AG 20-258 - Green Pine Care ServiceRETURN 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 REQBY: ASAP
TYPE OF DOCUMENT (CHECK ONE):
1:1 CONTRACTOR SELECTION DOCUMENT (E.G., RFB, REP, REQ)
El PUBLIC WORKS CONTRACT El SMALL OR LIMITED PUBLIC WORKS CONTRACT
El PROFESSIONAL SERVICE AGREEMENT 0 MAINTENANCE AGREEMENT
1:1 GOODS AND SERVICE AGREEMENT 0 HUMAN SERVICES/ CDBG
1:1 REAL ESTATE DOCUMENT o SECURITY DOCUMENT (E.G. BOND RELATED DOCUMENTS)
El ORDINANCE 0 RESOLUTION
0 CONTRACT AMENDMENT (AG#)-. OINTERLOCAL
X OTHER CARES ACT FUNDS BUSINESS SUPPORT GRANT AGREEMENT
PROJECT E: CARES ACT GRANT— ROUND I
NAME OF CONTRACTOR: GREEN PINE CARE SERVICE INC.
ADDRESS: 4461 SW 313TH ST, FEDERAL WAY, WA, 98023 TELEPHONE: (253) 640-4778
E-MAIL: SHAN98233@GMAIL.COM
SIGNATURE NAME: HE HE TITLE: SEE ATTACHED
EXHIBITS AND ATTACHMENTS: 0 SCOPE, WORK OR SERVICES El COMPENSATION El INSURANCE REQUIREMENTS/CERTIFICATE 0 ALL
OTHER REFERENCED EXHIBITS E] PROOF OF AUTHORITY TO SIGN El REQUIRED LICENSES El PRIOR CONTRACT/AMENDMENTS
TERM: COMMENCEMENT DATE: SEE ATTACHED AGREEMENT COMPLETION DATR
TOTAL COMPENSATION$ (INCLUDE EXPENSES AND SALES TAX, IF ANY) ONE THOUSAND AND NO/100 ($1,000.00)
(IF CALCULATED ON OURLABOR CHARGE -ATTACH SCHEDULES OF EMPLOYEES TITLES AND HOLIDAY RATES)
REIMBURSABLE EXPENSE: El YES XNO IF YES, MAXIMUM DOLLAR AMOUNT: $
IS SALES TAX OWED DYES X NO IF YES, $ PAID Br. 0 CONTRACTOR 1:1 CITY
RETAINAGE: RETAINAGEAmoUNT: 113 RETAINAGE AGREEMENT (SEE CONTRACT) OR o RETAfNAGE BOND PROVIDE
0. DOCUMENT/CONTRACT REVIEW
0,PkOJECT MANAGER
dDIRECTOR
Ej RISK MANAGEMENT (IF APPLICABLE)
0 LAW
6wo LI) 9 1 V h, _Txft I RKM is to" a I It# I a mmi
60-2506�
INITIAL / DATE REVIEWED INITIAL/ DATE APPROVED
SCHEDULED COMMITTEE DATE: COMMITTEE APPROVAL DATE:
SCHEDULED COUNCIL DATE: COUNCIL APPROVAL DATE:
El SENT TO VENDOR/CONTRACTOR. DATE SENT: DATE C'D:
D ATTACH: SIGNATURE AUTHORITY, INSURANCE CERTIFICATE, LICENSES, EXHIBITS
El CREATE ELECTRONIC REMINDERINOTIFICATION FOR 1 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
• LAW DEPARTMENT SIGNED By LAW 07-28-20
• SIGNATORY (MAYOR OR DIRECTOR)
El CITY CLERK
0 ASSIGNED AG# AG#S01-1
1/2020
CITY HALL
33325 Sth Avenue South
Federal Way. WA 98003-6325
(253) 835-7000
www. cifyoffederalway. corn
CARES ACT FUNDS BUSINESS SUPPORT GRANT AGREEMENT
C
WITH
GV,EEN PINE CARE SERVICE INC.
This Grant Agreement ("Agreement") is made between the City of Federal Way, a Washington municipal
corporation ("City"), and Green Pine Care Service Inc., a Washington corporation ("Grantee"). The City and
Grantee (together "Parties") are located and it business at the below addresses which shall be valid for any
notice required under this Agreement:
ren., VVIIIINIMT I r RAL WAY:
Shan He
4461 SW 313TH ST
FEDERAL WAY, WA 98023
Ade Ariwoola
33325 8th Ave. S.
Federal Way, WA 98003-6325
(253) 835-2520 (telephone)
(253) 835-2509 (facsimile)
1 ade.ariwoola@cityoffederalway.com
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 CCIVID- 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):
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
Ej Experienced over 50% lost revenue
FL.2 Use of Funds: Grantee affirms that grant funds will be used for the following purposes:
CARES ACT BUSINESS GRANT AGREEMENT
CITY OF CITY HALL
33325 8th Avenue South
AN**
Federal Way Federal Way.. WA 98003-6325
(253) 835-7000
m,vw cityoffederalway cam
a) Mortgage or Rent
b) Personal Protection Equipment
c) Insurance
d) Utilities
e) Marketing
F) Payroll j
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
'Ric mlkw.4-�m i
• 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
/■
5.1 'Grantee Indemnification. 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 • 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 • 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 8th Avenue South
Federal Way, VVA 98003-6325
(253) 835-7000
wvvw cjtyoffederahvay com
5.3 Cily Judemnificati . 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 ten-nination.
6.1 erWtatiog 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 declarei
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 authorizei-
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 relinquishment of those covenants, agreements or options, and the same shall be and remain in full force and
effect. Failure or delay of the City to declare any breach or default immediately upon occurrence shall not waive
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 Washin9t on. If the Parties are unable to sedi
ttle ank:Lsfiulc- diffeo
rence r
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
urred in defen&*&or bringing such claim or lawsuit, including all ditinn t- -- other
recovery or award provided by law; provided, however, however nothing in this paragraph shall be construed to
limit the Patties' 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
A4! CITY OF
Federal VV�ky
CITY FALL
33335 Sth Avenue South
Federal Way, WA 98003-63255
(253) 835-7000
av cityoffederalway 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 document. All such counterparts shall be construed
together and shall constituteone but proof `f only be necessaryf i ff
one f " i.rt. The signature • f acknowledgment ire" from such counterpartsmay be assembled
together to formg- comprised "f i pages of this Agreement __
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.
CITY OF FEDERAL WAY:
�n errell, Ma r
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ATE:
GREEN E CARE SERVICEINC.:
By:
Printed N t
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Title: ow
ATE:
COMM\A XMsT4l w`r 11.1M yri"XIM1s,11M MIX61R4., 5=12s
CITY OF
Federal Way
C'enteired on Opportuni�y,
ME=
MAYOR'S OFFICE
33325 8th Avenue South
Federal Way_ WA 98003-6325
(253) 835-2400
www, cityoffederalway, cum
'Jim Ferrell, Mayor
Congratulations! Your application for the City of Federal Way's Small Business Assistance Grant (2-V/19)
has been approved for $1000.00.
Enclosed is a grant contract for your review and signature. Upon signature please place in enclosed
addressed envelope and return with postage to the City for processing. Upon receipt, the City will
process a check to your business.
Should you have any questions, contact the City of Federal Way's Small Business Assistance Grant
hotline at 253-835-2414.
We are committed to helping businesses like yours! Should you have any questions on business issues
or on the economy, please contact our Director of Economic Development, Tim Johnson at 253-835-
2412.
We're all in this together. Congratulations again.
Washirigton State Department of RevwlUe
Services Business Lookup GREEN PINE CARE SERVICE INC
License Information:
New search Back to results
Entity name: GREEN PINE CARE SERVICE INC.
Business name: GREEN PINE CARE SERVICE INC.
Entity type: Profit Corporation
UBI #: 602-999-962
Business ID: 001
Location ID: 0001
Location: Active
Location address: 4461 SW 313TH ST
FEDERAL WAY WA 98023-2146
Mailing address: 4461 SW 313TH ST
FEDERAL WAY WA 98023-2146
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 10 -101204 -00 -BL
Active Mar -31-2021 Apr -02-2010
Governing People May include governing people not registered with Secretary of State
Governing people Title
GREEN PINE CARE SERVICE
Registered Trade Names
Registered trade names Status
First issued
GREEN PINE CARE Active
Mar -15-2010
https:Hsecure.dor.wa.gov/gteunauth!_I#172 111