AG 20-673 - Fafi Family ChildcareRETURN TO: Tim Johnson EXT: 2412
------------- -
CITY OF FEDERAL WAY LAW DEPARTMENT ROUTING FORM
ORIGINATING rIV- —,ECONOMIC DEVELOPMENT
ORIGINATING STAFF PERSON: TIM JOHNSON EXT: 2412 3. DATE
[I PUBLIC WORKS CONTRACT El SMALL OR LIMITED PUBLIC WORKS CONTRACT
0 PROFESSIONAL SERVICE AGREEMENT [I MAINTENANCE AGREEMENT
El GOODS AND SERVICE AGREEMENT El HUMAN SERVICES/ CG
El REAL ESTATE DOCUMENT 0 SECURITY DOCUMENT (E.G. BOND RELATED DOCUMENTS)
* ORDINANCE 11 RESOLUTION
* CONTRACTA NT (AG#):,_ El INTERLOCAL
* OTHER CARES ACT FUNDS BUSINESS SUPPORT GRANT AGREEMENT
PROJECT NAME: CARES ACT GRANT — ROUND 2
NAME OF CONTRACTOR: F FAMILY CHILDCARE
ADDRESS: 905 SW 318TH PL, FEDERAL WAY WA 98023-4743 T ELEPHONE: (206) 458-0653
E-MAIL: FAFINETH@GMAIL.COM
SIGNATURENAME: FH SOROMOU TITLE: SEE ATTACHED
EXHIBITS AND ATTACHMENTS: El SCOPE, WORK OR SERVICES El COMPENSATION El INSURANCE REQUIREMENTS/CERTIFICATE 0 ALL
OTHER REFERENCED EXHIBITS 0 PROOF OF AUTHORITY TO SIGN El REQUIRED LICENSES El PRIOR CONTRACT/AMENDMENTS,
TERM: COMMENCEMENT DATE: SEE ATTACHED AGREEMENT COMPLETION DATE:
TOTAL COMPENSATION$ (INCLUDE EXPENSES AND SALES TAX, IF ANY) ONE THOUSAND AND N01100 ($1,000.00)
(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 0 YES X NO IF YES, $_ PAID BY: El CONTRACTOR 11 CITY
RETAINAGE: RETAINAGE AMOUNT: El RETAINAGE AGREEMENT (SEE CONTRACT) OR 0 RETAINAGE BOND
ROVIDED
11 PURCHASING: PLEASE CHARGE TO: 001-1800-990-518-10-490 Project Code #267662-25060
DOCUMENT/CONTRACT REVIEW INITIAL / DATE REVIEWED, INITIAL DATE APPROVED
0 PRIECT MANAGER
rJ,D1kECTOR
'ry
11 RISK MANAGEMENT (IFAPPLICABLE)
1. COUNCIL APPROVAL (IF APPLICABLE) SCHEDULED COMMITTEE DATE: COMMITTEE APPROVAL DATE:
SCHEDULED COUNCIL DATE: COUNCIL APPROVAL DATE:
2. CONTRACT SIGNATURE ROUTING
11 SENT TO VENDOR/CONTRACTOR DATE SENT: DATE REC'D:
El ATTACH: SIGNATURE AUTHORITY, INSURANCE CERTIFICATE, LICENSES, EXHIBITS
I] 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
El LAW DEPARTMENT IN t,
LACNATORY (MAYOR OR DIRECTOR)
El CITY CLERK 10
El ASSIGNED AG# AG
.OMMENTS: A
1/2020
CITY OF
Fdderal Mf6y
Cr7Y HALL
33325 8th Avenue South
Federal Way, WA 98003-6325
(253) 835-7000
�",Wc,jqfoffedpars(way. Coll)
RES ACT FUNDS BUSINESS SUPPORT GRANT AGREEMENT
WITH
FAFI FAMILY CHILDCARE LLC
This Grant Agreement ("Agreemenf') is made between the City of Federal Way, a Washington municip
corporation ("City"), and Fafi Family Childcare LLC, a limited liability company ("Grantee"). The City a
Grantee (together "Parties") are located and do business at the below addresses which shall be valid for
notice required under this Agreement:
FAFINETH SOROMOU
905 SW 318th Pl, Federal Way, WA 98023
Mailing address: 905 SW 318 TH PL,
Federal Way, WA 98023
(206) 458-0653 (telephone)
I CITY OF FEDERAL WAY: I
Ade Ariwoola
33325 8th Ave. S.
Federal Way, WA 98003-6325
(253) 835-2414 (telephone)
(253) 835-2509 (facsimile)
ade.ariwoocit offs eraly.co
1. TERM. This agreement contemplates a one-time grant of funds to the Grantee under the conditions
/'r'/herein.
2. CONDFrIONS 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 it of Federal Way business license;
c)
Grantee has paid all taxes and government fees due up tote 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 asdefined 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
Was forced to lay off employees due to reduced patronage
E] Incurred over $1,000 in COVID-19 related expenses
Experienced 10-50% lost revenue
Experienced over 50% lost revenue
2.2 Use of Funds: Grantee affirms that grant fimds will be used for the following purposes:
a)
Mortgage or Rent
b)
Personal Protection Equipment
,fl A Trac® A J"'V T'31T TO T"KTUL-0 f --D A XT -r A - I -
c) Insurance
d) Utilities
e) Marketing
f) Payroll
CITY HALL
33325 Sth Avenue South
Federal Way, WA 98003-6325
(253) 835-7000
mwv. ca voffederalway com
Grantee agrees to retain receipts documenting use of grant funds and will provide the to the City or its
designee upon request.
3. TERMINATION. Should any of the conditions described in section 2.1 above, not be met, the Ci
may recover all disbursed grant funds and terminate is agreement. I
4.1 Amount. In. order to promote healthy economic activity in the City and in response to the losses
Grantee has incurred due to the COVID- 19 pandemic, the City shall provide a grant to the Grantee in an amount
not to exceed One Thousand and NO/I 00 Dollars ($ 1,000.00).
4.2 Non-Avoropriation 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 The Grantee agrees to release indeninify, 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
performance 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
6-ese covenants of indemnification.
g. W
0- 4 HAIINI I
KrUff-,wolely tor ses ot mis inuemninuation. Mill
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 is benefits acts or programs. The Parties further
acknowledge that they have mutually negotiated this waiver.
5.3 C'tV tndgmni&�. The City agrees to release, indemnify, defend and hold the Grantee, its
0 AP PQ A(` PT TQTMPIQ4Z r�'P ANT A(7PPM7PNIT - ? -
'CITY bf
F6deral
solely caused by the negligent acts, errors, or omissions of the City.
CffY HALL
33325 Lith Avenue South
Federal Way, VV A 98003-6325
(253) 8,35-7000
il$"IAVW'll$ "tt,-,,f"s,"1iPlli,ay.co,,i�
provisions of this Section shall survive ft expiration or termination of this
Agreement with respect to any 6/bAt occurring prior to such expiration or termination,
6. GrNIE - LRMPROVISIONS., �
. ........ .
Ckly Of CITY HALL
33325 8th Avenue South
Federal Way, WA 98003-6325
Federal Way (253) 835-7000
together and shall constitute one instrument, but in making proof hereof it shall only be necessary to produce
one such counterpart. The signature and acknowledgmient, 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 to upon which the last of all of the Parties have eXCCUted a
cotintet-liart of this Agreement shall be the "date of mutual execution7'hereof.
I
By:
Printed Name:.EAf I N f TO U. SD9MMOU
Title: C�vu'
DATE:,
9/21/2020 Washington State Department of Revenue
< Business Lookup
License Information:
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Entity name: FAR FAMILY CHILDCARE LLC
Business name: FAR FAMILY CHILDCARE
Entity type: Limited Liability Company
UB1 #: 604-649-979
Business ID: 001
Location ID: 0001
Location: Active
Location address: 905 SW 318TH PL
FEDERAL WAY WA 98023-4743
Mailing address: 905 SW 318TH PL
FAFINETH@GMAIL.COM
FEDERAL WAY WA 98023
Excise tax and reseller permit status:
Click here
Secretary of State status:
Click here
Endorsements
Endorsements heid at this location Ucense # Count
Details Status
Expiration date First issuance date
Federal Way Home Occupation
Active
Aug -31-2021 Sep -03-2020
Business
Governing People
Governing people
Title
SOROMOU, FAFINETH
Registered Trade Names
Registered trade names Status
First issued
FAR FAMILY CHILDCARE LLC Active
Aug -25-2020
The Business Lookup information is updated nightly. Search date and time: 9/21/2020 8:13:S6 AM
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