AG 20-368 - Marie's DelegationRETURN O. TIM JOHNSON EXT: 2412
CITY OF FEDERAL WAY LAW DEPARTMENT ROUTING FORM
ORIGINATING DEPT./DIV. I ECONOMIC DEVELOPMENT -
ORIGINATING STAFF PERSON: JIM JOHNSON EXT: 2412 3. DATE Q. BY' ASAP
TYPE OF DOCUMENT (CHECK ONE):
El CONTRACTOR SELECTION DOCUMENT (E.G., RFB,
RFP, RFQ)
El PUBLIC WORKS CONTRACT
0 SMALL OR LIMITED PUBLIC WORKS CONTRACT
• PROFESSIONAL SERVICE AGREEMENT
0 MAINTENANCE AGREEMENT
• GOODS AND SERVICE AGREEMENT
El HUMAN SERVICES/ CDBG
El REAL ESTATE DOCUMENT
0 SECURITY DOCUMENT (E.G BOND RELATED DOCUMENTS)
* ORDINANCE
El RESOLUTION
* CONTRACTA T (AG#):
OINTERLOCAL
* OTHER CARES ACT FUNDS BUSINESS SUPPORT GRANT AGREEMENT-,-------_,,
PROJECT NAME:_ CARES ACT GRANT- ROUND 1___
NAME OF CONTRACTOR: NURSEDELEGATION
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ADDRESS: 32615 IOTH PLS , FEDERAL WAY, WA, 98023 TELEPHONE: (253) 332-2525
E-MAIL: MIUNDOTORI@GMAIL.COM
SIGNATURE NAME: SONG SONG
TITLE: SEEATPACHED
I All
. TERM: COMMENCEMENT DATE: SFEATTACHEDAGR - COMPLETION DATE:
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: 11 YES X NO IF YES, MAXIMUM DOLLAR AMOUNT: $
IS SALES TAX OWED D YES X NO IF YES,$ PAID BYD CONTRACTOR 0 CITY
RETATNAGE: RETAINAGE AMOUNT: 0 RETAINAGE AGREEMENT (SEE CONTRACT) OR 17RETAINAGE BOND PROVIDE
0 PURCHASING: PLEASE CHARGE TO: __001-1800-990-51,E-10-490?r
0. DOCUMENT/CONTRACT REVIEW INITIAL / DATE REVIEWED INITIAL/ DATE APPROVED
0 P OJECTMANAGER
Erol'IRECTOR
El RISKMANAG EMENT (IFAPPLICABLE)
0 LAW
1. COUNCIL APPROVAL (IF APPLICABLE) SCHEDULED COMMITTEE DATE: COMMITTEE APPROVAL DATE:
SCHEDULED COUNCIL DATE: COUNCIL APPROVAL DATE:
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7/25/2020 eServices
Services Business Lookup NURSE DELEGATION
License Information:
Entity name:
SONG, HO BOUNG
Business name:
NURSE DELEGATION
Entity type:
Sole Proprietor
UI #:
604-185-286
Business ID:
001
Location ID:
0001
Location:
Active
Location address:
32615 10TH PL SW
FEDERAL WAY WA 98023-4923
Mailing address:
32615 10TH PL SW
FEDERAL WAY WA 98023-4923
Excise tax and reseller
permit status: Click here
Endorsements
Endorsements held at this location License # Count Details
Federal Way Home Occupation
Business
Governing People May Include governing people not registered with Secretary of State
Governing people Title
SONG, HO BOUNG
Registered Trade Names
Registered trade names Status
MARIE'S DELEGATION Active
SONG'S DELEGATION Active
Status Expiration date
Active Feb -28-2021
The Business Lookup information is updated nightly. Search date and time: 7125/2020 2:42:22 PM
EMUSEMLm-
First issuance
Feb -06-2020
hftps://secure.dor.wa.gov/gteunauth/,/#556 111