AG 20-552 - Peter Somoff Pro ShopsCITY OF FEDERAL WAY LAW DEPARTMENT ROUTING FORM
ORIGINATING DEPT./DIV:_ECa�gMIC DEVELOPMENT
ORIGINATING STAFF PERSON: TIMJOHNSON EXT: 2412 3. DATE Q. BY. ASAP
TYPE OF DOCUMENT (CHECK ONE):
0 CONTRACTOR SELECTION DOCUMENT (E.G., RFB, RFP, RFQ)
El PUBLIC WORKS CONTRACT 1:1 SMALL OR LIMITED PUBLIC WORKS CONTRACT
El PROFESSIONAL SERVICE AGREEMENT 0 MAINTENANCE AGREEMENT
El GOODS AND SERVICE AGREEMENT El HUMAN SERVICES/ CDG
El REAL ESTATE DOCUMENT El SECURITY DOCUMENT (E.G. BOND RELATED DOCUMENTS)
El ORDINANCE El RESOLUTION
El CONTRACT AMENDNMNT(AG#):_ DINTERLOCAL
X OTHER CARES A(-I'FUNDSBUSINESS SUIIPORTGRANT,,kERE T
PROJECT E: CARES ACT GRANT - ROUND
NAME OF CONTRACTOR: PETER SOMOFF
ADDRESS: 34500 PACIFIC HWY S, FEDERAL WAY, WA, 98003 TELEPHONE: (253) 230-2563
E-MAIL: SOMOFF@AOL.COM
SIGNATURE NAME: PETER SOMOFF TITLE: SEE ATTACHED
EXHIBITS AND ATTACHMENTS: El SCOPE, WORK OR SERVICES El COMPENSATION 11 INSURANCE REQUIREMENTS/CERTIFICAFE 13 ALL
OTHER REFERENCED EXHIBITS 11 PROOF OF AUTHORITY TO SIGN 1:1 REQUIRED LICENSES El PRIOR CONTRACT/AMENDMENTS
TERM: COMMENCEMENT DATE: - SEE ATTACHED AGREENI E,.N"r 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: 0 YES X NO IF YES, MAXIMUM DOLLAR AMOUNT: $
IS SALES TAX OWED 0 YES X NO IF YES, PAID BY: 13 CONTRACTOR 0 CITY
RETAINAGE: RETAINAGE AMOUNT: ----EI RETAINAGE AGREEMENT (SEE CONTRACT) OR El RETAINAGE BOND
ROVIDED
El PURCHASING: PLEASECHARGETO: 001-1800-990-518-10-
0. DOCUMENT/CONTRACT REVIEW
El PROJECT MANAGER
GiCTOR
El RISK MANAGEMENT (IF APPLICABLE)
El LAW
rNITIAL/,DATE RE -VIEWED
j
SCHEDULED COMMITTEE DATE:
SCHEDULED COUNCIL DATE:
[NjTf�AL /DATE AelLROVED
wo
COMMIT -FEE APPROVAL DATE:
COUNCIL APPROVAL DATE:
0 SENT TO VENDOWCONTRACTOR DATE SENT: 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 I
0 Lo� MENT
0 CITY CLERK
El ASSIGNED AG#
1/2020
104 1 - AAAA
CITY OF
Federal Way
van �Ile
CITY HALL
33325 Sth Avenue South
Federal Wal, WA 98003-6325
(253) 835-7000
'1V1VWC1 . (Voffederahvcsy corn
CARES ACT FUNDS BUSINESS SUPPORT GRANT AGREEMENT
WITH
PETER SOMOFF PRO SHOPS INC
This Grant Agreement ("Agreement") is made between the City of Federal Way, a Washington municipal
corporation ("City"), and Peter Somoff Pro Shops Inc, a Washington corporation ("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:
Peter Somoff
34500 PACIFIC HVVrY S
FEDERAL WAY, WA 98003
somoff@aol.com
M
Ade Ariwoola
33325 8th Ave. S.
Federal Way, WA 98003-6325
(253) 835-2520 (telephone)
(253) 835-2509 II e)
1. TERM. This agreement contemplates a one-time grant of funds to the Grantee under the conditions
described herein.
I am -'awy 1
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
E] Incurred over $1,000 in COVID-19 related expenses
E] Experienced 10-50% lost revenue
Experienced over 50% lost revenue
2.2 Use of Funds: Grantee affirms that grant funds will be used for the following purposes:
CITY Of CrrY HALL
33325 8th Avenue out
Federal Way FederM Way, WA 98003-6325
(2 53) 835-7000
mvvy, afyoff�,deralwayrom
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 tot City or its
designee upon request.
3. TERMID(AIION. 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 loss
Grantee has incurred due to the COVID-19 pandemic, the City shall provide a grant to the Grantee in amn ammo
not to exceed One Thousand and NO/100 Dollars ($1,000.00).
42 NO SVM���- If suffititftt fiihds are not gppfopr(ared or allocated fbr payin
Under this Agreement fbi any fis&0 period, the C� wilt not be obligated to make payrnenU und� thi
agreement. I
5.1 C— - 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, includin& 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 jurisdon determine that this Agreement is subject to RCW 4.24.115, then, in the
Witt U # 1 0 !Lk"* RKO)WIR-MV, V Walcono-colismiMMMMIN
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LttaRelegcLco;UWOMRCIgaisWotrnPcers, Wempoloyees, 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 Wdivtt. 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 finiher
acknowledge that they have mutually negotiated this waiver.
CARES 1CT BUSINESS GRANT AGREEMENT -21
0TV OF CITY HALL
33325 6th Avenue South
Aw Federal Way, WA 98003-6325
Federal Way (253) 835-7000
www, ci"ffederalway coin
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
siSI nature 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 executiorf' hereof.
IN WITNESS, the Parties execute this Agreement below, effective the last date written below.
DATE: V
— LSLI 0
PETER SOMOFF PRO SHOP:
Printed Na=7-
Title:
DATE:
Export Page I of 1
ME=
Your request has been submitted and your confirmation number is 0-015-644-625
1elow is information from
• application
Filing Data and Time 8/6/2020 10:34:37 AM
Legal Entity Name PETER
i�• PRO SHOPS, INC.
UBI 601-660-458
Payment Method ACH
•
Payment Amount $81.00
MyDOR account at dor.wa.gov.
Check the status of your application from the Submissions tab.
IMMEMEMIUMMM
kttps:llsecure.dor.wa.gov/atlaseservices/Wtp/,lExportView?Doc=d-&Token---t5j*FDD96Nn5... 8/5/20241
8/19/2020 eServices
ViashinyZon Star.& D-e1.,1aHcs7_-eiii of Revenu_�
Services Business Lookup PETER SOMOFF PRO SHOPS INC
License Information:
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Entity name:
PETER SO OFF PRO SHOPS, INC.
Business name:
PETER SO OFF PRO SHOPS INC
Entity type:
Profit Corporation
UBI #:
601-660-458
Business ID:
001
Location ID:
0002
Location:
Active
Location and Mailing
34500 PACIFIC HWY S
address:
FEDERAL WAY WA 98003-6819
Excise tax and reseller permit status: Click here
Secretary of State status: Click here
Endorsements
Endorsements held at this location LiGense # Count Details Status Expiration date First issuance
Federal Way General Business - Active Aug -31-2021 Aug -05-2020
Non -Resident
Governing People May Include governing people not registered with Secretary of State
Governing people Title
KELLY, ROBERT
MARTIN, MIKE
SO OFF, PETER
SO OFF, RALFF
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'ii-'ess ON
BUSINESS INFORMATION
Business Name,
PETER SO OFF PRO SHOPS, INC.
8212 S 17TH ST, TACOMA, WA, 98465-1247, UNITED STATES
8212 S 17TH ST, TACOMA, WA, 98465-1247, UNITED STATES
Business Status:
Principal Office Mailing Address:
Expiration Date:
Formation/ Registration Date:
Period of Duration:
Inactive Date:
Nature of Business:
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8/19/2020 Corporations and Charities System
Registered Agent Name:
PETER SOMOFF
Street Address:
8212 S 17TH ST, TACOMA, WA, 98465-0000, UNITED STATES
"we, R
Title
Governors Type
Entity Name First Name
GOVERNOR
INDIVIDUAL
MIKE
GOVERNOR
INDIVIDUAL
ROBERT
GOVERNOR
INDIVIDUAL
RALFF
GOVERNOR
INDIVIDUAL
PETER
';3
Last Name
MARTIN
KELLY
SOMOFF
SOMOFF
Filing History Name History "--'I Return to Business Search
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