AG 20-472 - Mallott SophieCITY OF FEDERAL WAY LAW DEPARTMENT ROUTING FORM
ORIGINATING DEPT./DIV: ECONOMIC DEVELOPMENT
ORIGINATING STAFF PERSON: - TIM JOHNSON "I'll"------------ EXT: 2412 3. DATE REQ. Y. ASAP
TYPE OF DOCUMENT (CHECK ONE):
4 CONTRACTOR SELECTION DOCUMEVT (E.G.- WEV.- VFP 12 F*
.j.)
• PUBLIC WORKS CONTRACT El SMALL OR LIMITED PUBLIC WORKS CONTRACT
• PROFESSIONAL SERVICE AGREEMENT 0 MAINTENANCE AGREEMENT
El GOODS AND SERVICE AGREEMENT 0 HUMAN SERVICES / CDBG
0 REAL ESTATE DOCUMENT 0 SECURITY DOCUMENT (E.G. BOND RELATED DOCUMENTS)
11 ORDINANCE 0 RESOLUTION
* CONTRACT AMENDMENT (AG#):_ El INTERLOCAL
* OTHER- CARES ACT FUNDS BUSINESS SUPPORT GRANT AGREEMENT
PROJECT NAME: CARES ACT GRANT — ROUND I
NAME OF CONTRACTOR: MALLOTT, SOPHIE
ADDRESS: 30845 PACIFIC HWY S, FEDERAL WAY, WA, 98003 TELEPHONE: (253) 985-0462
E-MAIL: SMALLoT-r@GMAIL.COM
SIGNATURE NAME: MALLOTT MALLOTT TITLE: SEEATTACHED
F,XAIBITS AND ATTACHMENTS: El SCOPE, WORK OR SERVICES El COMPENSATION 0 INSURANCE REQU [REM ENTS/CERTIF [CATE 0 ALT
OTHER REFERENCED EXHIBITS 11 PROOF OF AUTHORITY TO SIGN L1 REQUIRED LICENSES El PRIOR CONTRACT/AMENDMENTS
TERM: COMMENCEMENT DATE: SEEATTA COMPLETIONDATE:
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 OYES X NO IFYES,$ PAID BY: F-1 CONTRACTOR 0 CITY
RETAINAGE: RETAINAGEAmoUNT: —E] RETAINAGE AGREEMENT (SEE CONTRACT) OR EIRETAINAGE BOND PROVID-1
El PURCHASING: PLEASE CHARGETO: 001-1800-990-518- r iect Code # 267662-25060
0. DOCUMENT/CONTRACT REVIEW INITIAL / DATE REVIEWED INITIAL / DATE APPROVED
0 PROJECT MANAGER
JiAIRECTOR ILI-
El RISKMANAGEMENT (IFAPPLICABLE)
0 LAW
1. COUNCIL APPROVAL (IF APPLICABLE) SCHEDULED COMMITTEE DATE: COMMITTEE APPROVAL DATE:
SCHEDULED COUNCIL DATE: COUNCIL APPROVAL DATE:
El SENT TO VENDORJCONTRACTOR DATESENT: DATE REC'D
El 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 neede
INITIAL / DATE SIGNED
El LAW DEPARTMENT
SIGNATORY (MAYOR OR DIRECTOR)
11 CITY CLERK
0 ASSIGNED AG#
EINT11
This Grant Agreement ("Agreement") is made between the City of Federal Way, a Washington municipal
corporation ("City"'), and Sophie Mall Ott, 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:
CITY OF FEDERAL WAY:
Sophie Mallott Ade Ariwoola
30845 PACIFIC HWY S, Federal Way, WA 98003 33325 8th Ave. S.
Maifing Address: Federal Way, WA 98003-6323
2128 SW 306' PL, Federal Way, WA 98023 1
S - .? I -
smallott@gtnail.com
(253) 835-2520 (telephone)
(253) 835-2509 (facsimile)
. . . . . . . . . . .
1. TERM. This agreement contemplates a one-time grani of funds to the Grantee under the conditions
1escri1 e1 herein.
ut tri-wkw- N1 Iry
h) Due to COVID-19, Grantee business (check AD the ap
V Was required by state or local order to dose
E] Was forced to lay off employees due to reduced patronage
■Incurred over $ 1,000 in COVID- 19 related expenses
E] Experienced 10-50% " rpyp�qqd
5," Experienced over 50% lo�Creverwe
2.2 Use of Funds: Grantee affirms that grant funds will be used •for •the following purposes:
CiTY OF CITY HALL
33325 8th Avenue South
Federal Way, WA 98003-6325
(253) 835-7000
Www0yoffederalway.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- I 9Qandemic -, the City
not to exceed One Thousand and NO/I 00 Dollars (S 1,000.00).
4.2 NonApp=jjgjon 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 an -4,; and all 1ersons or entities includinZ. without limit:-a1biWWNFr.
W.7q&:.vg
Swits,
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 competent jurisdiction determine that this Agreement 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
rlv to the extent of the
--ft-J7tT-EY6Uw1 (Milciats, onicers, empioyees, agents, representatives, insurers, attorneys, i_'. is
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.
I
EMMIUMMIENVORPI VAN
by any thtrd party under
wqfkqrs' compensation acts, disAility henefit acts or any other benefits acts or programs. The Parties further
acknowledge that they have mutually negotiated this waiver.
CITY OF
o2mw��� F;04eml V%W
CITY HALL
33325 Sth Avenue South
Federal Wtv WA—Q-,Wwca—;i,--m
(253) 835-7000
MVW. 01YOffedefalwav com
By':
Printed Name:
Title: --IL9 �1' Y�-
DATE:
7/2512020 eServices
NUMUNIAMM
License Information:
Entity name:
MALLOTT, SOPHIE
Business name:
MALLOTT SOPHIE
Entity type:
Sole Proprietor
UBI #:
604-293-399
Business ID:
001
Location ID:
0001
Location:
Active
Location address:
30845 PACIFIC HVVY S
FEDERAL WAY WA 98003-4901
Mailing address:
2128 SW 306TH PL
FEDERAL WAY WA 98023-2336
Excise tax and reseller
permit status: Click here
Endorsements
Endorsements held at this
location License # Count Details
Federal Way General Business 18 -103432 -00 -BL
Governing People May include governing people not registered with Secretary of State
Governing people Title
IVIALLOTT, SOPHIE
Status Expiration date
Active Jul -31-2021
First issuance
Aug -17-2018
hftps://secure.dor.wa.gov/gteunauth/—,/#392 1/1