AG 20-249 - Arco AM PMRETURN TO: TIM JOHNSON EXT: 2412
CITY OF FEDERAL WAY LAW DEPARTMENT ROUTING FORM
ORIGINATING DEPT./DIV. ECONOMIC DEVELOPMENT
ORIGINATING STAFF PERSON: TIM JOHNSON EXT: 2412 3. DATE Q. BY- ASAP
TYPE OF DOCUMENT (CHECK ONE):
11 CONTRACTOR SELECTION DOCUMENT (E.G., RFB, REP, RFQ)
El PUBLIC WORKS CONTRACT 0 SMALL OR LEMITED PUBLIC WORKS CONTRACT
El PROFESSIONAL SERVICE AGREEMENT 11 MAINTENANCE AGREEMENT
El GOODS AND SERVICE AGREEMENT El HUMAN SERVICES / CDBG
11 REAL ESTATE DOCUMENT El SECURITY DOCUMENT (E.G. BOND RELATED DOCUMENTS)
El ORDINANCE D RESOLUTION
* CONTRACT AMENDMENT (AG): El INTERLOCAL
* OTHER CARES ACT FUNDS BUSINESS SUPPORT GRANT AGREEMENT
PROJECT NAME: CARES ACT GRANT — ROUND I
NAME OF CONTRACTOR: ARCO AM PM
ADDRESS: 31855 PACIFIC HWY S, FEDERAL WAY, WA, 98003 TELEPHONE: (206) 618-1270
E-MAIL: USAOILLLC@GMAIL.COM
SIGNATURE NAME: PARMINDER TITLE: SEE ATTACHED
EXHIBITS AND ATTACHMENTS: 0 SCOPE, WORK OR SERVICES El COMPENSATION 11 INSURANCE REQUIREMENTS/CERTIFICATE D ALL
OTHER REFERENCED EXHIBITS El PROOF OF AUTHORITY TO SIGN 0 REQUIRED LICENSES El PRIOR CONTRACT/AMENDMENTS
. TER M:COMMENCEME1-T DATE: SEE ATTACHED AGREEMENT- COMP -L
TOTAL COMPENSATION$ (INCLUDE EXPENSES AND SALES TAX, IF ANY) Two THOUSAND AND NO/I 00 ($2,000.00)
(IF CALCULATED ON HOURLY LABOR CHARGE - ATTACH SCHEDULES OF EMPLOYEES TITLES AND HOLIDAY RATES)
REIMBURSABLE EXPENSE: D YES X NO IF YES, MAXIMUM DOLLAR AMOUNT:
IS SALES TAX OWED DYES X NO IF YES, PAID BY: El CONTRACTOR 0 CITY
RETAINAGE: RETAINAGEAmOUNT: L1 RETAINAGE AGREEMENT (SEE CONTRACT) OR El RETAINIAGE BOND PROVIDE
El PURCHASING: PLEASE CHARGE TO:001-1800-990-518-10-490 ProiedCode 4 267662�25OW
INITIAL/ DATE REVIEWED
0 OJECTMANAak
I ktelbk
El RISK MANAGEMENT (IF APPLICABLE)
El LAW
INITIAL / DATE APPROVED
1. COUNCIL APPROVAL (IF APPLICABLE) SCHEDULED COMMITTEE DATE: COMMITTEE APPROVAL DATE:
SCHEDULED COUNCIL DATE: COUNCIL APPROVAL DATE:
0 SENT TO VENDOR/CONTRACTOR DATE SENT: DATE REC'D:-
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 LAW 07-28-20
[I SIGNATORY (MAYOR OR DIRECTOR)
0 CITY CLERK
11 ASSIGNED AG# AG#
rslmpff�
1/2020
4! CITY OF
Federal Way
CITY HALL
33325 Sth Avenue South
Fede rai Way, WA 98003-6325
(253) 835-7000
www rifyoffederaft ay com
U�VUA �AMYVN IT —A_G1'U'rMUMTT1
WITH
ARCO AM PM
This Grant Agreement ("Agreemenf') is made between the City of Federal Way, a Washington municipal
corporation ("City"), and Arco AM PM, 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:
M-1XIM-31M
Athwal Parminder
31855 PACIFIC HWY S, Federal Way, WA
Mailing address:
3002 NE Sunset Blvd, Renton, WA 98056
usaoilllc@gmail.com
Ade Ariw{ola
33325 8th Ave. S.
Federal Way, WA 98003-6325
(253) 835-2520 (telephone)
(253) 835-2509 (facsimile)
lde4e,
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 A 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 defmed by the Internal Revenue
Service
h) Due to COVID- 19, Grantee business (check all that apply):
E] Was required by state or local order to close
E] 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 500% lost revenue
I# #Tz ns i on, 11110!! 1
CARES ACT BUSINESS GRANT AGREEMENT
CITY OF CFY HALL
1" 33325 Sth Avenue South
Federal Way FederaWay, WA 98003-6325
(253) 835-7000
M,VW cityOffedera/way 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
W 70V
not to exceed Two Thousand and NO/100 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.
5.1 Grantee Inderriniffeation. 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
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
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.
C1TV ov�
R��deral XA4ky
CITY HALL
33325 8th Avenue South
Federal Way, WA 98003-6325
(253) 835-7000
wwwatyoffederalwaycoo
5.3 Cily hidOntufkatioh. 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.
Is It I I 1I I
6.1 lht=et",on and Modification. 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 fall 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.
6.3 Execution. Each individual executing this Agreement on behalf of the City and Grantee
represents and warrants that such individual is 1uly authorized to execute and deliver this Agreement. This
CITY OF
176deral
Mkil
CrrY !-TALL
33325 Sth Avenue South
Federal Way, WA 8003-61325
(253) 535-7000
au ciryoffederatway com
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.
IN WITNESS, the Parties execute this Agreement below, effective the last date written below.
Jim il, ayor
ATE:
By: — 2/zm� /�,,hto
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Title. Oa�� �
DATE:
7/25/2020 eServices
Services Business Lookup ARCO AM PM
License Information:
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Entity name: GOODHILL FOOD MART, LLC
Business name: ARCO AM PM
Entity type: Limited Liability Company
UBI #: 602-273-040
Business ID: 001
Location ID: 0004
Location: Active
Location address: 31855 PACIFIC HWY S
FEDERAL WAY WA 98003-5409
Mailing address: 3002 NE SUNSET BLVD
RENTON WA 98056-3102
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
Cigarette Retailer
Active
Feb -28-2021
Aug -30-2017
Direct Shipment Receiver- In WA 71351
Active
Feb -28-2021
Aug -28-2017
Only
Federal Way General Business 18 -100179 -00 -BL
Active
Feb -28-2021
Jan -26-2018
Grocery Store BeenoVine 71351
Active
Feb -28-2021
Aug -28-2017
Liquid Fuel Meter - Low 24
Active
Feb -28-20211
Aug -24-2017
Lottery Retailer 279690
Active
May -02-2017
Tobacco Retailer - No Fee
Active
Feb -28-20211
Aug -30-20117
Vapor Product Retailer
Active
Feb -28-2021
May -02-2017
Governing People May Include governing people not registered with secretary of State
Governing people Title
ATHWAL, PARMINDER
DHANDA, PARWINDER S
Registered Trade Names
Registered trade names Status First issued
ARCO AM PM Active Sep -01-20117
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