AG 20-157 - Betty's African Salon! r- RETURN TO: TIM JOHNSON EXT: 2412
NMI
CITY OF FEDERAL WAY LAW DEPARTMENT ROUTING FORM
- -- -------- ---- - -------
ORIGINATING DEPT./DIV: -ECONOMIC DEVELOPMENT
ORIGINATING STAFF PERSON: TIM JOHNSON EXT: 2412 3. DATE REQ BY' ASAP
TYPE OF DOCUMENT (CHECK ONE):
❑ CONTRACTOR SELECTION DOCUMENT (E.G., RFB, RFP, RFQ)
❑ PUBLIC WORKS CONTRACT ❑ SMALL OR LIMITED PUBLIC WORKS CONTRACT
❑ PROFESSIONAL SERVICE AGREEMENT ❑ MAINTENANCE AGREEMENT
❑ GOODS AND SERVICE AGREEMENT ❑ HUMAN SERVICES/ CDBG
❑ REAL ESTATE DOCUMENT ❑ SECURITY DOCUMENT (E.G. BOND RELATED DOCUMENTS)
❑ ORDINANCE ❑ RESOLUTION
❑ CONTRACTA NT (AG#):_ DINTERLOCAL
X OTHER CARES ACT FUNDS BUSINESS SUPPORT GRANT AGREEMENT
PROJECT NAME: --CARES ACT GRANT - ROUND I
NAME OF CONTRACTOR: BETTY'S AFRICAN SALON
ADDRESS: 30915 18TH AVE S, FEDERAL WAY, WA, 98003 TELEPHONE: (206) 458-5105
E-MAIL: BETTYNTHIWA@GMAIL.COM
SIGNATURENAME: BEATRICENTHIWA TITLE: SEE ATTACHED
EXHIBITS AND ATTACHMENTS: El SCOPE, WORK OR SERVICES ■ COMPENSATION 11 INSURANCE REQUIREM ENTS/CERTIF [CATE 0 ALL
OTHER REFERENCED EXHIBITS ■ `•ii OF AUTHORITY TO SIGN 0 REQUIRED LICENSES El PRIOR CONTRACT/AMENDMENTS
TOTAL COMPENSATION $ (INCLUDE EXPENSES AND SALES TAX, IF ANY) ONE THOUSAND AND N0/100 ($1,000.00)
(IF CALCULATED ON HOURLY LABOR CHARGE - ATTACH SCHEDULES OF EMPLOYEES TITLES AND HOLIDAY RATES)
REIMBURSABLE EXPENSE: ❑ YES X NO IF YES, MAXIMUM DOLLAR AMOUNT: $
IS SALES TAX OWED ❑ YES X NO IF YES,$ PAID BY: ❑ CONTRACTOR ❑ CITY
RETAINAGE: RETAINAGE AMOUNT: ❑ RETAINAGE AGREEMENT (SEE CONTRACT) OR ❑ RETAINAGE BOND
ROVIDED
■ PURCHASING: PLEASE CHARGE TO: 00 1- 186640b
0. DOCUMENT/CONTRACT REVIEW
0 P JECT MANAGER
=!RECTOR
El RISK MANAGEMENT (IFAPPLICABLE)
■ LAW
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PAIKS14101110 "ALTsi ILI 1441211.1 K" I
INITIAL / DATE APPROVED
SCHEDULED COMMITTEE DATE: COMMITTEE APPROVAL DATE:
SCHEDULED COUNCIL DATE: COUNCIL APPROVAL DATE:
❑ SENT TO VENDOR/CONT RACTO R DATE SENT: DATE C'D:
❑ ATTACH: SIGNATURE AUTHORITY, INSURANCE CERTIFICATE, LICENSES, EXHIBITS
❑ 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
❑ LAW DEPARTMENT
t--l-MMATORY (MAYOR OR DIRECTOR)
❑ CITY CLERK
❑ ASSIGNED AG# AG#
'OMMENTS:
1/2020
CITY HALL
33325 Sth Avenue South
Federal WaVj. WA 98003-6325
(253) 835-7bOO
www cityoffederaNyay. com
r_YTT
WITH
BETTY'S AFRICAN SALON
This Grant Agreement ("Agreement") is made between the City of Federal Way, a Washington municipal
corporation ("City"), and Betty's African Salon, 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:
Beatrice Nthiwa
30915 18TH AVE S
FEDERAL WAY, WA 98003
NUNN.;
lormy
,A I I I IV layw Lf'off" I I re I I rLy-11 I I
FMJUMIMF331 a �
Ade Ariwoola
33325 8th Ave. S.
Federal Way, WA 98003-6325
(253) 835-2520 (telephone)
(253) 835-2509 (facsimile)
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):
Was required by state or local order to close
Was forced to lay off employees due to reduced patronage
Incurred over $1,000 in COVID-19 related expenses
E3-- Experienced 10-50% lost revenue
yExperienced over 50% lost revenue
AIL CITY OF CITY HALL
so* 33325 Sth Avenue South
Vedera I Vft Federal Way, WA 98003-6325
(253) 835-7000
www cityoffederalway. com
a) Mortgage or Rent
b) Personal Protection Equipment
c) Insurance
d) Utilities
e) Marketing
F) Payroll
Grantee agrees to retain receipts documenting use of grant funds and will provide them to the City or its
designee upon request.
3. TERMINATION. Should any of the conditions described in section 2.1, above, not be met, the City
may recover all disbursed grant funds and terminate this agreement.
4.1 Amount. In order to promote healthy economic activity in the City and in response to the losses
Grantee has incurred due to the COVID- 19 pandemic, the City shall provide a grant to the Grantee in an amount
not to exceed One Thousand and NO/ 100 Dollars ($ 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 10400161fication. 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
fi,erformance 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
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 Grantee
waives any immunity that may be granted to it under the Washington State industrial insurance act, Title 51
FKCW, 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
F6deral VOY
40 Fr
CITY HALL
33325 Sth Avenue "South
(253) 835-7000
vvmv cftyoffedera�way. cof n
5.3 Citv Indemnification. 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.
911111��Mmy OLUM
6.1 1hfgW19j�hQ and Modification. 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 declarvi
invalid, inoperative, null and void, or illegal shall in no way affect or invalidate any other provision hereof affii-
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 of the Parties.
----- - -------
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
CITY OF
FbderafMy
FederalCITY HALL
33325 8th Avenue South
i
i
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.
BETTY'S AFP TCAN SALON;
e
c
By:
Printed Name." '
Ti tl .L"t _. R.
DATE.
7/24/2020 eServices
Services Business Lookup BETTY'S AFRICAN SALON
License Information:
Entity name:
NTHIWA, BEATICE MARIA
Business name:
BETTY'S AFRICAN SALON
Entity type:
Sole Proprietor
UI #:
604-318-732
Business ID:
001
Location ID:
0001
Location:
Active
Location address:
30915 18TH AVE S
STE C
FEDERAL WAY WA 98003-4979
Mailing address:
30915 18TH AVE S
STE C
FEDERAL WAY WA 98003-4979
Excise tax and reseller
permit status: Click here
Endorsements
Endorsements held at this location License # Count Details
Federal Way General Business 18 -104148 -00 -BL
Governing People May Include governing people not registered with Secretary of State
Governing people Title
NTHIWA, BEATICE MARIA
—Ugistered Trade Aames
Registered trade names
Status
Active
New search Back to results
Status Expiration date
Active Aug -31-2020
The Business Lookup information is updated nightly. Search date and time: 7/24/2020 3:37:05 PM
Emmmma=
First issuance
Sep -14-2018
First issued
Aug -02-2018
https:Hsecure.dor.wa.gov/gteunauth/_,/#175 1/1