AG 20-376 - MDS CarriersCITY 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):
0 CONTRACTOR SELECTION DOCUMENT (E.G, RFB, REP, RFQ)
1:1 PUBLIC WORKS CONTRACT E] SMALL OR LIMITED PUBLIC WORKS CONTRACT
• PROFESSIONAL SERVICE AGREEMENT El MAINTENANCE AGREEMENT
• GOODS AND SERVICE AGREEMENT 0 HUMAN SERVICES/ CG
El REAL ESTATE DOCUMENT El SECURITY DOCUMENT (E.G. BOND RELATED DOCUMENTS)
11 ORDINANCE 0 RESOLUTION
El CONTRACT AMENDMENT (AG#):_ DINTERLOCAL
X OTHER. CAF-EsAcTl--L,tNi,),SBusiNEsssuppoRTGRANTAcR-[-:r-,,Nl[-,,,tN
PROJECT NAME: CARES ACT GRANT— ROUND I
NAME OF CONTRACTOR: MDSC ERS LLC
ADDRESS: 1920S331ST,#DIOI,FEDERALWAY, WA, 98003 TELEPHONE: (206) 651-0677
E-MAIL: DALIAB0515@GMAIL.COM
SIGNATURE NAME: SE TO TITLE: SEE ACHED
EXHIBITS AND ATTACHMENTS: El SCOPE, WORK OR SERVICES El COMPENSATION 11 INSURANCE REQUIREMENTS/CERTIFICATE El ALL
OTHER REFERENCED EXHIBITS 0 PROOF OF AUTHORITY TO SIGN El REQUIRED LICENSES D PRIOR CONTRACT/AMENDMENTS
I
TOTAL COMPENSATION$ (INCLUDE EXPENSES AND SALES TAX, IF ANY) ONE THOUSAND AND NO/100 ($1,000.00)
(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 DYES X NO IF YES, PAID BY: El CONTRACTOR 11 CITY
RETAINAGE: RETAINAGE AMOUNT: 0 RETAINAGE AGREEMENT (SEE CONTRACT) OR 13RETAINAGE BOND PROVIDE
0 PURCHASING: PLEASECHARGETO: 00 1 - 1800-990-518-10-490 _Pro *eq Code# 26766Z-25060
j_
0. DOCUMENT/CONTRACT REVIEW INITIAL/ DATE REVIEWED
11 PROJECT MANAGER
El DIRECTOR
[I RISKMANAGEMENT (IFAPPLICABLE)
11 LAW
1. COUNCIL APPROVAL (IF APPLICABLE) SCHEDULED COMMITTEE DATE:
SCHEDULED COUNCIL DATE:
—7 —7-
LWOMM 11=11MMMIgn FAM t�
El SENT TO VENDOR/CONTRACTOR DATE SENT: v DATE R-EC'D:—,
Ej 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 SIGNED
11 LAW DEPARTMENT SIGNED By LAW 07-28-20,
0 SIGNATORY (MAYOR OR DIRECTOR)
L1 CITY CLERK IpI
El ASSIGNED AG# AG#
T/2020
CITY OF
All
P�6deMl Way
WITH
#
It
CITY HALL
33325 8th Avenue South
Federal Way, WA 98003-6325
(253) 835-7000
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Miguel Serrato
1920 S 331ST, #13101
FEDERAL WAY, WA 98003
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Ade Ariwoola
33325 Sth Ave. S.
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.
2.1 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) 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 $1,000 in COVID-19 related expenses
Experienced 10-50% lost revenue
Experienced over 50% lost revenue
2.2 Use of Funds: Grantee affirms that grant funds will be used for the following purposes:
CARES ACT BUSINESS GRANT AGREEMENT
CITY OF CrT-yr HALL
33325 8th Avenue South
Federal Way, WA 98003-6325
Federal Way (253) 835-7000
www Wyoffederahilay Com
a) Mortgage or Rent
b) Personal Protection Equipment
c) Insurance
d) Utilities
e) Marketing
F) Payroll
Grantee agrees to retain receipts documenting use of grant funds and will provide them to the City or its
designee upon request.
3. TERMINATION. Should any of the conditions described in section 2.1, above, not be met, the City
may recover all disbursed grant funds and terminate this agreement.
4.1 Amount. In order to promote healthy economic activity in the City and in response to the losses
Grantee has incurred due to the COVID- 19 pandemic, the City shall provide a grant to the Grantee in an amoun)
not to exceed One Thousand and NO/ 100 Dollars ($ 1,000. 00).
4,2 if sufficient funds are not appropriated or allocated for p4ym
under U� Agectnent fbi any figM beho�L the Cily will not be obli #YM
iggtOd to make payments �Wid6r
agrcbMtM. I
'%2ARES ACT BUSINESS GRANT AGREEMENT -2-
CITY OF
F6derai My
CFTY HALL
33325 8th Avenue South
Federal Way. WA 98003-6325
(253) 835-7000
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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.
6. GENERALIEQVISIONS.
6.1 fnt iretation and Modificati . This Agreement contains all of the agreements of the Parti
with respect to any matter covered or mentioned in this Agreement and no prior statements or agreement
whether oral or written, shall be effective for any purpose. Any provision of this Agreement that is declare I
invalid, inoperative, null and void, or illegal shall in no way affect or invalidate any other provision hereof an
such other provisions 9114H remain in full force and effect. No provision of this Agreement, including thi
provision, fn4y �e amended, waived, or modified except by written agreement signed by duly auffionize-1
representatives offt 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 perf6tmahi�b 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 relinqUiSliffient of those covenants, agreements or options, and the 8=e shall be and remain in fall force and
Okct. Failure or delay of the City to declare An- breach or default im
6.3 Execution. Each individual executing this Agreement on behalf of the City and Grante*
represents and warrants that such individual is duly authorized to execute and deliver this Agreement. This
CARES ACT BUSINESS G3ANT AGREEMENT -3 -
)CITY OF
Fdderal
CITY HAL
33325 8th Avenue South
Federal Way., SVA 98003-6325
(253) 835-7000
au cltyoffederafway coat
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 fonn 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.
r
M
ATE:
By:_.�
w.
Printed Name: 1 Y r
Title:
ATE:
7/25/2020
,Ser%lices Business Lookup MDS CARR�ERS,
License Information:
Entity name:
MDS CARRIERS, LLC
Business name:
MDS CARRIERS, LLC
Entity type:
Limited Liability Company
I:
604-468-596
Business ID:
001
Location ID:
0001
Location:
Active
Location address:
1920 S 331 ST ST
APT D101
FEDERAL WAY WA 98003-9483
Mailing address:
1920 S 331 ST ST
APT D101
FEDERAL WAY WA 98003-9483
Excise tax and reseller permit status: Click here
Secretary of State status:
Click here
eServices
Endorsements held at this location License # Count Details
Federal Way Home Occupation
Business
Governing People Mayinclude goveming people not registered with Secretary of State
Governing people Title
SER TO, DALIA
SER TO, MIGUEL
�0 � �- - �--
Registered trade names
MDS CARRIERS, LLC
https:Hsecure.dor.wa.gov/gteunauth/—,/#31
11
New search Back to results
Status Expiration date
Active Mar -31-2021
1 0 1 - 0 a . i WININT.T.17191
EMMME=-
First ispuanCE
Apr -08-2020