AG 20-559 - Comfort Dental BracesRETURN TO: Tim Johnson EXT: 2412
CITY OF FEDERAL WAY LAW DEPARTMENT ROUTING FORM
I ORIGfNATINGDEPT,/D1V- ECONOMIC OEVtLOPME?,,'T
ORIGINATING STAFF PERSON: TIM JOHNSON EXT: 2412 3. DATE REQ. BY. ASAP
0 1
EKKOIC101g.t" . 011RIKOLINT512112
0 PUBLIC WORKS CONTRACT 0 SMALL OR LIMITED PUBLIC WORKS CONTRACT
E] PROFESSIONAL SERVICE AGREEMENT El MAINTENANCE AGREEMENT
0 GOODS AND SERVICE AGREEMENT 0 HUMAN SERVICES / CDBG
El REAL ESTATE DOCUMENT 0 SECURITY DOCUMENT (E.G. BOND RELATED DOCUMENTS)
El ORDINANCE El RESOLUTION
* CONTRACT AMENDMENT (AG#):_ El INTERLOCAL
* OTHER CARES ACT FUNDS BUSINESS SUPPORT GRANT AGREEMENT
PROJECT NAME: CARES ACT GRANT — ROUND I
NAME OF CONTRACTOR: COMFORT DENTAL BRACES
ADDRESS: 31401 PACIFIC HWY S, FEDERAL WAY, WA 98003 TELEPHONE: (801) 867-7838
E-MAIL: SCLAWSON@COMFORTDENTAL.BIZ
SIGNATURE NAME: STEPHEN CLAWSON TITLE: SEEATrACHED
EXHIBITS AND ATTACHMENTS: El SCOPE, WORK OR SERVICES El COMPENSATION 0 INSURANCE REQUIREMENTS/CERTIFICATE 13 All
OTHER REFERENCED EXHIBITS 0 PROOF OF AUTHORITY TO SIGN El REQUIRED LICENSES El PRIOR CONTRACT/AMENDMENTS 0
TERM: COMMENCEMENT DATE: SEE ATTACHED AGREEMENT COMPLETION DATE:
TOTAL COMPENSATION$ (INCLUDE EXPENSES AND SALES TAX, IF ANY) TWO THOUSAND AND NO/100 ($2,000.00)
(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 El YES X NO IF YES, $_ PAID BY: El CONTRACTOR El CITY
RETAINAGE: RETAINAGE AMOUNT: ❑RETAINAGE AGREEMENT (SEE CONTRACT) OR El RETAINAGE BOND PROVIDE
D PURCHASING: PLEASE CHARGE TO:001-1800-990-518-10
t. DOCUMENT/CONNIN TRACT REVIEW
0 PROJECT MANAGER
eb4RECTOR
[I RISKMANAGEMENT (IFAPPLICABLE)
11 L4W
silsi I NO V w"'TITI/Ty
INITIAL / DATE REVIEWED INITIAL / DATE APPROVED
SCHEDULED COMMITTEE DATE: COMMITTEE APPROVAL DATE:
SCHEDULED COUNCIL DATE: COUNCIL APPROVAL DATE:
2. CONTRACT SIGNATURE ROUTING
D SENT TO VENDOR/CONTRACTOR DATE SE :DATE REC'D:--
E) ATTACH: SIGNATURE AUTHORITY, INSURANCE CERTIFICATE, LICENSES, EXHIBITS
* CREATE ELECTRONIC REMINDERINOTIFICATION 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 RrMEXT TR D
Fj-j,*AXqr.kT�0RY (MAYOR OR DIRECTOR) L'J
El CITY CLERK
11 ASSIGN -ED AG# A # <51CA
M
This Grault Agrcen-wnt ("Ageement") is made beween the City of Fedend Way, a Washington munici�pal
corpovat on ("City") and Comfort Dental Braces., a limitod fia'bilit company ("Grantee"), 1 -he a3 Cite and
Grantee (together "Parties") arc; lracated and d business at the beta �F
addresses, d� a�.;��m which shall be any
notice ret,r:r,red tinder this Agreenient.
COMFORT DENrAL BRACES
Steph n Clawson
31401 Pacific l y S
Federal Way, WA 98003
( O1) 857-7838 (tal pl one)
sclawson@comfortdental.biz
The Parties agree as follows,
CITY
O FEDERAL A
Ade .r woola
3332.5 Sth Ave. S.
Federal Wa,a WA 98003-6325
(253) 835-2520 (t l phorr )
(253) 835-2509 (facsirrril )
ads, as°l��£a�caia(ex�ic:l�y^� i15cl�tal��ay.r�rxr
1. TERM. This agreement onto plates a one-time grant of funds to the ram : ander the conditions
d sar.ib d h reirre
2. CONDITIONS OF GRANT
2.1 `arrarrll sw The Grantee warrants the following. whish are pre -requisites for grant eligibility.
)
Grantee operates a business physically located within the political boundaries of the City
of FederalWay-,
b)
Grantee maintains a current City of Federal ay business license
c)
Grantee has pard all taxes and gov meat fees due up to the date of execution of this
grant agreement
d)
Grantee is not the recipient: of other state or federal funding r-riade available s a response
to the CO II -19 pandemic
rc
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 gear).
f)
Grantee's net rev ens do not exceed mor6 than 1,5 rrrrllrorr per year
g)
Crrantee does not operate as a t . - rapt business as defined by the intemal Revenue
Service
)
Due to C0I I -19, Grantee business (check all that apply)-
_ Was required by stag or local order to class
Was forced to lay cuff employees due to reduced patr nag
Incurred OVt,-r $1,000 rzr COVID-19 related expenses
Experienced 10-50% last revenue
E] Experienced retia 50% last revenue
12 Use of Funds: Grantee affirms that, gal -it funds will be used f.br the following purposes:
CARES ACT BUSINESS GRANT AGREEMENT EM NT - 1 -
city OF CITY FALL
33325 Sth Aveme `.cutis
Ikk Federal Way, V A 98003-6325
Federal Way
{'253) .83.5-7003
2.2 l.tse of l.zrndg:; Grantee affirms that grant fads will be used for the following purposes:
a.) Mortgage or Rent
b Personal Protection Equipment.
c) Insurance
Utilities
Marketing
F Payroll
Grantee agrees to retain receipts documenting use of grant fa ads and will provide theses to the City or its
designee upon requesL
3. TERMINATION. Should any of the conditions described in section 2.1, alcove, not be met, the City
may recover all disbursed grant funds and tea irate this agreement.
4. GRANT AMOUNT.
4J Amount. In order to promote healthy economic activity in the City and in response to the losses
Grantee has incuiTed due to the ID -1q pandemic, the City shall provide a grant to the Grantee in wi arzarzca t:
not to exceed Two Thousand and NO/1 ti Dollars ($2,000.00).
4.2 Non-A22ropriation of Funds. If sufficient funds are not appropriated or allocated for pa era
imder this A rcenient for any fiscal period, the City will not be obligated to snake payments under this
agreement,
5. INDEMNIFICATION,
1 Grantee [ndeninic tion. The Grantee agrees to release indemnify, defend, Lind hold the "iter, ;its
elected officials, officers, sea, agents, rLTresentatives, i szamrs, attom ys, and volunteers hann.less rc�x
any and all claims, demands, actions, suits, causes of action, arbitrations, mediations, proceedings, ud amts,
awards, injuries, damages, liabilities, taxes, lasses, fuses, fees, penalties expenses, attomey's fees, casts, azadJor
litigation e- pens s to or by any and call persons or, nti ids, including, without limitation, their respective agents,
licensees or representatives; arising 1rataa, resulting fracas; or in connection with this Agreement or the
performance of dais Agreement, except for that portion of the claims caused by the City's sale negligence.
Should a court of competent jurisdiction detennine that this . greeme t is subject to RCW 4.24.115, then, in tae
event of liability for damages arising out of beadily injury to persons or damages to prop fty 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
d indemnify the City, its elected officials, officers, employees, agents, representatives, insurers, attome s, and
volunteers to the extent. and on the saine 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.
®2 Industrial Insurance Act Waiver. It is ,specifically and expressly understood that the. Grantee
waives any a.a tarcity that may be granted to it under the Washington State industrial insurance act, Title 51
.I C W, solely for the ptuposes of this indemnification. Grantee's indemnification nification 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 ander
workers' stump mation acts, disability benefit acts or any Cather benefits acts or programs. The Parties further
CARES ACT BUSTNESS GRANT AGREEMENT -2-
# e CITY H1.,,LL
33325 #nth Avenue South
Federal Way v r
Federal Wag. WA 98OD3,-632 a
�Asx r
kG oasd : 4a;,,st�+ p„ap 'aa64'a3b`L; Patti
acknowledge that they have mutually negotiated this waiver.
:3 Cj t Its:d g�ra�fe afiun. The City agrees to release, indeernnify, defend and hold the Grxitee, its
officers, directors, sharcholL—rs—,Pluffiers, employees, agents, representatives, and slab- contractors harmless
from andall claims, demands, actions, suits, causes of action, arbitrations, mediations, proceedings,
judgments, awards, injuries, darnadeMs, liabilities; losses, fines, fees, penalties expenses, attorney's fees, costs,
and/or litigation expenses to or try any and all persons or entities, including without limitation. their respective
e
agents, licensees, or representatives, arising from, resulting from or connected with this Agreement tee the extent
solely caused by the negligent acts, arrears, or omissions of the City.
5A 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 to n-ni ration,
6. GENERAL PROVISIONS.
6A Intea,).retation, ahaModification, This Agreement contains all of the agreements eats cal` the Parties
with respect to arty matter covered or mentioned in this Agrecment and no prior statements or agreements,
whether oral or wn.tten, shall. be effective for any ptupose.,.dray proiision of this Ageement that is declared
invalid, inoperative, null and raid, or illegal shall in no way affect or invalidate any other provision hereof acrd
such rather provisions shall remain in full force and effect, No provision of this Agreement, including this
provision, may be ainended, water d, or modified except by written agreement signed by dryly authorized
representatives of the parties..
62 I rrforceinent; Any notices required to be given by the parties shall be±,delivered at the addresses
set forth at the beginning of this Agreement, Any notices may: be delivered personally to the addressee of the
notice or may be; deposited in the United States mail, postage prepaid, to the address set forth above. Any notice
sea posted in the t..arrited States mail shall be de rned received ed three 3j days after the date of mailing. Ally
remedies provided for gander the terrras of this Agreement are not intended to be exclusiv=e, but shall be
cumulative e with all other re;rnedies available to the City at law, in equity or by statutes. The failure of the City to
insist upon strict performance of any of the covenants and agreements contained in this, Agreement, or to
exercise any caption. conferred by this Agreement ent in one or more instances shall not be construed to be a waiver
or relinquishment of those covenants, agree eats or options, and the same shall be and remain in fall farce and
e.+.q.Y.crA✓6.. .LL. K."[Pure or %d ellay o "Ine'k-L .y 4.V &x:wdtea:Lax.w any 4, lg avll yr %WJLG.� 414. UIIILA.&.c'i4jxn% A'y up''v3.x 4.3i+6r5.RtA 0.��saa+4,d al1ull 1-11 --4- —7-;-
11=1-1.1 �vyaaive'
such breach or default. Failure of the City ler declare one breach or default does not act as a waiver of the City's
tight to declare another breach or default, Thi
CITY OF CITY HALL
33326 Sth Avenue South
Federal Way, WA 98003-6325
Federal Way
(253) 835-7000
CITY OF�DERAL WAY:
mmm
�x
DATE:
S. -
By: sc>
Printed Name:
DATE:
CARES ACT BUSINESS GRANT AGREEMENT -4-
8/19/2020 eServices
S t Depairbnel-a of R, vei)i-ie
Services Business Lookup COMFORT DENTAL BRACES
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License Information:
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Entity name: CDB CES FEDERAL WAY, LLC
Business name: COMFORT DENTAL BRACES
Entity type: Limited Liability Company
UBI #: 603-327-459
Business ID: 001
Location ID: 0001
Location: Active
Location address: 31401 PACIFIC HWY S
FEDERAL WAY WA 98003-5403
Mailing address: 31401 PACIFIC HWY S
FEDERAL WAY WA 98003-5403
Excise tax and reseller permit status: Click here
Secretary of State status: Click here
Endorsements
Endorsements h6d at this location License # Count Details
Status
Expiration date
First issuancE
Dental X-ray/CTI Pan/Ceph 3
Active
Aug-31-2021
Nov-08-2013
Federal Way General Business
Active
Aug-31-2021
Aug-17-2020
X-Ray: DentM/Podiatdc/Veterinary
Active
Aug-31-2021
Nov-08-2013
Governing People May Include governing people not registered wfth Secretary ofState
Governing people Title
STEVEN CLAWSON DDS MSD PLLC,
Registered Trade Names
Registered trade names Staft],S
First issued
COMFORT DENTAL BRACES Active
Oct-24-2013
The Business Lookup information is updated nightly. Search date and time: 8/1912020 7:40:51 AM
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