: CARES ACT GRANT —,ROUND I
I
NAME OF CONTRACTOR: DAVID L. CHORSTAD
ADDRESS: 406 S 289TH ST, FEDERAL WAY, A,-98003 TELEPHONE: (253) 941-4850
E-MAIL: DLTARCHITECT@COMCAST.NET
SIGNATURENAME: THORSTADTHORSTAD TITLE: SEE,ATTACHED
EXHIBITS AND ATTACHMENTS: 0 SCOPE, WORK OR SERVICES 0 COMPENSATION 0 INSURANCE REQUIREMENTS/CERTIFICATE 11 A
OTHER REFERENCED EXHIBITS 0 PROOF OF AUTHORITY TO SIGN 11 REQUIRED LICENSES E] PRIOR CONTRACT/AMENDMENTS i
TERM: COMMENCEMENT DATE: SEE ATTACHED AGREEMENT COMPLETION DATE:
TOTAL COMPENSATION$ (INCLUDE EXPENSES AND SALES TAX, IF ANY) ONE THOUSAND AND NO/I 00 ($1,00000)
(IF CALCULATED ON HOURLY LABOR CHARGE - ATTACH SCHEDULES OF EMPLOYEES TITLES AND HOLIDAY RATES)
REIMBURSABLE EXPENSE: 0 YES X NO IF YES, MAXIMUM DOLLAR AMOUNT: $
IS SALES TAX OWED OYES X NO IF YES, $ PAID BYD CONTRACTOR 0 Crry
RETAINAGE: RETAINAGE AMOUNT: 0 RETAINAGE AGREEMENT (SEE CONTRACT) OR El RETAINAGE BOND PROVIDE
0. DOCLTMENT/CONTRACT REVIEW
El PROJECT MANAGER
E-1 DIRECTOR
El RISKMANAGEMENT (IP APPLICABLE)
El LAW
SCHEDULED COMMITTEE DATE:
SCHEDULED COUNCIL DATE:
PA Kw -41 13 1 - M LT -41 wl if RM III a I I i �
COMMITTEE APPROVAL DATE:
COUNCIL APPROVAL DATE:
El SENT TO VENDOR/CONTRACTOR DATE SENT: DATE C'D:
D ATTACH: SIGNATURE AUTHORITY, INSURANCE CERTIFICATE, LICENSES, EXHIBITS
El CREATE ELECTRONIC REMINDERJNOTIFICATION 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 LAW 07-28-20
El SIGNATORY (MAYOR OR DIRECTOR)
El CITY CLERK
0 ASSIGNED AG#
,OMMENTS:
1/2020
This Grant Agreement ("Agreement' ') is made between the City of Federal Way, a Washington municipal
corporation ("Cityand David L. Thorstad, a sole proprietor ("Grantee"). The City and Grantee (together
'Tarties") are located and do business at the below addresses which shall be valid for any notice required under
this Agreement:
406 S 289TH ST
FEDERAL WAY, WA 98003
a 9 1 0 -
0IMIUMM=_
MuffirallUMM9 ., * I
rm � = �
OF FEDERAL WAY:
Effir4EVVIV374m,
33325 8th Ave. S.
Federal Way, WA 98003-6325
(253) 835-2520 (telephone)
(253) 835-2509 (facsimile)
...................
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 ftmding made available as a respons,*
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
fl) Due to COVID- 19, Grantee business (check all that app■ly):
Was required by state or local order to close
Was forced to lay off employees due to reduced patronage
F]-. over $1,000 in COVID-19 related expenses
Experienced 10-50% lost revenue
Experienced over 50% lost revenue
CARES ACT BUSINESS GRANT AGREEMENT - 1,-
CITY OF CITY HALL
33325
S. Avenue South
& Federal Way, WA 98003-6325
835-7000
www cityoffederalway com
a) Mortgage or Rent
b) Personal Protection Equipment
c) Insurance
d) Utilities
e) Marketing
F) Payroll
Grantee agrees to retain receipts documenting use of grant fimds and will provide them to the City or its
designee upon request.
3. TERMINATION. Should any of the conditions described in section 2.1, above, not be met, the City
may recover all disbursed grant fimds and terminate this agreement.
4.1 Amount. In order to promote healthy economic activity in the City and in response to the losses
Grantee has incurred due to the COVID- 19 pandemic, the City shall provide a grant to the Grantee in an amount
not to exceed One Thousand and NO/I 00 Dollars ($ 1,000.00).
4.2 Non -Appropriation of Funds. If sufficient fimds 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 Grantee Indemniffication. 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 comvetent -urisdiction determine that this A- eement is sub,�ect 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 indemn' Cil`em its elected offici
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 covenqjts of i-tde-fvtificatioift.
5.2 Industrial Insurance Act Waiver. It is specifically and expressly understood that the Grantee
warvo 4" immunity that �may be gronted �10 it under the Washivm State industrial insurance act� Tifle51
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.
CARES ACT BUSINESS GRANT AGREEMENT - 2 -
CITY OF
A% Federal Way
vmbv�
CrrY ?NALL
33325 Sth Avenue South
Feliered We
(253) 835-7000
Nww cityoffederalway com
A-greelmenvulaj De MET= 711 anj, 713-17716er ol cotIMLE-Qurt 111
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 producQ
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 2
counterpart of this Agreement shall be the "date of mutual execution" h -
+a
Pais execute this Agreement below, effective the last date written below.
Jim els,
DATE:
lawyj I an V. -M a IS
W-UMMIM�-ul
Title:
DATE:
CARES ACT BUSINESS GRANT AGREEMENT -4-
- I ----
7/24/2020
tate of' R, -avenue
Services BusinessLookup DAX/O L T14,ORSTPkD
License Information:
eServices
Entity name:
THORSTAD, DAVID LEE
Business name:
DAVID L THORSTAID
Entity type:
Sole Proprietor
UBI #:
600-329-351
Business ID:
001
Location ID:
0001
Location:
Active
Location address:
406 S 289TH ST
FEDERAL WAY WA 98003-3609
Mailing address:
406 S 289TH ST
FEDERAL WAY WA 98003-3609
Excise tax and reseller
permit status: Click here
Endorsements
Endorsements held at this location License # Count Details
Architect Firm
View Architects
Federal Way General Business 99 -105922 -00 -BL
Governing People May include governing people not registered with Secretary of State
Governing people Title
THORSTAD, DAVID LEE
Registered Trade Names
Registered trade names Status
DAVID L. TSTA D ARCHITECT Active
New search Back to results
Status
Expiration date
Active
Jul -31-2021
Active
Jul -31-2021
ZMEMMEM
First issued
Aug -30-2018
https://secure.dor.wa.gov/gteunauth/—,/#295 1/1