AG 20-104 - Acupuncture & Herbal Clinic. ....... — — -------- - -------------- - ------
. ... . . .....
RETURN TO: TIM JOHNSON EXT: 2412
CITY OF FEDERAL WAY LAW DEPARTMENT ROWWQ VQRML
– — – - 81 is 5 %"g R%ft
ORIGINATING DEPT./DIV: ECONOMIC DEVELOPMENT
U?tGINATING STAFF PERSOM EXT: 2412 3. DATEREQ.BY. ASAP
. _.Itm joHNsoN
E] PUBLIC WORKS CONTRACT El SMALL OR LIMITED PUBLIC WORKS CONTRACT
0 PROFESSIONAL SERVICE AGREEMENT 0 MAINTENANCE AGREEMENT
El GOODS AND SERVICE AGREEMENT 0 HUMAN SERVICES/ CDG
El REAL ESTATE DOCUMENT El SECURITY DOCUMENT (E.G. BOND RELATED DOCUMENTS)
0 ORDINANCE 0 RESOLUTION
El CONTRACT AMENDMENT 11 INTERLOCAL
X OTHER CARES ACT FUNDS BUSINESS St,,) PPOR]" GRANT AGREEMENT
. PROJECT NAME: CARES ACT GRANT - ROUND I
NAME OF CONTRACTOR: ACUPUNCTURE & HERBAL CLINIC
ADDRESS: 32124 1 STAVES, #200, FEDERAL WAY, WA, 98003 TELEPHONE: (253) 632-1530
E-MAIL: ACUIIOO@YAHOO.COM
SIGNATURE NAME: YE YE TITLE: SEE ACHED
EXAMITS AND ATTACHMENTS: El SCOPE, WORK OR SERVICES El COMPENSATION El INSURANCE REQUIREMENTS/CERTIFICATE 0 Al
OTHER REFERENCED EXHIBITS El PROOF OF AUTHORITY TO SIGN El REQUIRED LICENSES El PRIOR CONTRACT/AMENDMENTS
COMMENCEMENT DATE: SEE ATTACHED AGREEMENT COMPLETION DATE.
TOTAL COMPENSATION$ (INCLUDE EXPENSES AND SALES TAX, IF ANY) ONE THOUSAND AND NO/100 ($1,00 00)
(IF CALCULATED ON HOURLY LABOR CHARGE - ATTACH SCHEDULES OF EMPLOYEES TITLES AND HOLIDAY RATES)
REIMBURSABLE EXPENSE: El YES X NO IF YES, MAXIMUM DOLLAR AMOUNT:
IS SALES TAX OWED L1 YES X NO IF YES,$ PAID BY: El CONTRACTOR 0 CITY
RETAINAGE: RETAINAGE AMOUNT: 0 RETAINAGE AGREEMENT (SEE CONTRACT) OR El RETAINAGE BOND PROVIDE
N PURCHASING: PLEASE CHARGE TO:. -001-1 800-990-518-10-490, Project Cqde # 267662-25060_
0. DOCUMENT/CONTRACT REVIEW INITIAL / DATE REVIEWED
El PROJECT MANAGER
11 DIRECTOR
El RISKMANAGEMENT (IF APPLICABLE}
0 LAW
1. COUNCIL APPROVAL (IF APPLICABLE) SCHEDULED COMMITTEE DATE:
SCHEDULED COUNCIL DATE:
COMMITTEE APPROVAL DATE:
COUNCIL APPROVAL DATE:
El SENT TO VENDOR/CONTRACTOR DATE SENT: –, DATE REC'D:-
0 ATTACH: SIGNATURE AUTHORITY, INSURANCE CERTIFICATE, LICENSES, EXHIBITS
13 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)
11 CITY CLERK
El ASSIGNED AG#
CITY HALL
33325 Sth Avenue South
Federal Way. WA 98003-6325
(253) 835-7000
www cityoffecteralway com
CARES ACT FUNDS BUSINESS SUPPORT GRANT AGREEMENT
WITH
ACUPUNCTURE & HERBAL CLINIC
This Grant Agreement ("Agreement") is made between the City of Federal Way, a Washington municipal
corporation ("City"), and Acupuncture & Herbal Clinic, 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:
0611148z����N a lei
Qijian Ye
32124 1 ST AVE S, #200
FEDERAL WAY, WA 98003
acullOO@yahoo.com
Ade Ariwoola
33325 8th Ave. S.
Federal Way, WA 98003-6325
(253) 835-2520 (telephone)
(253) 835-2509 (facsimile)
f witiow1k,
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 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
E] Incurred over $1,000 in COVID-19 related expenses
E] Experienced 10-50% lost revenue
9-"- Experienced over 50% lost revenue
CARES ACT BUSINESS GRANT AGREEMENT - 1 -
CITY OF CITY HALL
33325 Sth Avenue South
Federal Way, NNA 98003-6325
Federal Way (253) 835-7000
vwnv. o1yoffederalway com
a) Mortgage or Rent
b) Personal Protection Equipment
c) Insurance
d) Utilities
e) Marketing
F) Payroll
Grantee agrees to retain receipts documenting use of grant funds and will provide them to the City or its
designee upon request.
3. TERMINATION. Should any of the conditions described in section 2.1, above, not be met, the City
may recover all disbursed grant funds and terminate this agreement.
4.1 Amount, In order to promote healthy economic activity in the City and in response to the losses
Grantee has incurred due to the COVID- 19 pandemic, the City shall provide a grant to the Grantee in an amount
not to exceed One Thousand and NO/I 00 Dollars ($ 1,000.00).
4.2 Non-Amoropriation of Funds. If sufficient funds 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.
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
any, and all claims, demands, actions, suits, causes of action, arbitrations, mediations, proceedings, judgments,
awards, 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 com-tetent �urisdiction determine that this Ayieement is sub�ect 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 Grantvs
waives any immunity that may be granted to it under the Washington State industrial insurance act, Title 51
RCW, solely for the purposes of this indemnification. Grantee's indemnification shall not be limited in any way
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.
161 U1618*01163kil Out 4"" hNNEANNNNUT1 �Z�
ZITY OF
ANN
F6deral Ifty
CITY HALL
33325 8th Avenue South
Federal Way. WA 98003-6325
(253) 835-7000
wimcityoffederalwaycom
5.3 C1tV Werimifitatiori. 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
Agreement with respect to any event occurring prior to such expiration or termination.
1 11 "I'll 91111MOW9
6.1 Inte-i-vretation and ModifleatiOn. This Aueement 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
[�,rovision, may be amended, waived, or modified except by written agreement signed by duly authorizc0-
representatives of the 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, posta e re aid, to the address set forth above.
a
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
-A- a�t'�OQ
F�Oderal
CITY OF
CITY HALL
33325 Sth Avenue South
Federal ;Nay, WA 98003-6325
(2 a) 835-7000
w cilyoflederalway cern
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 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 this Agreement shall be the "date of mutual execution" hereof.
IN WITNESS, the Parties execute this Agreement below, effective the last date written below.
i
Ji�efrell, Mayor
ATE: —W-�V-2--YD
ACUPUNCTURE & HERBAL CL IC'
Y
Pri'Nae:
Title:
ATE: q 2A '
7124/2020
eServices
Washington State Departnient of Revenue,
Sen4ces Business Lookup ACUPUNCTURE & HERBAL CLINIC
License Information: New search Back to results
Entity name: YE, QIJIAN
Business name: ACUPUNCTURE & HERBAL CLINIC
Entity type: Sole Proprietor
UBI #: 602-579-706
Business ID: 001
Location ID: 0001
Location: Active
Location address: 32124 1 ST AVE S ST E 200
FEDERAL WAY WA 98003
Mailing address: 32124 1 ST AVE S STE 200
FEDERAL WAY WA 98003
Excise tax and reseller permit status: Click here
Endorsements
Endorsements held at this location License # Count Details Status Expiration date First issuance
Federal Way General Business �- 06 -100504 -00 -BL Active Feb -28-2021 Feb -03-2006
Governing People May include governing people not registered with Secretary of state
Governing people Title
SHI, AlYING
YE, QIJIAN
Registered Trade Names
Registered trade names Status
ACUPUNCTURE & HERBAL CLINIC Active
The Business Lookup information is updated nightly. Search date and time: 7124/2020 2:52:56 PM
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