AG 20-438 - Restaurant ConstructionI 5tv t11"Iew 0 11& 11,11 i
EXT: 2412
CITY OF FEDERAL WAY LAW DEPARTMENT ROUTING FORM
NEEMMEMMEMMEM
2. ORIGINATING STAFF PERSON: TIM JOHNSON
EXT. 2412 3. DATE REQ. BY AS
4. TYPE OF DOCUMENT (CHECK ONE):
El CONTRACTOR SELECTION DOCUM[ENT (E.G., RFB, RFP, RFQ)
El PUBLIC WORKS CONTRACT
13 SMALL OR LIMITED PUBLIC WORKS CONTRACT
El PROFESSIONAL SERVICE AGREEMENT
0 MAINTENANCE AGREEMENT
* DSA SERVICE AGREEMENT
El HUMAN SERVICES / CDBG
* REAL ESTATE DOCUMENT
11 SECURITY DOCUMENT (E.G. BOND RELATED DOCUMENTS)
* ORDINANCE
0 RESOLUTION
* CONTRACT AMENDM[ENT (AG#1:_,_
0 INTERLOCAL
* OTHER CARES ACT FUNDS BUSINESS SUPPORT GRANT
AGREE
5. PROJECTNAME:_ CARES ACT GRANT —ROUND I
6. NAME OF CONTRACTOR: RESTAURANT LLC
ADDRESS: 2739 SW 323RD ST, FEDERAL WAY, WA, 98023 TELEPHONE: (206) 4760617
E-MAIL: vAsREss@GMAIL.COM
SIGNATURE NAME: VAHiD AS SS
TITLE: SEE ATTACHED
to - - -I] 1111� 0 . INFIRM
9. 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:[] YES XNO IF YES, MAXIMUM DOLLAR
IS SALES TAX OWED 11 YES X NO IF YES, PAID BY: 0 CONTRACTOR 0 CITY
RETAINAGE: RETAiNAGEAmoUNT: RETAINAGE AGREEMENT (SEE CONTRACT) OR El RETAINAGE BOND
PROVIDED
10. DOCUMENT/CONTRACT REVIEW INITIAL I DATE REVIEWED R911AL/ DATE APPROVED
El PROJECT MANAGER
P,61RECTOR —
• RISK MANAGEMENT (IF APPLICABLE)
• LAW
11. COUNCIL APPROVAL (w APPLICABLE) SCHEDULED CowwTFE DATE: CoNff4=E APPRovAL DATE:
SCHEDULED COUNCIL DATE: COUNCIL APPRovAL DArE:
El SENT TO VENDOR/CONTRACTOR DATE SENT: DATE REC'D:
• ATTACH: SIGNATURE AUTHORITY, INSURANCE CERTIFICATE, LICENSES, EXHI13ITS
• 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
• LA 'PARTMENT
�JNATORY (MAYOR OR DIRECTOR)
0 CITY CLERK
ASSIGN -ED AG# AG
COMMENTS;
--" -/ .
1/2020
OF
7/25/2020 eServices
Wa--�hinytc)n Stzate Dep�ictnjenl of Revenk.i--,
S- E,, rj i (-, ps Business 1,ockup RESTAURANT,J.-C
License Information: New search Back to results
Entity name: RESTAURANT CONSTRUCTION LLC
Business name: RESTAURANT LLC
Entity type: Limited Liability Company
UBI #: 604-072-248
Business ID.- 001
Location ID: cool
Location: Active
Location address: 2739 SW 323RD ST
FEDERAL WAY WA 98023-2522
Mailing address: 2739 SW 323RD ST
FEDERAL WAY WA 98023-2522
Excise tax and reseller perTnIt status. Click here
Secretary of State status: Click here
Endorsements
Endorsements held at this location License # Count Details Status Expiration date First issuance
Federal Way Home Occupation Active Jul -311-2021 Jul -21-2020
Business
Governing People May Include governing people not registered with Secretary of State
Governing people Title
ASRESS, VAHID
rolvlzm-
hftps://secure.dor.wa.govlgteunauth/—/#247 1/1
8/13/2020 Corporations and Charities System
Business Name:
RESTAURANT CONSTRUCTION LLC
U Number:
604072248
Business Type:
WX LIMITED LIABILITY COMPANY
Principal Office Street Address:
2739 SW 323RD ST, FEDERAL WAY, WA, 98023-2522, UNITED STATES
Principal Office Mailing Address: 1
2739 SW 323RD ST, FEDERAL WAY, WA, 98023-2522, UNITED STATES
Expiration Date:
12/31/2020
Jurisdiction:
UNITED STATES, WASHINGTON
Formation/ Registration Date:
12/29/2016
Period of Duration:
PERPETUAL
Inactive Date:
Nature
• Business:
CIVVSTVMCTIOknE;i-- i4
Melb".190:M
Registered Agent Name:
VAIIII) ASRESS
Street Address:
2739 SW 323RD ST, FEDERAL WAY, WA, 98023-2522, UNITED STATES
Mailing Address:
GOVERNORS
Title Governors Type Entity Name it Name Last Name
GOVERNOR INDIVIDUAL VAHID AS SS
https://ccfs.sos.wa.gov/#/BusinessSearch/Businesslnformation