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AG 20-300 - Ivy's Hair SalonRETURN TO: TIM JOHNSON EXT: 2412 CITY OF FEDERAL WAY LAW DEPARTMENT ROUTING FORM . ORIGINATING DEPT,/DIV. ECQNOMIC DEVELOEMENT__,____ . ORIGINATING STAFF PERSON: TIM JOHNSON EXT: 2412 3. DATE REQ. BY.—, ASAP___....1 TYPE OF DOCUMENT (CHECK ONE): El CONTRACTOR SELECTION DOCUMENT (E.G., RTB, RFP, RFQ) El PUBLIC WORKS CONTRACT 0 SMALL OR LIMITED PUBLIC WORKS CONTRACT 11 PROFESSIONAL SERVICE AGREEMENT o MAINTENANCE AGREEMENT El GOODS AND SERVICE AGREEMENT El HUMAN SERVICES/ CDBG El REAL ESTATE DOCUMENT 0 SECURITY DOCUMENT (E.G. BOND RELATED DOCUMENTS) El ORDINANCE Ei RESOLUTION * CONTRACTA NT (AG#):_ Ei INTERLOCAL * OTHERnvy CARES ACT FUNDS BUSINESS SUPPORT GRANT AGREEMENT PROJECT NAME: CARES ACT GRANT — ROUND I NAME OF CONTRACTOR: IVY'S HAIR SALON ADDRESS: 33612 21 STAVE SW, FEDERAL WAY, WA, 98023 TELEPHONE: (253) 380-8396 E-MAIL: KM4MILLS —561@HOTMAIL.COM SIGNATURE NAME: MILLS MILLS TITLE: SEE ACHED EXHIBITS AND ATTACHMENTS: El SCOPE, WORK OR SERVICES El COMPENSATION El INSURANCE REQUIREMENTS/CERTIFICATE 0 ALL OTHER REFERENCED EXHIBITS 11 PROOF OF AUTHORITY TO SIGN 11 REQUIRED LICENSES 0 PRIOR CONTRACT/AMENDMENTS COMMENCEMENT DATE: SEE ATTACHED AGREEMENT 'COMPLETION DATEI TOTAL COMPENSATION$ (INCLUDE EXPENSES AND SALES TAX, IF ANY) ONE THOUSAND AND NO1100 ($ 1,000�00) (IF CALCULATED ON HOURLY LABOR CHARGE - ATTACH SCHEDULES OF EMPLOYEES TITLES AND HOLIDAY RATES) REIMBURSABLE EXPENSE: 1:1 YES X NO IF YES, MAXIMUM DOLLAR AMOUNT: IS SALES TAX OWED El YES X NO IF YES, $_ PAID BY: El CONTRACTOR 11 CITY RETAINAGE: RETAINAGEAmoUNT: El RETAINAGE AGREEMENT (SEE CONTRACT) OR El RETAfNAGE BOND PROVIDE ED PURCHASING: PLEASE CHARGE TO: 001-1800-990-518-10-490 Project Code #267662-25060 0. DOCUMENT/CONTRACT REVIEW INITIAL / DATE REVIEWED INITIAL1 DATE APPROVED El PROJECT MANAGER aB41'RECTOR El RISKMANAGEMENT (IF APPLICABLE) El LAW 1. COUNCIL APPROVAL (IF APPLICABLE) SCHEDULED COMMITTEE DATE: COMMITTEE APPROVAL DATE: SCHEDULED COUNCIL DATE: COUNCIL APPROVAL DATE: El SENT TO VENDOR/CONTRACTOR DATE SENT: DATE REC`D: El ATTACH: SIGNATURE AUTHORITY, INSURANCE CERTIFICATE, LICENSES, EXHIBITS El CREATE ELECTRONIC REMI NDER/NCTIFICATION 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 0 SIGNATORY (MAYOR OR DIRECTOR) 1:1 CITY CLERK — a wf _0 0 ASSIGNED AG# AG# 2 - M 1/2020 This Grant Agreement ("Agreement") is made between the City of Federal Way, a Washington municipal corporation ("Cityand Ivy's Hair Salon, a sole proprietor ("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: Kim Mills 33612 21" Ave SW, Federal Way, WA 98023 Mailing address: 3508 42 d Ave NE, Tacoma, WA 98422 1 '11141 m I I &-mbin IL%pd I [ij I I I ra I 1, DO V ILT&O a of 0113 31 14AR Ade Ariwoola 33325 8th Federal Way, WA 98003-6325 (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 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 ffWas forced to lay off employees due to reduced patronage Incurred over $1,000 in COVID-19 related expenses Experienced 10-50% lost revenue Experienced over 50% lost revenue CITY OF CITY HALL 33325 8th Avenue South Federal Way Federal Way, WA 98003-6325 (253) 835-7000 www otvoffederalway corn a) Mortgage or Rent b) Personal Protection Equipment c) Insurance d) Utilities e) Marketing F) Payroll Grantee agrees to retain receipts documenting use of grant funds and will provide them to the City or its designee upon request. 3. TERMINATION. Should any of the conditions described in section 2.1, above, not be met, the City may recover all disbursed grant funds and terminate this agreement. 4.1 Amount. In order to promote healthy economic activity in the City and in response to the losses L* Grantee ha�l illm not to exceed One Thousand and NO/I 00 Dollars ($ 1,000.00). 4.2 Non-Appro riation of Funds. If sufficient fands 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. 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 I ny and all claims, demands, actions, suits, causes of action, arbitrations, mediations, proceedings, judgments, Xwards, 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 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 solell[ for the yur -?,oses of this indemnification. Grantee's indemnification shall not be limited in any-wou?, 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. 3� �_,, r_ �1_ �11 - .11 �2,1 �16 CVfY OF 176dera I V «..ay CITY HALL 33325 Sth Avenue South Federal Way.. WA 98003-6325 (253) 835-7000 www cilyoffederalway corn 5.3 'Cify . 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 A It.,1 11, MY M LIN 6.1 hl��aftd 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 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 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 Fbderal V"y CITY HALL 33325 Sth Avenue South Federal Way, WA 98003-6325 (253)83 -7000 vvyw otyoffederalway cora togetherAgreement 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 and shall constitute• _ instrument,but . r proof . _• 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 . be the "dateof . execution" .'`•;.. IN WITNESS, the Parties execute this Agreement below, effective the last date written below. ATE: IVY'S HAIR SIAOLON: s� „r By: ,r . Printed Name: l L 011 of Title: ATE: " ' CITY OF P6dera I My Centered on Opportunity I MAYOR'S OFFICE 33325 8th Avenue South Federal Way, WA 98003-6325 (253) 835-2400 www cityoffederalway.cora 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 Granj hotline at 253-835-2414. 'ITe 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. Best Wishes! ZI Aim Ferrell Mayor 7/25/2020 eServices New search Back to results Status Expiration date First issuance Active Dec -31-2024 Feb -24-2006 ILLS, KIM KHANH NGOC Registered Trade Names Registered trade names Status First issued IVY'S HAIR SALON Active Apr -20-2013 View Additional Locations The Business Lookup information is updated nightly. Search date and time: 7/25/2020 1:44:53 PM https://secure.dor.wa.gov/gteunauth/-,/#311 1/1 License Information: Entity name: MILLS, KIM KHANH NGOC Business name: IVY'S HAIR SALON Entity e: Sole Proprietor I : 602-567-536 Business ID: 001 Location ID: 0002 Location: Active Location address: 33612 21 ST AVE SW FEDERAL WAY WA 98023-7761 Mailing dress: 3508 42ND AVE NE TACOMA WA 98422-4713 Excise tax and reseller permitstatus: Click here Endorsements Endorsements held at this location License # Count Details Federal Way General Business 06 -100242 -00 -BL Governing People mayinclude governing people not registered With secretary orstate Governing people Title New search Back to results Status Expiration date First issuance Active Dec -31-2024 Feb -24-2006 ILLS, KIM KHANH NGOC Registered Trade Names Registered trade names Status First issued IVY'S HAIR SALON Active Apr -20-2013 View Additional Locations The Business Lookup information is updated nightly. Search date and time: 7/25/2020 1:44:53 PM https://secure.dor.wa.gov/gteunauth/-,/#311 1/1