AG 20-230 - Demile Health & FitnessTURN TO: TIM JOHNSON EXT: 2412
I ORIGINATING DEPTAXV.- —ECONOMIC DsvELOPMENT
ORIGINATING STAFF PERSON: _jim EXT: 2412 3. DATE
0 PUBLIC WORKS CONTRACT D SMALL OR LENAITED PUBLIC WORKS CONTRACT
11 PROFESSIONAL SERVICE AGREEMENT 0 MAINTENANCEAGREEMENT
* GOODS AND SERVICE AGREEMENT Ei HUMAN SERVICES/ CDBG
* REAL ESTATE DOCUMENT 0 SECURITY DOCUMENT (E.0 BOND RELATED DOC UIVffiNTS)
* ORDINANCE o RESOLUTION
11 CONTRACT AMENDMENT (AG#):- orNTERLOCAL
X OTHER CARES ACT FUNDS BUSINESS SUPPORT GRANTAG&EEMENT
PROJECT NAME: --CARES ACT GRANT- ROUND 1
NAME OF CONTRACTOR: JAZZERCISE
ADDRESS: 33633 9TH AVE S #B, FEDERAL WAY, WA, 98003 TELEPION E. (253)333-8886
E-MAIL: FEDERALWAYJAZZ@COMCAST. NET
SIGNATURE NAME: EMILE DEMILE TITLE: SEE AiTACHED
. TERM: COMMENCEMENT DATE: __,,SEE ArrACHED AGREEMENT COMPLETION DATE: _
TOTAL CONWENSATION $ (INCLUDE EXPENSES AND SALES TAX, IF ANY) ONE THOUSAND AND NO1100 ($ 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, S PAID BY: 0 CONTRACTORCI CITY
RETAINAGE: RETAINAGEAmOUNT: ____E1 RETAINAGE AGREEMENT (SEE CONTRACT) OR El RETAINAGE BOND PROVIDE
0 PURCHASING: PLEASE CHARGE TO: _90 irk I�61_�
0. DOCUMENT/CONTRACT REVIEW
0 PROJECT MANAGER
t5�ECTOR
0 RISK MANAGEMENT (IF APPLICABLE)
El LAW
fNITLALi'DATE REVIE WED
SCHEDULED COMMITTEE DATE:
SCHFDULFD COUNCIL DATF:
INITIAL / DATE APPROVED
04.—
COMMITTEE APPROVAL DATE:
COUNCIL APPROVAL DATE:
2. CONTRACT SIGNATURE ROUTING
• SENT TO VENDOR/CONTRACTOR DATE SENT: DATE C'D.
• ATTACK: 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 feet free to set notification more than a month in advance if council approval is needed.)
INITIAL/ DATE SIGNED
11 LAW DEPARTMENT RGN BYLAw07-28-20
V,XGNATORY (MAYOR OR DIRECTOR)
• CITY CLERK
• ASSIGNED AG#
'OMMENTS:
1/2020
a V �01;
F*�6deml �i! .A
CrrY HALL
33325 Sth Avenue South
INEN W. - I ;
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CARES ACT FUNDS BUSINESS SUPPORT GRANT AGREEMENT
WITH
DEMILE HEALTH & FITNESS COACHING LLC
This Grant Agreement ("Agreement") is made between the City of Federal Way, a Washington municipal
corporation ("City"), and Demile Health & Fitness Coaching, LLC, a limited liability company ("Grantee").
The City and Grantee (together "Parties") are located and do business at the below addresses which shall be
valid for any notice required under this Agreement:
WIM,
gum
Kimberly DeMile
33633 9th AVE S #B
FEDERAL WAY, WA 9801
(253) 333-8886 (telephone)
& LTK -Lu �? WA - I
Ire DIN I '711LIZIMS
Ade Ariwoola
33325 8th Ave. S.
Federal Way, WA 98003-6325
1 (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.
CARES ACT BUSINESS GRANT AGREEMENT 11,
4011L CITY OF
CITY HALL
33325 8th Avenue South
Fbderal VW!
Y
Federal Way, WA 98003-6325
(253) 835-7000
wwwcl��&Wcofn
2.2 Use of Funds: Grantee affirms that grant funds will be used for the following purposes:
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
oLx
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
.k?-Xt2-- ki's iXC1—UVijt 1w: ti, t-ke C*VIJ,1-19 F,-7atemic, tL%e City sX��S�,rmite a g =,. t t(t, fitli--&ntee in -m ayripyn!
I ot to exceed One Thousand and NOI 100 Dollars ($ 1,000.00).
4.2 Nbn�A&&jIgi�gnd lFunds. If sufficient funds are not appropriated or allocated for paymeirl
under this Agreement for any fiscal period, the City will not be obligated to make payments under this
agreement.
5.1 !�� jb�ernhij��6n, The Grantee agrees to release indemnify, defend, and hold the City, its
elected officials, officers errivilo, (ces agents r )resentatives
Rp
ifiese =ve ; nants aincl njift�, mpletm snall not oe s to 00 Any
5.2 lnd��d lftsi6hkd &I MWver. 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 5 t
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 Rather
E
111_W— 17 -4 AO"
AL— -AWL:&A-gs:
AL crf* OF C17Y HALL
33325 Sth Avenue South
Federal M Federal Way WA 98003-6325
y (253) 535-7000
www ciryoffecteralmWcom
DATE:
DE HEALTH & FITNESS COACHING LLC:
A
B
Printed
Title:
DATE:
CARES ACT BUSINESS GRANT AGREEMENT - j
7/25/2020 eServices
Services Business Lookup JAZZERCISE
License Information:
New search Back to results
Entity name: DEMILE HEALTH & FITNESS COACHING, LLC
Business name: JAZZERCISE
Entity type: Limited Liability Company
UBI #: 603-546-127
Business ID: 001
Location ID: 0002
Location: Active
Location address: 33633 9TH AVE S
FEDERAL WAY WA 98003-6705
Mailing address: 31590 115TH AVE SE
AUBURN WA 98092-5313
Excise tax and reseller permit status: Click here
I
Secretary of State status: Click here
Endorsements
Endorsements held at this location License # Count Details
Status Expiration date First issuance
Federal Way General Business 05-10061 0 -00 -BL
Active Sep -30-2020 Mar -03-2005
Governing People May include governing people not registered with Secretary or state
Governing people Title
DEMIL, KIMBERLY
Registered Trade Names
Registered trade names Status
First issued
JAZZERCISE Active
Oct -16-2015
View Additional Locations
The Business Lookup information is updated nightly. Search date and time: 7/25/2020 12:37:49 PM
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