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AG 20-520 - Woodmont ChiropracticEXT: 2412 CITY OF FEDERAL WAY LAW DEPARTMENT ROUTING FORM ORIGINATING DEPT./DIV. ECONOMIC DEVELOPMENT ORIGINATING STAFF PERSON' TIT m JOHNSON EXT: 2412a 3. DATE REQ. BY: ASAP TYPE OF DOCUMENT (CHECK ONE): 0 CONTRACTOR SELECTION DOCUMENT (E.G., RTB, REP, RFQ) 1:1 PUBLIC WORKS CONTRACT 0 SMALL OR LE\4ITED PUBLIC WORKS CONTRACT El PROFESSIONAL SERVICE AGREEMENT El MAINTENANCE AGREEMENT 0 GOODS AND SERVICE AGREEMENT El HUMAN SERVICES/ CDG 13 REAL ESTATE DOCUMENT 0 SECURITY DOCUMENT (E.G. BOND RELATED DOCUMENTS) 0 ORDINANCE El RESOLUTION El CONTRACT AMENDMENT (AG#) _ El INTERLOCAL X OTHER CARES ACT FUND,; 131,1SINESS SUPPORT GRANT AGREEMFNT PROJECT NAME: CARES ACT GRANT — ROUNDI NAME OF CONTRACTOR: WOODMONT CHIROPRACTIC - DOUGLAS H PEFFER DC ADDRESS: 333091ST WAY S,FEDERALWAY, WA, O TELEPHONE.- (253) 941-3088 E-MAIL: PEFFERDC@YAHOO.COM SIGNATURE NAME: PEFFER PEFFER TITLE: SEEATTACHED EXHIBITS AND ATTACHMENTS: El SCOPE, WORK OR SERVICES El COMPENSATION El INSURANCE REQUIREMENTS/CERTIFICATE 0 ALL OTHER REFERENCED EXHIBITS 0 PROOF OF AUTHORITY TO SIGN El REQUIRED LICENSES El PRIOR CONTRACT/AMENDMENTS TERM: COMMENCEMENT DATE: �EEATTAqgm AgmEr _— COMPLETION DATE: TOTAL COMPENSATION$ (INCLUDE EXPENSES AND SALES TAJ-� IF ANY) ONE THOUSAND AND NOII 00 ($ 1 1000 00) (IF CALCULATED ON HOURLY LABOR CHARGE - ATTACH SCHEDULES OF EMPLOYEES TITLES AND HOLIDAY RATES) REIMBURSABLE EXPENSE: El YES XNO IF YES, MAXIMUM DOLLAR A -MOUNT: $ IS SALES TAX OWED El YES X NO IF YES, PAID BY. 0 CONTRACTOR 0 CITY RETAINAGE: RETAWAGE AMOUNT: - --E] RETAINAGE AGREEMENT (SEE CONTRACT) OR o RETAINAGE BOND PROVIDE 0 PURCHASING: PLEASE CHARGE TO: 001-1800-990j1 Prqject Code# 267662-2L5060 0. DOCUMENT/CONTRACT REVIEW 11 PROJECT MANAGER El DIRECTOR El R-ISKMANAGEMENT (IF APPLICABLE) El LAW I R"N911FAM , SCHEDULED COMMITTEE DATE: SCHEDULED COUNCIL DATE: Hail -MMM, V COMMITTEE APPROVAL DATE: COUNCIL APPROVAL DATE: E] SENT TO VENDOR/CONT RACTOR DATE SENT: DATE RECD:— 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 El LAW DEPARTMENT SIGNED BY LASN07-28-20 IX SIGNATORY (MAYOR OR DIRECTOR) Yj 91 X CITY CLERK 19*V V ASSIGNED AG# 'OMMENTS: 1/2020 C4TY OF Fbdjeral Vft CITY HALL 33325 Sth Avenue South Federal Way, WA 98003-6325 (253) 835-7000 www cityoffederalway com CARIES ACT FUNDS BUSINESS SUPPORT GRANT AGREEMENT WITH WOODMONT CHIROPRACTIC - DOUGLAS H PEFFER DC This Grant Agreement ("Agreement") is made between the City of Federal Way, a Washington municipal corporation ("Cityand Woodmont Chiropractic - Douglas H Peffer DC, a sole proprietor ("Grantee"). The City and Grantee (together "Parties") are located and is business at the below addresses which shall be valid for any notice required under this Agreement: WOODMONT CHIROPRACTIC - DOUGLAS H CITY OF FEDERAL WAY: PEFFER DC: iWouglas Peffer 33309 1 ST WAY S FEDERAL WAY, WA 98003 T�e N -ties tt - Ade Ariwoola 33325 8th Ave. S. Federal Way, WA 98003-6325 3) 835-2520 (telephone) k (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 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 pandernic 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 E] Was forced to lay off employees due to reduced patronage E] Incurred over $1,000 in COVID-19 related expenses Experienced 10-50% lost revenue Experienced over 50% lost revenue CiTy OF CITY HALL 33325 8th Avenue South Federal Way Federal Way WA 98003-6325 (253) 835-7000 www cityoffedef a4vqy com a) Mortgage or Rent Equipment c') Insurance d) Utilities e) Marketing F) Payroll Grantee agrees to 'retain receipts documenting use of grant Rinds and will provide them to the City or its designee upon request. 3. TERMINATION. Should any of the conditions described in section 2.1, above, not be met, the City may recover all disbursed grant funds and terminate this agreement. 4.1 Amount. In order to promote healthy economic activity in the City and in response to the losses Grantee has incurred due to the COVID- 19 pandemic, the City shall provide a grant to the Grantee in an amount riot to exceed One Thousand and NO/1 00 Dollars ($ 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 agreement. 90=99N�� 5.1 ��nd:emni cation. 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 lifitS �in Ltersons or entities, including without limitation. their res(tective �s, 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 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 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 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. CITY HALL 33325 Sth Avenue South Federal Way., VIA 98003-6325 (253) 835-7000 mm cityoffederah-vay com 5.3 Cit_y Indemnification. 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 exten) 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. 3 a - - I �- I OUR - 6.1 lfttqMt��t� and Mqtlificati . 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 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. 6.2 Enforcement. Any notices required to be given by the Parties shall be delivered at the addresses set forth at the beginning of this Agreement. Any notices may be delivered personally to the addressee of the notice or may be deposited in the United States mail, postage prepaid, to the address set forth above. Any notice so posted in the United States mail shall be deemed received three (3) days after the date of mailing. Any remedies provided for under the terms of this Agreement are not intended to be exclusive, but shall be cumulative with all other remedies available to the City at law, in equity or by statute. The failure of the City to insist upon strict performance of any of the covenants and agreements contained in this Agreement, or to exercise any,option conferred by this Agreement in one or more instances shall not be construed to be a waiver or relinwishment of those covenants, a eements or oitions, and the same shall be and remain in fall force and -M1 notTfaive- UL. rRTYLrT-A-YTAMaj'1T Me k-iti, 74) Tociatc TTjMFUQV�117 MWLIL 11 eiii C R311 OCUTIT011=1 such breach or default. Failure of the City to declare one breach or default does not act as a waiver of the City's right to declare another breach or default. This Agreement shall be made in, governed by, and interpreted in accordance with the laws of the State of Washington. If the Parties are unable to settle any dispute, difference or claim arising from this Agreement, the exclusive means of resolving that dispute, difference, or claim, shall be by filing suit under the venue, rules and jurisdiction of the King County Superior Court, King County, Washington, unless the parties agree in writing to an alternative process. If the King County Superior Court does not have jurisdiction over such a suit, then suit may be filed in any other appropriate court in King County, Washington. Each party consents to the personal jurisdiction of the state and federal courts in King County, Washington and waives any objection that such courts are an inconvenient forum. If either Party brings any claim or lawsuit arising from this Agreement, each Party shall pay all its legal costs and attorney's fees and expenses incurred in defending or bringing such claim or lawsuit, including all appeals, in addition to any other 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 WAX elly Of V6dera,&,� 1 V�oy CITY HALL 33325 3th Avenue South Federal Way, WA 98003-6325 (253) 335-7000 www cityof ederalway corm Pigreement 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 produce 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 a counterpart of this Agreement shall be the "date of mutual execution" hereof EN WITNESS, the Parties execute Agreement below,effective . date writtenbelow. im Ferrell, Mayor DATE: ='ON HlROP C. ICL, g A EFFE C: r By: Printed Name: t l� Age r Title: 4 Me, ATE: 7/25/2020 eServices Washington State Department of ReveiWe Services Business Lookup WOODMONT CHIROPRACTIC - DOUGLAS 1-1 PEFFER DC License Information: New search Back to results Entity name: PEFFER, DOUGLAS HAROLD Business name: WOODMONT CHIROPRACTIC - DOUGLAS H PEFFER DC Entity type: Sole Proprietor UBI #: 600-644-941 Business ID: 001 Location ID: 0002 Location: Active Location address: 33309 1 ST WAY S ST E A101 FEDERAL WAY WA 98003-6260 Mailing address: 33309 1ST WAYS STE A101 FEDERAL WAY WA 98003-6260 Excise tax and reseller permit status: Click here Endorsements Endorsements held at this location License # Count Details Status Expiration date First issuanCE Federal Way General Business 10 -101073 -00 -BL Active Nov -30-2020 Apr -09®2010 Governing People May Include governing people not registered with Secretary of State Governing people Title PEFFER, DOUGLAS HAROLD Registered Trade Names Registered trade names Status First issued WOODMONT CHIROPRACTIC CENTER Active Nov -17-1986 View Additional Locations The Business Lookup information is updated nightly. Search date and time: 7/25/2020 5:38:39 PM hftps:Hsecure.dor.wa.gov/gteunauth/—/#582