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AG 20-301 - J Townsend Designi: TIM JOHNSON EXT: 2412 CITY OF FEDERAL WAY LAW DEPARTMENT ROUTING FORM 0 PUBLIC WORKS CONTRACT 0 SMALL OR LIMITED PUBLIC WORKS CONTRACT El PROFESSIONAL SERVICE AGREEMENT 0 MAINTENANCE AGREEMENT 0 GOODS AND SERVICE AGREEMENT 0 HUMAN SERVICES / CDBG El REAL ESTATE DOCUMENT D SECURITY DOCUMENT (E.G. BOND RELATED DOCUMENTS) El ORDINANCE 0 RESOLUTION El CONTRACT AMENDMENT (AG#): DINTERLOCAL . PROJECT NAME: CARES ACT GRANT - ROUND I NAME OF CONTRACTOR: JTOWNSENDDESIGN ADDRESS: 2634 SW 343RD ST, FEDERAL WAY, WA, 98023 TELEPHONE: (206) 751-2198 E-MAIL: JENNIFER@JTOWNSENDDESIGN.COM SIGNATURE, NAME: TO SEND TO SEND TITLE: SEE ATTACHED EXHIBITS AND ATTACHMENTS: D SCOPE, WORK OR SERVICES El COMPENSATION 0 INSURANCE REQUIREMENTS/CFRTIFICATE L1 Alm OTHER REFERENCED EXHIBITS 0 PROOF OF AUTHORITY TO SIGN El REQUIRED LICENSES 0 PRIOR CONTRACT/AINIENDMENTS 0 I TERM: COMMENCEMENT D. SEE ATTACHED AGREEMENT I- COMPLETION TOTAL COMPENSATION$ (INCLUDE EXPENSES AND SALES TAX, IF ANY) ONE THOUSAND AND NO/I 00 ($1,000.00) (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 El YES X NO IF YES, $ PAID BY: El CONTRACTOR 11 CITY RETAINAGE: RETAINAGE AMOUNT: ❑ RETAINAGE AGREEMENT (SEE CONTRACT) OR Ei RETAINAGE BOND PROVIDE El PURCHASING: PLEASE CHARGETO: 001-1800-990-518-10490 Pi:qjgqtCo4!j#Z)7662-25060 0. DOCUMENT/CONTRACT REVIEW 11 PROJECT MANAGER [RECTOR • RISKMANAGE MENT (IF APPLICABLE) • LAW I w4wage I W.1 V w ggmj��� 11121##r.AwAy1.11V= SCHEDULED COMMITTEE DATE: SCHEDULED COUNCIL DATE: INITIAL DATE APPROVED COMMITTEE APPROVAL DATL COUNCIL APPROVAL DATE: El SENT TO VENDOR/CONT RACTOR DATE SENT: DATE REC'D:- 11 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 0 ❑ SIGNATORY (MAYOR OR DIRECTOR) • CITY CLERK • ASSIGNED AG# AG# 1/2020 Jennifer Townsend 2634 SW 343RD ST FEDERAL WAY, WA 98023 (206) 751-2198 (telephone) • Ade Ariwoola 33325 8th Federal Way, WA 98003-6325 (253) 835-2520 (telephone) (253) 835-2509 (facsimile) ade.ariwoola@cityoffederalway.com 1. TERM. This agreement contemplates a one-time grant of funds to the Grantee under the conditions described herein. 2.1 W�O�ie& The Grahb* warrants the following, which are pre -requisites f4r grant efigibil4: Grantee OPerges a business physically locaW �wiithul the pbliticAl boundaries of the City of Fe&ral 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 equiV910ht of ten (10) full-time employees (20,800 man-hours total for all employees per yeaf) 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, Gtautee business (check all that apply): ,K Was roored by state or local order to close El Was forced to lay off 0�� due to reduced patronage 29 Incurred over $ 1,000 in COVID- 19 related O"euses F] Experienced 10-50%-169t revenue 15 Experienced over 50%lost revenue k-2 Use of Funds: Grantee affirms that grant funds will be used for the following purposes: CARES ACT BUSINESS GRANT AGREEMENT Grantee agrees to retain receipts documenting use of grant funds and will provide them to the City or its designee upon request. 3. 1UNINAILON. 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. GRANTAMOUNT. 1MV, e 11Y stiall provide a grant the Grantee in an amount not to exceed One Thousand and NOL/I 00 Dollars ($1,Q00.00. 4.2 Nbn-•miation of suffitieftt funds are not appropriated or allocated fik payment under this Agreement fbr any fi§0 P0000� the City will not be obligated to make payrnents" On fins agreement. K# W-1 t W "I I we] Err, ro CARES ACT BUSINESS GRANT AGREEMENT -2- 1141 CITY OF CITY HALL 33325 8th Avenue South Federal Way FederW Way, WA 98003-6325 (253) 835-7000 mvw circ ffederalway corn i m CARES ACT BUSINESS GRANT AGREEMENT -4- 4 7/25/2020 eServices Services Business Lookup J TOWNSEND DESIGN License Information: Entity name: TOWNSEND, JENNIFER A Business name: J TOWNSEND DESIGN Entity type: Sole Proprietor UI #: 604-604-060 Business ID: 001 Location ID: 0001 Location: Active Location address: 2634 SW 343RD ST OFC FEDERAL WAY WA 98023-7600 Mailing address: 2634 SW 343RD ST OFC FEDERAL WAY WA 98023-7600 Excise tax and reseller permit status: Click here Endorsements Endorsements held at this location License A Count Details Clyde Hill General Business - Non - Resident Federal Way Home Occupation Business Maple Valley General Business - Non -Resident Mercer Island General Business - 200369 Non -Resident Governing People May include governing people not registered with Secretary of State Governing people Title TOWNSEND, JENNIFER A Registered Trade Names Registered trade names Status New search Back to results Status Expiration date Active Apr -30-2021 Active Apr -30-2021 Active Apr -30-2021 Active Apr -30-2021 J TOWNSEND DESIGN Active The Business Lookup information is updated nightly. Search date and time: 7/25/2020 1:45:28 PM First issuance Apr -30-2020 Apr -23-2020 Apr -28-2020 Apr -17-2020 Apr -17-2020 https://secure.dor.wa.gov/gteunauth/­/#314 1/1 8/13/2020 Washin,gton State Detoarb-nent of Revenue Services Business Lookup TOWNSEND, JENNIFER A Tax Information New search Back to results Entity name: TOWNSEND, JENNIFER A Entity type: Sole Proprietor DBA name: J TOWNSEND DESIGN Excise tax account ID 604-604-060 UBI #: 604-604-060 Opened: April 20,2020 Closed: Mailing address., 2634 SW 343RD ST OFC FEDERAL WAY WA 98023-7600 NAICS: 442299 - All Other Home Furnishings Stores Reseller Permit(s) Filter Reseller permit # Status Effective date Expiration date A55827922 Active Apr -17-2020 Apr -16-2022 Business License Locations Filter Business name License account ID # Location address J TOWNSEND DESIGN 604604060-001-0001 2634 SW 343RD ST OFC FEDERAL WAY WA 980 The Business Lookup information is updated nightly. Search date and time: 8/13/2020 10:25:26 AM 2 11111,111 1 111 111 1 !&jjj; MORI 1,111 ILI 31" 0! https://secure.dor.wa.gov/gteunauth/—,/#12 1/1