AG 20-579 - A Marine Hills Adult Family Home17#1
CITY OF FEDERAL WAY LAW DEPARTMENT ROUTING FORM
- - - ------ - -------- . ..... .
. ORIGINATING DEPT./DIV: ECONOMIC DEVELOPMENT R
ORIGINATING STAFF PERSON: TIM JOHNSON EXT: 2412 3. DATE REQ. BY-._ ASAP —
0 PUBLIC WORKS CONTRACT 0 SMALL OR LIMITED PUBLIC WORKS CONTRACT
EJ PROFESSIONAL SERVICE AGREEMENT 0 MAINTENANCE AGREEMENT
F -i GOODS AND SERVICE AGREEMENT 0 HUMAN SERVICES/ CBG
0 REAL ESTATE DOCUMENT 0 SECURITY DOCUMENT (E.G. BOND RELATED DOCUMENTS)
El ORDINANCE El RESOLUTION
El CONTRACTA NT (AG#):_ [I INTERLOCAL
X OTHER- CARES ACT FUNDS BUSINESS SUPPORT GRANT AGREEMENT
NAME OF CONTRACTOR: A MARINE HILLS ADULT FAMILY HOME LLC
ADDRESS: 29849 6TH AVE S, FEDERAL WAY WA 98003-3624 T ELEPHONE: (206) 769-1000
E-MAIL: BILLHASHOMES@GMAIL.COM
SIGNATURE NAME: WILLIAM MCLAUGHLIN TITLE: SEE ATTACHED
TERM: COMMENCEMENT DATE: SEE ATTACHED AGREEMEN F COMPLETIONDATE:
TOTAL COMPENSATION$ (INCLUDE EXPENSES AND SALES TAX, IF ANY) ONE THOUSAND AND NO/100 ($1000.00)
(IF CALCULATED ON HOURLY LABOR CHARGE - ATTACH SCHEDULES OF EMPLOYEES TITLES AND HOLIDAY RATES)
REIMBURSABLE EXPENSE: El YES XNO IF YES, MAXIMUM DOLLAR AMOUNT: $
IS SALES TAX OWED El YES X NO IF YES, $ PAID BY: El CONTRACTOR 11 CITY
RETAINAGE: RETAINAGEAmoUNT! El RETAINAGE AGREEMENT (SEE CONTRACT) OR El RETAINAGE BOND
ROVIDED
0 PURCHASING: PLEASE CHARGE TO: 00 1- 1800-990-518-10490 Pfdj�ddt Cd& #267662-25060
0 PROJECT MANAGER
"RECTOR
El. (IFAPPLICABLE)
0 LAW
0'K4103V'k4,1x" wl U40411 Int
Ifel mg -1 0INKTAI
- F -
. ............... .. . ............
INITIAL 1 DATE APPROVED
0
M-4
SCHEDULED COMMITTEE DATE: COMMITTEE APPROVAL DATE:
CC VF7W1 It -T -W C&I 110CH, I ATF- CvjLT(-n.AP'ti vAi,1.ATE- —
E] SENT TO VENDOR/CONTRACTOR DATE SENT: DATE R.EC'D:--
11 ATTACH: SIGNATURE AUTHORITY, INSURANCE CERTIFICATE, LICENSES, EXHIBITS
0 CREATE ELECTRONIC REM INDERfNOTIFICATION 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
El LAW DEPARTMENT 4N1'
XrORY (MAYOR OR DIRECTOR)
P�CITI CLERK f0to
El ASSIGNED AG# A.
'O S:
w.At:-77'-r-
kIFFAI,
CITY OF
Federal W6y
CITY HALL
33325 Sth Avenue South
Federal Way, WA 98003-6325
(253) 835-7000
m,vw cityoffederalway com
WITH
A MARINE HILLS ADULT FAMILY HOME LLC
This Grant Agreement ("Agreement") is made between the City of Federal Way, a Washington municipal
corporation ("City"), and A Marine Hills Adult Family Home LLC, a limited liability company ("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:
A MARINE HILLS ADULT FAMILY HOME CITY OF FEDERAL WAY:
LLC: Ade Ariwoola
WILLIAM MCLAUGHLIN
29845 6th Ave S
FEDERAL WAY, WA 98003-362,1
is; •'
r i -
l —, I N
33325 8th Ave. S.
Federal Way, WA 98003-6325
(253) 835-2414 (tele -phone)
(253) 835-2509 (facsimile)
1 . TERM. This agreement contemplates a one-time grant of funds to the Grantee under the conditions
described herein.
•M
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's business employs no more than the equivalent of ten (10) full-time employees
(20,800 man-hours total for all employees per year);
e) Grantee's net revenues do not exceed more than $1.5 million per year;
f) Grantee does not operate as a tax-exempt business as defined by the Internal Revenue
Service;
g) Due to COVID- 19, Grantee business (check all that apply):
E] Was required by state or local order to close
E] Was forced to lay off employees due to reduced patronage
Incurred over $1,000 in COVID-19 related expenses
Experienced 10-50% lost revenue
Experienced over 50% lost revenue
2.2 Use of Funds: Grantee affinns that grant funds will be used for the following purposes:
a) Mortgage or Rent
b) Personal Protection Equipment
CITY OF
Federal Way
c) Insurance
d) Utilities
e) Marketing
f) Payroll
CITY HALL
33325 8th Avenue South
Federal Way, WA 98003-6325
(253) 835-7000
wivw cityoffederalway com
Grantee agrees to retain receipts documenting use of grant funds and will provide them to the City or its
designee upon request.
3. TERMINATION. Should any of the conditions described in section 2.1 above, not be met, the City
may recover all disbursed grant funds and terminate this agreement.
4.1 Amount. In. order to promote healthy economic activity in the City and in response to the losses
Grantee has incurred due to the COVID- 19 pandemic, the City shall provide a grant to the Grantee in an amount
• to exceed One Thousand and • 100 Dollars ($ 1,000.00).
4.2 Non-Apprgpriation 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.
I A I
5.1 Grant6e ludeturiffic4ti . 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
[�,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 • bodily injury to persons • damages to property caused by or
resulting from the concurrent negligence of the Grantee and the City, the Grantee's liability hereunder shall be
• to the extent • 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
• 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
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 60
Fbderal Way
CrTY HALL
33325 8th Avenue South
Federal inlay, WA 98003--6325
(253) 335-7000
www ci"ffedarafway coo
the same effect as if all Parties hereto had signed the same document. All such counterparts shall be construed
together and shall constituteone instrument, but proof ' only be necessary i produce
MARINEone 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.
ILLS ADULT FAMILY HOME LLC:
4
By: VA
Prime e:
Title: ....1 "`
ATE: 2
Services Bwsiness Lookup A MARiNE HkILLS ADUL I"r FA\WILY "10ME LLC
License Information:
Entity name:
AMARINE HILLS ADULT FAMILY HOME LLC
Business name:
A MARINE HILLS ADULT FAMILY HOME LLC
Entity type:
Limited Liability Company
UBI #:
603-019-365
Business ID:
001
Location ID:
0001
Location:
Active
Location address:
29849 6TH AVE S
FEDERAL WAY WA 98003
Mailing address:
29849 6TH AVE S
FEDERAL WAY WA 98003-3624
Excise tax and reseller permit status: Click here
Secretary of State status:
Click here
Endorsements
Endorsements held at this location License Count
Federal Way General Business 10-102699-00- L
New search Back to results
Details Status Expiration date
Active May -31-2021
Governing People May include governing people not registered with Secretary of State
Governing people Title
MCLAUGHLIN, WILLIAM