AG 20-524 - Beauxtemps Hair SalonRETURN TO: TIM JOHNSON EXT: 2412
CITY OF FEDERAL WAY LAW DEPARTMENT ROUTING FORM
ORIGINATING DEPT. IV: -ECONOMIC DEVELOPMENT
ORIGINATING STAFF PERSON: TIM JOHNSON m EXT: 2412_ 3. DATE REQ, BY. ASAP
TYPE OF DOCUMENT (CHECK ONE):
El CONTRACTOR SELECTION DOCUMENT (E.G., RFB, RFP, REQ)
El PUBLIC WORKS CONTRACT El SMALL OR LIMITED PUBLIC WORKS CONTRACT
0 PROFESSIONAL SERVICE AGREEMENT 0 MAINTENANCE AGREEMENT
El GOODS AND SERVICE AGREEMENT El HUMAN SERVICES / CBG
0 REAL ESTATE DOCUMENT 0 SECURITY DOCUMENT (E.G. BOND RELATED DOCUMENTS)
El ORDINANCE El RESOLUTION
El CON TRACTA MINDMENT(AG#),—DINTERLOCAL
X OTHER CARES ACT EU DS BUSINESS SUPPORT GRANT AG REEkjj�
PROJECT NAME: -CARES ACT(RANT - ROUND I
NAME OF CONTRACTOR: BEA UXTEMPS HAIR SALON
ADDRESS: 33130 PACIFIC HWY S, #2, FEDERAL WAY, WA, 98003 TELEPHONE: (253) 946-0799
E-MAIL: HSK279833@GMAIL.COM
SIGNATURE NAME: HAN HAN TITLE: SEE ATTACHED
EXHIBITS AND ATTACHMENTS: El SCOPE, WORK OR SERVICES 0 COMPENSATION El INSURANCE REQUIREMENTS/CERTIFICATE 13 ALL
OTHER REFERENCED EXHIBITS El PROOF OF AUTHORITY TO SIGN C] REQUIRED LICENSES 0 PRIOR CONTRACT/AMENDMENTS
TERM: COMMENCEMENT DATE!EEATTACHED,,� COMPLETIONDATE:
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: 0 YES X NO IF YES, MAXIMUM DOLLAR AMOUNT: $
IS SALES TAX OWED El YES X NO IF YES, $ PAID BY. El CONTRACTOR 0 CITY
RETAINAGE: RETAINAGE AMOUNT: _ 0 RETAINAGE AGREEMENT (SEE CONTRACT) OR 11 RETAINAGE BOND PROVIDE
1:1 PURCHASING: PLEASE CHARGE TO: 001 -1800 -990 -518 -LO 90 PrrOect Qode # 267662-2�060
:4�
0. DOCUMENT/CONTRACT REVIEW
0 PROJECT MANAGER
El DIRECTOR
0 RISKMANAGE MENT (IF APPLICABLE)
El LAW
INITIAL / DATE REVIEWED INITI
SCHEDULED COMMITTEE DATE: COMMITTEE APPROVAL DATE:
SCHEDULED COUNCIL DATE: COUNCIL APPROVAL DATE:
El SENT TO VENDOR/CONTRACTOR DATE SENT: DATE REC'D:—
F-1 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
0 LAW DEPARTMENT SIGNED By LAW 07-28-20
El SIGNATORY (MAYOR OR DIRECTOR)
El CITY CLERK
0 ASSIGNED AG#
1/2020
0TV OF
F6derat)"
CITY HALL
33325 8th Avenue South
Federal Way, WA 98003-6325
{2 a3) 635-7000
www cityoffederalway. com
KETTlYfIT
WITH
BEAUXTEMPS HAIR S_4L"
This Grant Agreement ("Agreement") is made between the City of Federal Way, a Washington municipal
corporation ("City"), and Beauxtemps 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:
MIXEMIN151311 FRURSTIET-03113
Young Han
33130 PACIFIC
FEDERAL WAY, WA 98003
IM
14IM144 IM&I M-C'UM11WIM
Ade Ariwoola
33325 8th 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
-tescribed 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 COV ID- 19 panda is
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
Was forced to lay off employees due to reduced patronage
Incurred over $1,000 in COVID-19 related expenses
E] Experienced 10-50% lost revenue
�K Experienced over 50% lost revenue
2.2 Use of Funds: Grantee affirms that grant funds will be used for the following purposes-