AG 20-544 - Saroun Samuelst i *
1. ORIGINATING DEPT./DECONOMICDEVELOPMENT
0 ;iN: JIM JOHNSON EXT: 2412 3. DATE i
iTYPE OF ii i
El CONTRACTOR i i i'
■ PUBLIC WORKS• ■ SMALL OR LIMITED PUBLIC WORKSCONTRA]
■ PROFESSIONAL SERVICE■ MAINTENANCE AGREEMENT
■ GOODS AND SERVICE AGREEMENT ■ is
■ REAL ESTATE DOCUMENT ■ SECURITY ii, BOND RELATED DO
❑ ORDINANCE ❑ RESOLUTION
❑ CONTRACT AMENDMENT (AG): ❑ INTERLOCAL
X OTHER CARES ACT FUNDS BUSINESS SUPPORT GRANTAGREEMENT
5. PROJECT NAME: CARES ACT GRANT — ROUND 1
6. NAME. OF CONTRACTOR:
AI7D S: 1626 S 310. 11 ST, A, FEE L WAIT, A, 98003 TELEPHONE: (253) 576-5545
E-MAIL: SAROUNSAMUELS@GMAIL.COM
SIGATU NAME: SAROUN SAMUELS TITLE: SEE ATTACHED
EXHIBITS AND 1 SCOPE,i' OR SERVICES ■ COMPENSATION ■ INSURANCE REQUIREMENTS/CERTIFICATE■ ALL
OTHER REFERENCED EXHIBITS 0 PROOF OF AUTHORITY TO SIGN El REQUIRED LICENSES El PRIOR CONTRACT/AMENDMENTS
r; i i .. i i r i' i; •, r i !!
IS SALES TAX OWED ❑ YES X NO IF YES, $ PAID BY: ❑ CONTRACTOR O CITY
RETAINAGE: RETAINAGE AMOUNT: ❑ RETAINAGE AGREEMENT (SEE CONTRACT) OR ❑ RETAINAGE BOND
PROVIDED
❑ PURCHASING: PLEASE CHARGE TO: 001-1800-990-518-10-490 Project Code 267662-25060
10. DOCUMENT/CONTRACT REVI ITIAL / DATE REVIEWED INITIAL / DATE APPROVED
P O) ECT MANAGER
DII
DIRECTOR L-. ) 2
❑ RISKMANAGEMENT (IF APPLICABLE)
❑ LAW
11. COUNCIL APPROVAL (IF APPLICABLE) SCHEDULED COMNHTTEE DATE: CONMTTEE APPRovAL DATE:
SCHEDULED • DATE: s ,• , DATE:
■ SENT TO VENDORICONTRACTOR DATE i i
■AUTHORITY,• ,
■ CREATE ELECTRONICi i i •' I MONTHPRIOR i 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
�MAYOR OR DIRECTOR)
■ CITY CLERK
■ ASSIGNED AG4
V2202 '
,;�k CITY OF
opw F�daral)"
WITH
SAROUN SAMUELS
CWT HALL
33325 8th Avenue South
(253) 835-7000
www cityoffederalway com
This Grant Agreement ("Agreement") is made between the City of Federal Way, a Washington municipal
corporation ("City"), and Saroun Samuels, 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:
Saroun Samuels
1626 S 3 1 OTH ST, #A
UEDERAL WAY, WA 98003
00 Celli ORYA141 it is
fimgu� =Mrf M,
C, 9 91.1 MIN "$11
33325 8th Ave. S.
Federal Way, WA 98003-6325
(253) 835-2520 (telephone)
(253) 835-2509 (facsimile)
94=. .4 UO&UM
1. TERM. This agreement contemplates a one-time grant of funds to the Grantee under the conditions
described herein.
I I I
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
JI ant agreement
d) Grantee is not the recipient of other state or federal funding made available as a response
to the COVID- 19 pandernic
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 CO ]D-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
E] Incurred over $1,000 in COVID-19 related expenses
Experienced 10-50% lost revenue
E] Experienced over 50% lost revenue
2.2 Use of Funds: Grantee affirms that grant funds will be used for the following purposes:
CARES ACT BUSINESS GRANT AGREEMENT I -
CITY OF CITY HALL
33325 8th Avenue South
44! Federal Way. WA 98003-6325
Federal Way (253) 835-7000
www cityoffederalway- coin
a) Mortgage or Rent
b) Personal Protection Equipment
c) Insurance
d) Utilities
e) Marketing
F) Payroll
Grantee agrees to retain receipts documenting use of grant funds and will provide them to the City or its
designee upon request.
3. TERMINATION. Should any of the conditions described in section 2.1, above, not be met, the City
rnay recover all disbursed grant funds and terminate this agreement.
4.1 Amount. In order to promote healthy economic activity in the City and in response to the losses
Grantee has incurred due to the COVID- 19 pandemic, the City shall provide a grant to the Grantee in an amount
not to exceed One Thousand and NO/ 100 Dollars ($ 1,000. 00).
4.2 Non -Appropriation 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 competent jurisdiction determine that this Agreement is subject 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
onlp to the extent of the Grantee's nWhigence. Grantee shall ensure ftsi-4r.-cm; -4r - wil tv f --RA
w idl v2,�7.
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 IridUstrial IbSurance Act WaiVtr. It is Specifically and expressly understood that the Grantee
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.
CITY Of
t*deral Wby
CITY HALL
33325 8th Avenue South
Federal Way. WA 98003-6325
(253) 835-7000
www cityoffederalway. coin
5.3 bty Ifideninificatioh. The City agrees to release, indemnify, defend and hold the Grantee, its
officers, directors, shareholders, partners, employees, agents, representatives, and sub- contractors harmless
• any and all claims, demands, actions, suits, causes • 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 • •
I M M R M ■
6.1 J��qtion a._ndModification. This Agreement 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
provision, may be amended, waived, or modified except by written agreement signed by duly authorized
representatives •, the Parties.
6.3 Execution. Each individual executing this Agreement on behalf of the City and Grantea,
represents and warrants that such individual is duly authorized to execute and deliver this Agreement. This
140111,54
CrrY HALL
33325 8th Avenue South
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.
SARO—UN SAmu�L-S�.`,,
By:
PrP Name: 'S4C\ r—j LA C--1—
Title: s�?le
DATE:
CARES ACT BUSINESS GRANT AGREEMENT -4-
-
8112/2020
Washington State Department of Revenue
Services Business Lookup SAROUN SAMUELS
Entity name:
Business name:
Entity type:
Business ID:
Location ID:
Location:
SAMUELS, SAROUN
SAROUN SAMUELS
Sole Proprietor
602-240-162
001
0001
Active
1626 S 310TH ST STE A
FEDERAL WAY WA 98003
Excise tax and reseller permit status: Click here
Endorsements
eServices
Endorsements held at this location License Count Details Status Expiration date First issuancf'
Federal Way General Business Active Jun -30-2021 Jun -19-2020
Governing People May Include governing people nor registered with Secretary of State
Governing people Title
SAMUELS, SAROUN
The Business Lookup information is updated nightly. Search date and time: 8/12/2020 4:01:49 PM
TA =70511:1 ;r mmomm; 11JO
I -Alz
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8/13/2020
Services Business Lookup SAMUELS, SAROUN
Tax Information
Entity name:
SAMUELS, SAROUN
Entity type:
Sole Proprietor
Excise tax account ID
602-240-162
UBI
602-240-162
Opened:
November 1, 2002
Closed:
Mailing address: 1626 S 310TH ST STE A
FEDERAL WAY WA 98003-4911
NAICS: 812112 - Beauty Salons
Reseller permit: None
eServices
New search Back to results
Business License Locations Filter
Business name License account ID # Location address
SAROUN SAMUELS 602240162-001-0001 1626 S 310TH ST STE A FEDERAL WAY WA 9801
The Business Lookup information is updated nightly. Search date and time: 8113/2020 10:40:31 AM
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