AG 20-225 - Evergreen Christian MontessoriRETURN TO: TIM JOHNSON
EXT: 2412
CITY OF FEDERAL WAY LAW DEPARTMENT ROUTING FORM
. ORIGINATING DEPT./DIV'. ECONOMIC DEVELOPMENT
ORIGINATING STAFF PERSON:,. TIM JOHNSON EXT:21412 3. DATE
TYPE OF DOCUMENT (CHECK ONE):
Ei CONTRACTOR SELECTION DOCUMENT (E.G., RFB, RFP, RFQ)
* PUBLIC WORKS CONTRACT El SMALL OR LTED PUBLIC WORKS CONTRACT
* PROFESSIONAL SERVICE AGREEMENT 0 MAINTENANCE AGREEMENT
El GOODS AND SERVICE AGREEMENT El HUMAN SERVICES / CDBG
1:1 REAL ESTATE DOCUMENT El SECURITY DOCUMENT (E.G. BOND RELATED DOCUMENTS)
Ei ORDINANCE El RESOLUTION
El CONTRACT AMENDMENT (AG#):_ El INTERLOCAL
X OTHER—CARES ACT FUNDS BUSINESS SUPPORT GRANT AGREEMENT ------
PROJECT NAME:_ CARES ACT GRANT— ROUNI)
NAME OF CONTRACTOR: EVERGREENC STIAN MONTESSORI
ADDRESS: 35507 6TH AVE SW, FEDERAL WAY, WA, 98023 TELEPHONE: (253) 942-7564
E-MAIL: ECM705@YAHOO.COM
SIGNATURE NAME: HORNER HORNER TITLE: SFEATTACHED
EXHIBITS AND ATTACHMENTS: El SCOPE, WORK OR SERVICES 0 COMPENSATION D INSURANCE REQUIREMENTS/CERTIFICATE El ALL
OTHER REFERENCED EXHIBITS L1 PROOF OF AUTHORITY TO SIGN El REQUIRED LICENSES El PRIOR CONTRACT/AMENDMENTS
TERM: COMMENCEMENT D. SEE ATTACHED AGREEMENT COMPLETIONDATE:
TOTAL COMPENSATION$ (INCLUDE EXPENSES AND SALES TAX, IF ANY) ONE THOUSAND AND NO/100 ($1 100 00)
(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 F-1 YES X NO IF YES, $_ PAID BY: El CONTRACTOR El CITY
RETAINAGE: RETAINAGE AMOUNT: 11 RETAINAGE AGREEMENT (SEE CONTRACT) OR Ei RETAINAGE BOND PROVIDE
El PURCHASING: PLEASE CHARGE TO: 1- 1800-990-5 L
�-10_490 Pr
_'��Cqde # 267662-25060
0. DOCUMENT/CONTRACT REVIEW INITIAL / DATE REVIEWED INITIAL1 DATE APPROVED
0 P90JECT MANAGER
IZ,biRECTOR C)
El RISK MANAGEMENT (IF APPLICABLE)
El LAW
1. COUNCIL AIPPROVAL (IF APPLICABLE) SCHEDULED COMMITTEE DATE: COMMITTEE APPROVAL DATE:
SCHEDULED COUNCIL DATE: COUNCIL APPROVAL DATE -
El SENT TO VENDOR/CONTRACTOR DATE SENT: DATE-REC'D:
0 ATTACH: SIGNATURE AUTHORITY, INSURANCE CERTIFICATE, LICENSES, EXHIBITS
11 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 SIG
El LAW DEPARTMENT _SIGNED BYLAwO7-28-20
* SIGNATORY (MAYOR OR DIRECTOR)
* CITY CLERK
* ASSIGNED AG# AG
'OMMENTS:
. . . ......... . .. - - ----- . . ........ . .
1/2020
This Grant Agreement ("Agreemenf') is made between the City of Federal Way, a Washington municipal
corporation ("City"), and Evergreen Christian Montessori, a Washington corporation ("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:
I oil of an 9 5151 il' liill i 1 i 1 :ii�i � 11! 11 1 1 111 r►
Jenny Homer
35507 6TH AVE SW, FEDERAL WAY, WA 98023
Mailing address:
9602 S Tacoma Way #13, Lakewood, WA 98499
IM I
ecm705@yahoo.com
(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
,iescribed 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 funding made available as a response
to the COVID- 19 pandemic
e) Grantee's business employees no more than the equivalent of ten (10) RAI -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
1i) Due to COVID-1 , Grantee business (check all that apply):
E] Was required by state or local order to close
k, 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
MY OF CITY HALL
33325 Sth Avenue South
Federal Way WA 98003-6325
Federal Way (253) 835-7000
www a1yoffederalway coin
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 One Thousand and NO/100 Dollars ($1,000.00).
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.
5.1 Grah� lhdg)�� . 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 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
Grantee and the Ci" the Grantee's liabilitp 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 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.
OTY OF
,S�*o
A
, Federal Way
CITY HALL
33325 8th Avenue South
Federal Way, WA 98003-6325
(253) 835-7000
wvnv cityoffederalway, coin
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 produce
one such counterpart. The signature and acknowledgment pages from such counterparts may be assembled
together to form a_ instrument comprised of all pages of this Agreement and a complete set of all
siShia ture 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 execution7 hereof.
IN WITNESS, the Parties execute this Agreement below, effective the last date written below.
WHWO320"
J.
i Treli, Mayor
DATE:
=1
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RM
7/25/2020
eServices
Wa,shington State Department of Revenue
Services Business Lookup EVERGREEN CHRISTIAN MONTESSOR
License Information:
New search Back to results
Entity name:
EVERGREEN CM INC
Business name:
EVERGREEN CHRISTIAN MONTESSORI
Entity type:
R—rAnt prricin
UBI #:
603-336-692
Business ID:
001
Location ID:
0001
Location:
Active
Location address:
35507 6TH AVE SW
FEDERAL WAY WA 98023-8110
Mailing address:
9602 SOUTH TACOMA WAY STE B
LAKEWOOD WA 98499-4454
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 Home Occupation 01 -100820 -00 -BL Active Sep -30-2020 Jun -15-2001
Business
Governing People May Include governing people not registered with Secretary of State
Governing people Title
HORNER, JENNY
Registered Trade Names
Registered trade names Status First issued
EVERGREEN CHRISTIAN MONTESSORI Active Sep -30-2013
The Business Lookup information is updated nightly. Search date and time: 7/25/2020 12:25:09 PM
https://secure.dor.wa.gov/gteunauth/—,/#40 1/1