AG 20-423 - Polen Property, LV I TO: TIM JOHNSON EXT: 2412
CITY OF FEDERAL WAY LAW DEPARTMENT ROUTING FORM
ORIGINATING DEPT./DIV:, ECONOMIC .DF-Vf.-'.I..OPMEN'r
2. ORIGINATING STAFF PERSON: _119 JOHNSO _ EXT: 2412 3. DATE REQBY. ASAP
4. TYPE OF DOCUMENT (CHECK ONE):
o CONTRACTOR SELECTION DOCUMENT (E.G., RFB, RFP, RFQ)
El PUBLIC WORKS CONTRACT 0 SMALL OR LIMITED PUBLIC WORKS CONTRACT
El PROFESSIONAL SERVICE AGREEMENT 0 MAINTENANCE AGREEMENT
0 GOODS AND SERVICE AGREEMENT 11 HUMAN SERVICES/ CDBG
El REAL ESTATE DOCUMENT El SECURITY DOCUMENT (E.G. BOND RELATED DOCUMENTS)
0 ORDINANCE 0 RESOLUTION
El CONTRACTA T (AG#):___ 0 INTERLOCAL
X OTHER CARES ACT FUNDS BtjSTNES$ SUPPORT GRANT AGREEMENT
5. PROJECTNAME:_ CARES ACT GRANT —RC (JND I
6. NAME OF CONTRACTOR: POL EN PROPERTY SERVICES
ADDRESS: 4104 SW 327TH PL, FEDERAL WAY, WA, 98023 TELEPHONE: (206) 681-0015
E-MAIL: ANGELICA@POLENPROPERTYSERVICES.COM
SIGNATURE NAME: ANGELICA JUAREZ TITLE: SEE ATTACHED
7. EXH113ITS AND ATTACHMENTS: 0 SCOPE, WORK OR SERVICES El COMPENSATION 0 INSURANCE REQUIREMENTS/CERTIFICATE 0 ALL
OTHER REFERENCED EXH113ITS El PROOF OF AUTHORITY TO SIGN 0 REQUIRED LICENSES 0 PRIOR CONTRACT/AMENDMENTS
8. TERM: COMMENCEMENT DATE: —SEE ��xmcHED AGREEMENT — COMPLETION DATE:
9. TOTAL CO ESTI (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)
REIMBURSABLEE S: Ei YES X NO IF YES, MAXIMUM DOLLAR AMOUNT: $ —
IS SALES TAX OWED OYES X NO IF YES, $ v_rPAID BY: El CONTRACTOR 0 CITY
RETAINAGE: RETAINAGE AMOUNT: RETAINAGE AGREEMENT (SEE CONTRACT) OR D RETAINAGE BOND
PROVIDED
11 PURCHASING: PLEASE CHARGE TO: 001-1800-990-518-10-490 Proiect Code ft 267662-25060 . .... — ------
10. DOCUMENT/CONTRACT REVIEW INITIAL DATE REVIEWED INITIAL / DATE APPROVED
0 PROJECT MANAGER1. 1/ /
De&RECTOR
El RISK MANAGEMENT (IF APPLICABLE)
El LAW
11. COUNCIL APPROVAL (IF APPLICABLE) SCHEDULED CONMTTEE DATE: CONi[VUTTEE APPRovAL DATE:
SCHEDULED COUNCIL DATE: CouNcu, APPRovAL DATE:
411112 Q
I *ikLIIAI-sl
mg=►�
11 ATTACH: SIGNATURE AUTHORITY, INSURANCE CERTIFICATE, LICENSES, EXHIBITS
0 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.)
INITLAJ, / DATE SIGNED
0 LAW DEPARTMENT
x Sf t -.A- 1W. k�- *-' 1'cr' L - f -, `6�_i
El CITY CLERK
El ASSIGNED AG#
1/2020
CITY or
FOderat My
CITY HALL
33325 8th Avenue South
Federal Way, WA 98003-6325
(253) 835-7000
www atyoffederalway com
CARES ACT FUNDS BUSINESS SUPPORT GRANT AGREEMENT
WITH
POLEN PROPERTY SERVICES
This Grant Agreement ("Agreement") is made between the City of Federal Way, a Washington municipal
corporation ("City"), and Polen Property Services 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
I otice required under this Agreement:
POLEN PROPERTY SERVICES: CITY OF FEDERAL WAY:
Angelica Juarez
4104 SW 327TH PL
FEDERAL WAY, WA 98023
(206) 681-0015 (telephone)
Ade Ariwoola
33325 8th Ave. S.
Federal Way, WA 98003-63231
(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. CONDITIONS OF GRANT
2.1 Warranties. The Grantee warrants the following, which are pre -requisites for gralit' 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):
Was required by state or local order to close
Ej 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
CITY OF CITY HALL
33325 8th Avenue South
Federal Way Federal Way WA 98003-6325
(253) 835-7000
my w_ dtyoffe.derahyqv coo
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/I 00 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.
5. INDEMNIFICATIO13
5.1 Grantee IndenitiAcygon. The Grantee agrees to release indemnify, defend, and hold the City, its
elected officials, officers, employees, agents, representatives, insurers, attomeys, 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
perfonnance 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
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, 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 indemnificatifft,.
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.
4, CITY OF CI HALL
33325 8th Avenue South
Federal Way Federal Way, WA 98003-6325
(253) 835-7000
mvw cityoffederalway coo
5.3 City hidkina-- 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 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 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 arpt
such other provisions shall remain in full 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.
97-K%J W11-7Jrg VAVJ M I I UMM IVA RON@ FAL"r, I
M4
VT-".1L-,TrRT-LUiiig al I
recovery or award provided by law; provided, however, however nothing in this paragraph shall be construed to
limit the Parties' rights to indemnification under Section 5 of this Agreement.
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
CARES ACT BUSINESS GRANT AGREEMENT - 3 .
F�detal Afty
CITY OF
CFTY HALL
33325 3th Avenue South
Federal Way, WA 98003-6325
(353) 335-7000
we ar cityoffederalway corn
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 constitute one instrument, but in making proof hereof it shall only be necessary to producn.
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 y • acknowledgment pages. The iri• upon which the lastof all of Parties have executed g
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.
— 24ny
Iiz°t Ferrell, Mayor
ATE:
OL PROPERTY .YI"E:
y
Printed Name:
Title.
ATE: o? 't"ma—
CARES
•GRANT
7/25/2020 eServices
Services Business Lookup POLEN PROPERTY SERVICES
License Information:
New search Back to results
Entity name:
POLEN PROPERTY SERVICES LLC
Business name:
BOLEN PROPERTY SERVICES
Entity type:
Limited Liability Company
IJBI #:
604-263-680
Business ID:
001
Location ID:
0001
Location:
Active
Location address:
4104 SW 327TH PL
Jan -31-2021
FEDERAL WAY WA 98023-2651
Mailing address:
4104 SW 327TH PL
FEDERAL WAY WA 98023-2651
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
Burien General Business - Non-
Active
Jun -30-2021
Jun -16-2020
Resident
Federal Way Home Occupation
Active
Jan -31-2021
Jan -13-2020
Business
Kirkland General Business - Non-
Active
Jan -31-2021
Jan -12-2020
Resident
Newcastle Home Occupation
Active
Mar -31-2021
Apr -13-2018
Business
Governing People May include governing people not registered with Secretary of State
Governing people Title
JUAREZ, ANGELICA
PESSANHA, ALVARO
Registered Trade Names
Registered trade names Status
First issued
POLEN PROPERTY SERVICES Active
Apr -09-2018
The Business Lookup information is updated nightly. Search date and time: 7/25/2020 3:55:08 PM
Working together to fund Washington's future
https://secure.dor.wa.gov/gteunauth/_/#186 1/1