AG 20-319 - Junior Carpet CleaningRETURN TO: TIM JOHNSON EXT: 2412
CITY OF FEDERAL WAY LAW DEPARTMENT ROUTING FORM
ORIGINATING DEPT./DIV. - 'ECONOMIC DEVELOPMENT
2. ORIGINATING STAFF PERSON: TIMJOHNSON - EXT: 2412 3. DATE REQ. BY.ASAP
4. TYPE OF DOCUMENT (CHECK ONE):
0 CONTRACTOR SELECTION DOCUMENT (E.G., RFB, RFP, RFQ)
El PUBLIC WORKS CONTRACT El SMALL OR LIMITED PUBLIC WORKS CONTRACT
• PROFESSIONAL SERVICE AGREEMENT 0 MAINTENANCE AGREEMENT
• GOODS AND SERVICE AGREEMENT El HUMAN SERVICES/ CDG
11 REAL ESTATE DOCUMENT 0 SECURITY DOCUMENT (E.G. BOND RELATED DOCUMENTS)
11 ORDINANCE El RESOLUTION
[I CONTRACT AMENDMENT (AG#): El INTERLOCAL
X OTHER cAREs gA ACT FUNDS BUSINESS SUPPORT GRANT AGREEMENT
5. PROJECT NAME: CARES ACT GRANT — ROUND 1
6. NAME OF CONTRACTOR: JUNIOR CARPET CLEANING
ADDRESS: 2251 SW331ST ST, FEDERAL WAY, WA, 98023 TELEPHONE: (206) 261-3126
E-MAIL: MAX@JUNIOC ARPETCLEANING.COM
SIGNATURE NAME: MAXIMO ROMERO TITLE: SEE ATTACHED
7. EXHIBITS AND ATTACHMENTS: 0 SCOPE, WORK OR SERVICES El CONDENSATION El INSURANCE REQUIREMENTS/CERTIFICATE 0 ALL
OTHER REFERENCED EXH113ITS El PROOF OF AUTHORITY TO SIGN 0 REQUIRED LICENSES 0 PRIOR CONTRACT/AMENDMENTS
9, 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: El 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: 0 RETAINAGE AGREEMENT (SEE CONTRACT) OR 0 RETAINAGE BOND
PROVIDED
10. DOCUMENT/CONTRACT REVIEW INITIAL / DATE REVIEWED INITIAL 1 DATE APPROVED
0 PROJECT MANAGER
nZiRECTOR "Z :�p
El RISK MANAGEMENT (I17APPLICABLE)
0 LAW
11. COUNCIL APPROVAL (iF APPLicABLE) SCHEDULFD COMM=E DATE: CommTrTEE APPRovAL DATE -
SCHEDULED COUNCIL DATE: Cs APPRovAL DATE:
IN V MT-NI&I Eftz" 10 " 41 til
• SENT TO VENDOR/CONTRACTOR DATE SENT: DATE REC'D:
• ATTACH: SIGNATURE AUTHORITY, INSURANCE CERTIFICATE, LICENSES, EX-HI13ITS
1:1 CREATE ELECTRONIC REMINDER/NOTIFICATION FOR I MONTH PRIOR TO EXPIRATION DATE
(Include dept supports 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
W,9<N'ATORY (MAYOR OR DIRECTOR)
0 CITY CLERK
�d ASSIGNED AG# AG#
1/2020
kk ?
f,
F;6deral
CITY OF
CFTY HALL
33325 8th Avenue South
Federal Way, WA 98003-0325
(253) 335-7000
w cityofie'eralway com
CARES ACT FUNDS BUSINESS SUPPORT
►s GRANT
CARPETWITH
JUNIOR
GrantThis Agreement ("Agreement") made - i ._
Maximon the City of Federal Way, a Washington municipal
corporation ("City"), and Junior Carpet Cleaning, a sole proprietor ("Grantee"). The City and Grantee (together
4�parties") are located and do business at the below addresses which shall be valid for any notice required under
this Agreement:
Romero
2251 SW 33 1 ST ST
FEDERAL WAY, c:: 98023
06261-3126(telephone)
The Parties
Ade # # +;
Federal33325 8th Ave. S.
Way,a 98003-6325
i (telephone)
+♦
1. TERM. This agreement contemplates a one-time grant of funds to the Grantee under the conditions
described
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 Cil
of Federal Way;
) 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
Grantee is not the recipient of other state or federal funding made available as a response
to the COVI -19 pandernic
e) Grantee's business employees no more than the equivalent of ten (10) full-time
employees (20,800 -hours total for all employees per year).
Grantee's net revenues do not exceed more t 1.5 million per year
) Grantee does not operate as a tax-exempt business as defined by the Internal Revenue
Service
Due to COVI -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
Ej Incurred over $1,000 in CVI -19 related expenses
Experienced 10-5% lost revenue
jP Experienced over 50% lost revenue
2.2 Use of Funds: Grantee affirms that grant funds will be used for the following purposes:
CARES ACT BUSINESS GRANT AGREEMENT � 1 -
4 CITY OF CITY HALL
33325 Sth Avenue South
Federal Way Federal Way, WA 98003-6325
(253) 835-7000
mvw cityoffederalway coin
a) Mortgage or Rent
b) Personal Protection Equipment
c) Insurance
d) Utilities
e) Marketing
F) Payroll
Grantee agrees to retain receipts documenting use of grant funds and will provide them to the City or its
designee upon request.
3. TERMINATION. Should any of the conditions described in section 2.1, above, not be met, the City
may recover all disbursed grant funds and terminate this agreement.
! &IN IWAvvA [$I
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/ 100 Dollars ($ 1,000. 00).
4.2 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.
UC; 44 UIC %-JfdllLrC ZJ11(l L11C %_,uy, Me kjranwe- s liamMy hereunder shal
only to 1he extent of th& 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 o Grantee's work when comDleted shall -totie
IMM404
CARES ACT BUSINESS GRANT AGREEMENT - 2 -
& CITY OF
O;M� l€.. MY
CITY HALL
33325 8th Avenue South
Federal Waki, WA IS
(253) 835-7000
mwv cityoffederafway coin
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.
6.3 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
CARES ACT BUSINESS GRANT AGREEMENT -3 -
CITY OF
P6deral V%kiy
CITY HALL
33325 8th Avenue South
Federal Way, SIA 9800.3-6326
(253) 835-7000
wwwcityoffederafwaycom
Agreement _ + be executed in any i:' of • i. 'r of . be deemed an original ani 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 i . i.rt. The signature and acknowledgment pages from• i+ . M. assembled
together to form. single instrument comprised of all irk. of Agreement _ +: i + complete . 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 Agreement below, effective . last date writtenbelow.
CITY OF FEDERAL WAY:
a
Jim F a or
DATE: _ 473/1-1rJ
JUNIOR "ARPET C w INC:
Printed Name: �k
Title:
ATE:
7/25/2020
Senfices Business Look§ .,,p JILWOR CARPET GLEANiN('-�,
License Information:
Entity name:
ROMERO-ZARATE, JOSE MAXIMO
Business name.-
JUNIOR CARPET CLEANING
Entity type:
Sole Proprietor
UBI #:
602-781-090
Business ID:
001
Location ID:
0001
Location:
Active
Location address:
2251 SW 331 ST ST
FEDERAL WAY WA 98023-2831
Mailing address:
2251 SW 331ST ST
FEDERAL WAY WA 98023-2831
Excise tax and reseller permit status: Click here
Endorsements
Endorsements held at
this location License # Count
Federal Way Home Occupation 13 -104094 -00 -BL
Business
WN
New search Back to results
Details Status Expiration date
Active Nov -30-2020
Governing People May Include governing people not registered with Secretary of State
Governing people Title
ROMERO-ZARATE, JOSE MAXIMO
Registered Trade Names
Registered trade names Status
JUNIOR CARPET CLEANING Active
https://secure.dor.wa.gov/gteunauth/,/#374 111