AG 20-410 - Park's Healthcare Group: TIM JOHNSON EXT: 2412
CITY OF FEDERAL WAY LAW DEPARTMENT ROUTING FORM
. ORIGINATING DEPT./DIV-. _ECONOMIC DEVELOPMENT
I.OREXT. 2412 3. DATEREQBYASAP IGINATING STAFF PERSON: -11M JOHNSON
0 PUBLIC WORKS CONTRACT 0 SMALL OR LIMITED PUBLIC WORKS CONTRACT
Ei PROFESSIONAL SERVICE AGREEMENT 0 MAINTENANCE AGREEMENT
El GOODS AND SERVICE AGREEMENT Ei HUMAN SERVICES/ CDG
El REAL ESTATE DOCUMENT 0 SECURITY DOCUMENT (E.G. BOND RELATED DOCUMENTS)
C-1 ORDINANCE o RESOLUTION
0 CONTRACT AMENDMENT (AG#): Ei INTERLOCAL
X OTHER CARES ACT FUNDS BUSINESS SUPPORT G TAGREEMENT
PROJECT NAME: CAPES ACT GRANT — ROUND
NAME OF CONTRACTOR: PARK'S ACUPUNCTURE HERBAL CLINIC n. �4uA441a&yv- G rou-p
ADDRESS: 33 100 PACIFIC HWY S, #1, FEDERAL WAY, WA, 98003 TELEPHONE: (253) 815-9191
E-MAIL: JP9191@GMAIL-CO
M
SIGNATURE NAME: PARK PARK TITLE: SEE ATTACHED
EXHIBITS AND ATTACHMENTS: C3 SCOPE, WORK OR SERVICES 11 COMPENSATION El INSURANCE REQUIREMENTS/CERTIFICATE 11 ALL
OTHER REFERENCED EXHIBITS 11 PROOF OF AUTHORITY TO SIGN 0 REQUIRED LICENSES El PRIOR CONTRACT/AMENDMENTS
. TERM: COMMENCEMENT DATE: SEE ATTACHED AGREEMENT--- COMPLETION 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: El YES X NO IF YES, MAXIMUM DOLLAR AMOUNT:
IS SALES TAX OWED 0 YES X NO IF YES, PAID BY. El CONTRACTOR El CITY
RFTAINAGE: RETAINAGEAmOUNT: P R-ETAINAGEAGREEMENT (SEE CONTRACT) OR OR-ETAMAGE BOND PROVIDE
El PI#KCAASING: PLEASE CHARGE TO: 001-1til -990-5lBj ------- j .. 9
0, DOC
,NT/CONTRACT REVIEW INITIAL DATE REVIEWED INITIALf DATE APPROVED
-V R
ROJECT MANAGEDIRECTOR
0 RISKMANAGE MENT (IFAPPLICABLE)
E] LAW
1. COUNCIL APPROVAL (IF APPLICABLE) SCHEDULED CommiTTFF DATE: COMMITTEE APPROVAL DATE:
SCHEDULED COUNCIL DATE: COUNCIL APPROVAL DATE:
0 SENT TO VENDOR/CONTRACTOR DATE SENT: DATE RECD:
13 ATTACH: SIGNATURE AUTHORITY, INSURANCE CERTIFICATE, LICENSES, EXHIBITS
• CREATE ELECTRONIC REMINDER/NCITIFICATION FOR I MONTH PRIOR TO EXPIRATION DATE
(include dept. supports 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 gy Lw 07-25-20 0-n
SIGORY(MAYOR OR DIRECTOR) plelo
r_rYCLERK
S
CA 17GNED AG#
.OMMENTS:
0000d
CITY OF CITY HALL
33325 8th AvenU9 South
Federal Way Federal Way, %NA 98003-6325
(253) 835-7000
CARES ACT FUNDS BUSINESS SUPPORT GRANT AGREEMENT
WITH
PARK'S HEALTHCARE GROUP
This Grant Agreement ("Agreement") is made between the City of Federal Way, a Washington municipal
corporation ("City"), and Park's Healthcare Group, Ltd_ 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
notice required under this Agreement:
Joseph Park
33 100 PACIFIC HWY S, #1
FEDERAL �VAY, WA 98003
Ade Ariwoola
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.
I zu"I'M4113!
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 CAVI D- 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),
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):
29 "Alas required by state or local order to close
Was forced to lay off employees due to reduced patronage
Incurred over S 1,000 in COVID- 19 related expenses
E] 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
33325 Sth Avenue scutr,.
Federal'Way Federal Way Y/A
1,253) 335-7COO
4, 0 " 1, <V1%
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 sectionabove, not be met, the City
May recover all disbursed arant 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 CCIVID- 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).
4.2Non-A o pRLanation 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.
WEENUR-U-1— , . #1
5.1 �Q r iiEgtioriThe Grantee agrees to release indemnify, defend, and hold the CltyI
clected officials, officers, employees, agents, representatives, insurers, attorneys, and volunteers harmless fro I
any and all claims, demands, actions, suits, causes of action, arbitrations, mediations, proceedings, judgment,
awards, Injuries, damages, liabilities, taxes, losses, fines, fees, penalties expenses, attorney's fees, costs, and,
litigation expenses to or by any and all persons or entities, including, without limitation, their respective agen
licensees, or representatives, arising froin, resulting from, or in connection with this Agreement or th-
perforinance of this Agreement, except for that portion of the claims caused by the City's sole negligenc
t
Should a court of competent jurisdiction determine that this Agreement is subject to RCW 4.24.115, then, in t
event of liability for damages arising out of bodily injury to persons or damages to property caused by
resulting from the concurrent negligence of the Grantee and the City, the Grantee's liability hereunder shall b
only to the extent of the Grantee's negligence. Grantee shall ensure that each sub -Grantee shall agree to defen
and indemnify the City, its elected officials, officers, employees, agents, representatives, insurers, attorneys, an
volunteers to the extent and on the same terms and conditions as the Grantee pursuant to this paragraph. Th -
City's inspection or acceptance of any of Grantee's work when completed shall not be grounds to avoid any c
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, TItic 51
RCW, solely for the purposes of this i ndernni fit cation. 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 fiarther
acknowledge that they have mutually negotiated this waiver.
rCITY OFmomtederal My
CITY HALL
33,325 8th Avenue Sautil
Federal Way WA 98003-6325
(253; 835-7000
evww C'om
5A 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 teraxt'nation.
Agreement6.1 Interpretation and Modification. This # the agreements
with respect to any matter covered or Agreement i no prior
whether oral or written, shall be effective for any purpose. Any provision of this Agreement that is dCCILIred
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 full force and effect. No provision 4 _ this
provision, may be amended, waived, or modified except by written agreement signed by duly authorized
i s
_ i i i• i _ i ,.
" i • •
i. • # i # i
behalf6.3 Execution. Each individual executing this Agreement on
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
4W
33325 Sth Avenwe South
-6325
Federal Way Federal VAlay WA 98003
(253)835-'000
www Cf(VqfleC!vriiv1ajV com
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 docurnent. All such counterparts shall be construed
together and shall constitute one instrument, but in making proof hereof it shall only be necessary to produce
one such counterpart. The signature and acknowledgment pages from such counterparts may b'c assembled
together to I*onn 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.
By
Title: Z/,Z(
DATE,
Services Business Lookup PARK'S ACUPUNCTURE HERBAL CLINIC
License Information:
New search Back to results
Entity name: PARK'S HEALTHCARE GROUP, LTD.
Business name: PARK'S ACUPUNCTURE HERBAL CLINIC
Entity type: Profit Corporation
UBI #: 601-985-376
Business ID: 001
Location ID: 0001
Location: Active
Location address: 33100 PACIFIC HWY 3
STE 1
FEDERAL WAY WA 98003-6445
Mailing address: 33100 PACIFIC HWY S
STE 1
FEDERAL WAY WA 98003-6445
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
Federal Way General Business 99 -106711 -00 -BL Active Oct -31-2020
Dec -01-1999
Governing People May include governing people not registered with Secretary of State
Governing people Title
PARK, MIN
Registered Trade Names
Registered trade names Status
First issued
PARK'S ACUPUNCTURE HERBAL CLINIC Active
Dec -11-2003
PARKS HEALTHCARE GROUP, LTD Active
Oct -08-1999
PH GROUP Active
Dec -11-2003
WA EASTERN HERB Active
Dec -11-2003
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