AG 20-508 - Van DangM-MOMI TO: TIM JOHNSON
CITY OF FEDERAL WAY LAW DEPARTMENT ROUT-ING FORM
ORIGINATING DEPT./DIV. ECONOMIC DEVELOPIMENT
ORIGINATING STAFF PERSON: TIM JOHNSON—'— EXT: 2412 1DATE REQ.13Y. ASAP.—'
wK41910 I MAN UNW1 a) 11:1411
• PUBLIC WORKS CONTRACT 0 SMALL OR LIMITED PUBLIC WORKS CONTRACT
• PROFESSIONAL SERVICE AGREEMENT Ei MAINTENANCEAGREEMENT
• GOODS AND SERVICE AGREEMENT o HUMAN SERVICES/ CDG
El REAL ESTATE DOCUMENT ii SECURITY DOCUMENT (E.CL BOND RELATED DOCUMENTS)
ii ORDINANCE o RESOLUTION
C1 CONTRACT AMENDMENT (AG#): OINTERLOCAL
X OTHER CARES ACT rLINDS BUSINESS SUPPORT GRANTAGR1H7A4FNT
PROJECT NAME: CARES ACTGRA�LT=.&0UN1D I
NAME OF CONTRACTOR: VAN DANG, L*1-D-PLLCM„ Un Dart6 ?LLC-.
ADDRESS: 1025 S 320TH ST, #201, FEDERAL WAY, WA, 98003 TELEPHONE: (503) 851-7638
E-MAIL: ADMIN@DRVANDANGCOM
SIGNATURE NAME: DANG TITLE: SEE ATTACHED
EXHIBITS AND ATTACHMENTS: El SCOPE, WORK OR SERVICES 0 COMPENSATION 0 INSURANCE REQUIREMENTS/CERTIFICATE C3 ALL
OTHER REFERENCED EXHIBITS El PROOF OF AUTHORITY TO SIGN 0 REQUIRED LICENSES El PRIOR CONTRACT/AMENDMENTS
TERM: COMMENCEMENT DATE: —JiEE —ATTA COMPLETIONDATE:
TOTAL COMPENSATION$ (INCLUDE EXPENSES AND SALES TAX, IF ANY) ONE THOUSAND AND NO1100 ($1 1000.00)
(IF CALCULATED ON HOURLY LABOR CHARGE - ATTACH SCHEDULES OF EMPLOYEES TITLES AND HOLIDAY RATES)
REIMBURSABLE EXPENSE: El YES X NO IF YES, MAXIMUM DOLLAR AMOUNT:
IS SALES TAX OWED OYES X NO IF YES, $� PAID BY: El CONTRACTOR F-1 CITY
RETAINAGE: RETAINAGEAmoUNT:—, J0 RETAINAGE AGREEMENT (SEE CONTRACT) OR 0 RETAINAGE BOND PROVIDE
El PURCHASING: PLEASECHARGETO: 001 -1800 -990 -51* -IQ -490 Pro -get Code# 267662-25(Mid
�
0. DOCUMENT/CONTRACT REVIEW [NrrLkL / DATE REVIEWED LNjF1A1-Dkrr--APPROVED
11Z P OJECTMANAGER
RECTOR
El RISKMANAGEMENT (IF APPLICABLE)
0 LAW
1. COUNCILAPPROVAIL(IFAPPLICABLE) SCHEDULED COMMII-ME DATE: COMMITTEE APPROVAL DATE:
SCHEDULED COUNCIL DATE: COUNCIL APPROVAL DATE:
.. . . . . ... ...... ........ .... .. .
• SEAT TO VENDOR/CONTRACTOR DATE SENT: �.' DATE REC'D:—
• ATTACH: SIGNATURE AUTHORITY, INSURANCE CERTIFICATE, LICENSES, EXHIBITS
• CREATE ELECTRONIC REMINDERfNOTIFICATION FOR I MONTH PRIOR TO EXPIRATION DATE
(Include dept. support staff ifnecessary and feet free to set notification more than a month in advance ifcouncil approval is needed,)
INITIAL / DATE SIGNED
• LAW DEPARTMENT
q�$�TORY (MAYOR OR DIRECTOR)
El CITY CLERK
0 ASSIGNED AG# AG#
1/2020
ciry or -
Federal Way
CITY HALL
33325 Sth Avenue South
Feder,W Way, WA 98003-6325
(253) 835-7000
mm cityoffexteralway ccnp
CARES ACT FUNDS BUSINESS suppoRr GRAXT AGREEMENT
WITH
VAN DANG, PLLC
This Grant Agreement ("Agreement") is made bet�veen the City of Federal Wa- I
(City7�), y, a Washington municipal
corporation and Van Mang, PLLC, a prAssional limited liability company ("Grantee"). The City and
Grantee (together "Parties") are located and do business at the below addresses which shall be valid fit any
notice required Linder this Agreement,
Van Dang
1025 S 320TH ST, #201
FEDERAL WAY, WA 98003
(503) 851-7638 (telephone)
admin@drvandang.com
The Parties agree as follows -
iWrV 6F FE D -ERAL WAY:
Ade Ari la
33325 8th Ave. S.
Federal Way, WA 98003-6325
(253) 835-2520 (telephone)
(253) 835-2509 (facsimile)
ad_ ariwoola(d,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 36 ties. The Grantee warrants the following, which care pre -re q-tiisites fargyraij[t--jjcnb ity
,,il
a) Grantee operates a business physically located within the politiegl 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 Irate al Revenue
Service
h) Due to COV ID- 19, Grantee business (check all that apply):
Was required by state or local order to close
Was forced to lay off employees due to reduced patronage
Incurred aver $ 1.060in COVID- 19 related expenses
Experiericed 10-50%'Iost revenue
Experienced over 50% lost revenue
CARES ACT BUSINESS GRANT AGREEMENT - 1 -
CITY OF
Federal Way
CITY HALL
33325 Sth Avenue Scutli
FederW Way, WA 98003--6325
(253) 835-7000
Ra -v u0c-)ftc-der ahww corn
2®2 We ofFunds Grantee affirms that grant funds will be used for the following purposes:
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 there to the City or its
designee upon request.
3. TE1MUNATION, Should any of the conditions described in section 2.1, above, not be met, the City
may recover all disbursed grant funds and tenninate this agreement.
4. GR -ANT AINIOUNT.
4.1 Amount. In or 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 amount
not to exceed One Thousand and NO/I 00 Dollars ($1,000.00).
4.2 Hoar-N_tatic)u of Fund, if sufficient gpigp -, s ficient fitnds 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.
® TINDENINIFICATI ON.
5,1 Cir �imoe �Indeinn�iflcati�pn. The Grantee agrees to release eindeninify'defend, and hold the City, its
Ilected officials. of
, ffilccrs. ernplovees, agents, representatives, insurers� aftomeys,zindvoluntee-rs hairnless from
any and all claims, dernands, actions, suits, causes of action, arbitrations. mediations;, Proceedings, judgments,
awards, injuries, damages, liabilities, t--xes, losses, firies, fees, penaltieseX'
Penscs, attorney's fees ., costs, andlor
litigation expenses to or by any and all persons or entities, including without limitation, their respective agents
licensees, or representatives, arising fi otul resulting fi-om, or m7 c0miection with this Agreement or the
performance of this Agreement, except for that portion of the claims caused by the City's sole neglio,,,ence.
Should a court of competent jurisdiction deter rm, ine that this Agreement is subject to PCW 4.24.1.15, then, in the
event of liability for da ages arising out of bodily iaJun' topersons or damages to property caused by or
resulting from the concurrent ne W
gfigence of the Grmitee and t -he City, the Grantee's liability hereunder shall be
only to the extent of the Grantee's ne,, gence. Grantee shall ensure that each sub -Grantee shall agree to defend
and indernnif fy the City, its elected officials, officers, employees, agents, representatives, insurers, attome),,,s, and
volunteers to the th
extent and on e ,-,ame tennis`and Qunditions 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 A '-t I- - - It is speci-fically and expressly.,understood that the Grantee
waives any inim-unity that may be, granted to it under the 'Washington State industrial insurance act, Titte 51
RCW, solely for the purposes of this indemnification, Grantee's indemnifi cation shall not be limited in any wav
by any limitation on the amount of damages, compensatlon or benefits Payable to or by any third party under
CARES ACT BUSINESS GRANT AGREEMEN'T -2-
Ian* OF
dT'r HALL
Federal Way Fede _5
33325 Sth Avenue S-outt
�253) 835-7000
workers' compensation acts, disability benefit acts or any other benefits acts or programs. The Parties further
acknowledge that they have mutually negotiated this waiver.
Sea Qt,Ghdeniniticrttitath, The Cite agrees to rebase, indemnify,n
defend d held the Grantee, its
officers, directors, shareholders., partnsrs, employees, agents, representatives, and sub- contractors harinless
onr any grid all clairns;, demands, actions. sirits.; causes of action, arbitrations, mediations.
proceedings.
s
Jud&pnentsla awards, injuries, damages, liabilities, losses., fines, fires, igen-,dties expens .s, ant nicy"s lees, otrses.
dlor litigation expenses to or by any and all persons or entities, including without limitati rL their respective
agents, licensees, or rtopre entati es, arising FrOM, resulting from or connected - vith this Agreement to the extent'
solely caused by the negligent acts, errors, or omissions of the City,
5A 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 tennination,
. GENS 1S &
6.1 Inter rt tartooara and o loditicatio n. This Agreement contains all of the agreements of the parties
with respect to any matter covered or mentioned in this Agreement and no prior stave eats or agreements,
whether oral or written, shalt be effective for any purpose. Any provision o thhis Agreement that :is declared
invalid, inoperative, null acid Maid, or illegal shall in no way affect; or invalidate any other provision h reof and
such other provisions shall remain in full fo rcu and effect, No provision of this Agreement, including this'
provision, may be amended, waived, or modified except; bywritten k9reement sided by 'duly authorized
representatives of the Parties.
6.dni,)LQe1, est. Y"y 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
notion; or may be deposited in the united States'rnail, postage prepaid, to the address set forth above, Any noyticc
so posted in the Unite States mail shall be deemedreceived three 31 days after the date= o F mailing. Any
remedies rovided for under die terms of dais Agreement are not intdrrded to be exclusive, but shall be
cumulative with all tauter rernedies available to the City at law, in equity or by statute. The failure of the, City to
insist upon strict perforrnance of any of the covenants and agreements contained in this Agreement, or to
exercise any option conferred by this Agreement in one of 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 farce an
efTect. 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 pity'
right to decktre another breach or default. This, Agreement shall be made in. govemed by, and inti r°preted in
accordance with the laws of the State of Washington.. if the parties are unable to Settle any dispute, difference
Jahn 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 ng ortnty Superior Court, bring County,
Washington, unless the parties agree in writing to an alternative process: if the ling County '` Superirorµ C curt
does not havejurisdiction over such a snit, them suit may be tiled in any, other appropriate court in King County,
Washington, Each party consents to the personal jurisdiction of the state and federal courts in Kira Chou tyw
ashiro ton acrd waives oalaje tion that such courts are inco�onvenient forum, if either party brings any
claim or lawsuit arising from this Agreement, each Party shall pay all its legal costs and attomey°'s fees and
expenses incurred in defending or bringing such claim or lawsuit, including all appeals, in addition to anyother
recovery or award provided by law, provided, however;, however nothing, in this paragraph shall be construed for
limit the parties` rights to indemnification under Section 5 of this Agreement.
CARES ACT BUSINESS GRANT AGREEMENT - 3 -
aTy OF
40
Federal Way
CITY HALL
33325 8th Avenue South
9 .1 11
a"i 16#1111,1
NOWUY0111ax4pwM"
CITY OF FEDERAL WAY. -
METI-R, �_�
Title:
DATE. -
CARES ACT BUSINESS GRANT AGREEMENT -4-
wo
Services Business Lookup VAN DANG, DMD PLLC
License Information:
Status
Entity name:
VAN BANG, PLLC
Business name:
VAN BANG, DMD PLLC
Entity type:
Professional Limited Liability Company
U #:
604-235-407
Business 11113:
001
Location ID:
0001
Location:
Active
Location address:
1025 S 320TH ST
Mar -31-2021
STE 201
Governing People May include governing people not registered with Secretary of State
FEDERAL WAY WA 98003-5348
Mailing address:
1025 S 320TH ST
Governing people Title
STE 201
FEDERAL WAY WA 98003-5348
Excise tax and reseller permit status: Click here
Secretary of State status:
Click here
NeW search Back to results
Endorsements held at this location License # Count Details
Status
Expiration date
First issuance
Dental X-ray/CT/ Pan/Ceph 5
Active
Mar -31-2021
May -08-2018
Federal Way General Business
Active
Jan -31-2021
Jan -13-2020
Minor Work Permit
Active
Jun -30-2021
Jun -02-2020
X -Fay: Dental/Podiatdc/Veterinary
Active
Mar -31-2021
May -08-2018
Governing People May include governing people not registered with Secretary of State
Governing people Title
DANG, VAN
Registered Trade Names
Registered trade names Status
First issued
VAN BANG, DMD PLLC Active
May -03-2018
The Business Lookup information is updated nightly. Search
date and time: 7/25/2020 5:27:24 PM
https://secure.dor.wa.gov/gteunauth/,/#536 111