AG 20-697 - Mon Ami Permanent Cosmetics, LLCRETURN TO: Tim Johnson EXT: 2412
CITY OF FEDERAL WAY LAW DEPARTMENT ROUTING FORM
1. ORIGINATING DEPT. IV: —ECONOMIC DEVELOPMENT
2. ORIGINATING STAFF PERSON: —TIM JOHNSON EXT: 2412 —, 3. DATE Q. Y. ASAP
4. TYPE OF DOCUMENT (CHECK ONE):
El CONTRACTOR SELECTION DOCUMENT (E.G., RFB, RFP, RFQ)
El PUBLIC WORKS CONTRACT 11 SMALL OR LIMITED PUBLIC WORKS CONTRACT
El PROFESSIONAL SERVICE AGREEMENT 0 MAINTENANCE AGREEMENT
0 GOODS AND SERVICE AGREEMENT El HUMAN SERVICES/ CG
El REAL ESTATE DOCUMENT El SECURITY DOCUMENT (E.G. BOND RELATED DOCUMENTS)
0 ORDINANCE El RESOLUTION
El CONTRACT AMENDMENT (AG#): El INTERLOCAL
X OTHER CARES ACT FUNDS BUSINESS SUPPORT GRANT AGREEMENT
5. PROJECTNAME:- CARES ACT GRANT —ROUND 2
6. NAME OF CONTRACTOR: MON AMI PERMANENT COSMETICS, LLC
ADDRESS: 1132 N FIFE ST, TAcomA, WA 98406 T ELEPHONE: (206) 919-1677
E-MAIL: BELENPERMCOS@COMCAST.NET
SIGNATURENAME: HELEN PIAT -T TITLE: SEE ATTACHED
7. EXHIBITS AND ATTACHMENTS: 0 SCOPE, WORK OR SERVICES El COMPENSATION 11 INSURANCE REQUIREMENTS/CERTIFICATE El ALL
OTHER REFERENCED EXHIBITS El PROOF OF AUTHORITY TO SIGN 0 REQUIRED LICENSES E PRIOR CONTRACT/AMENDMENTS
8. TERM: COMMENCEMENT it SEE ATTACHED AGREEMENT _ COM?LETIO,"-1DATji
9. 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 El YES X NO IF YES,$ PAID BY: El CONTRACTOR 11 CITY
RETAfNAGE: RETAINAGE AMOUNT: 0 RETAINAGE AGREEMENT (SEE CONTRACT) OR [I RETAINAGE BOND
PROVIDED
a PURCHASING: PLEASE CHARGE TO: — 001-1800-990-519A 1420 _ Project Code
10. DOCUMENT/CONTRACT REVIEW
3 =0 PR JECTMANAGER
11kiCTOR
0 RISK MANAGEMENT (IFAPPLICABLE)
11 LAW
I A ww_lj 12 V V %A41 to I M U4 12 F-1 M
INITIAL DATE REVIEWED
SCHEDULED COMIHTTEE DATE:
SCHEDULED CouNcit, DATE:
INITIAL / DATE APPROVED
CONMTTEE APPRovAL DATE:
CouNcit, A.PpRovAL DATE: � -1
El SENT TO VENDOR/CONTRACTOR DATE SENT:—,- DATE REC'D:—
El ATTACH: SIGNATURE AUTHORITY, INSURANCE CERTIFICATE, LICENSES, EXHIBITS
11 CREATE ELECTRONIC REMINDERINOTIFICATION FOR I MONTH PRIOR TO EXPIRATION DATE
(Include dept. support staff if necessary and feel fi-ee to set notification more than a month in advance if council approval is needed.)
INITIAL DATE SIGNED
Cl LAP DEPARTMENT N/A
rj;og GNATORY (MAYOR OR DIRECTOR)
0 CITY CLERK A- "
El ASSIGNED AG# AGIT e
COMMENTS:
This Grant Agreement ("Agreemenf') is made between the City of Federal Way, a Washington municipal
corporation ("City"), and Mon Ami Permanent Costi"cs, LLC, a limited liability company The
City and Grantee (together "Parties") are located and do business at the below addresses which "Ibe valid for
any notice required under this Agreement:
1626 S 3 111111 t # A, V ecleral Y6TTJ_T1
Mailing address 1132 N Fife ST,
Tacoma, WA 98406
(206) 919-1677 (telephone)
M
N
Ade Ariwoola
33325 8th Ave. S.
Federal Way, WA 98003-632L4',
(253) 835-2414 (telephone)
(253) 835-2509 (facsimile)
M
1. TERM. This agreement contemplates a one-time grant of funds to the Grantee under the conditions
described herein.
2. CON 11TIONS, LOf NT
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 to 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):
Was required by to or local order to close
19 Was forced to lay off employees due to reduced patronage
Incurred over $1,000 in COVIN -19 related expenses
Experienced 10-50% lost revenue
Experienced over 50% lost revenue
2.2 Use of Funds: Grantee affims that grant funds will be used for the following purposes:
a) Mortgage or Rent
b) Personal Protection Equipment
CARES ACT BUSINESS GRANT AGREEMENT
7/2020
1411 CITY OF
Federal Way
CITY HALL.
33325 8th Avenue South
Fed er,31 Way, WA 98003-6325
(253) 835-70DO
ww5v cv.11yil 10,kdeoahvay rom
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.
M11119��M
4.1 Amount. In order to promote healthy economic activity in the City and in response to the losses
vtot to exceed One Thousand and NOI 100 Dollars ($1,000.00).
1 lot
RNNFKi ��
5.1 Qr—. 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,
-s end I
es liabilities taxes losses fines fie. it' x enses, attorney's fees, costs, and/or
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 —Indu, 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,
Gra7lee 7 s indemnification shall not be limited in any way by any
MOW 45MRIM II&MRS"WWWO1111 �=@ pa—
compensation
that they have mutually negotiated this waiver.
CARES ACT BUSINESS GRANT AGREEMENT -2-
7/2020
CITY OF CITY HALL
33325 8th Avenue South
Federal Way. WA 98003-6325
Federal Way (253) 835-7000
wwwohoffeikir"llwaycom
5.3 CL— . The City agrees to release, indemnify, defend and hold the Grantee, its
(1k�,'IMmWfirectors, shareholdersi
UvarWgr iwents refixesentatives, and subcontractors harmless from
_s emploilees, a�verus re.
any and all claims, demands, actions, suits, causes of action, arbitrations, mediations, proceedings, judgments,
awards, injuries, damages, liabilities, 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 connected with this Agreement to the extent solely caused by
the negligent acts, errors, or omissions of the City.
5.4 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 termination.
6.1 lbigWareggatfion �aiid ��. This Agreement contains all of the agreements of the Parties with
respect to any matter covered or mentioned in this Agreement and no prior statements or agreements, whether
oral or written, shall be effective for any purpose. Any provision of this Agreement that is declared invalid,
inMerative, null and void, or ille al shall in no affect or invalidate any other provision hereof and such other
provisions shati remain in int. Torce anu U.11CUL. lo pro71sion UY LIMI71,
amended, waived, or modified except by written agreement signed by duly authorized representatives of the
Parties.
6.2 Enforcement "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
ove-4,,tvfotice
other remedies available to the City ,-
law, in equity or by statute. 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 option
. i ij •cAare another
breach or default. This Agreement shall be made in, governed by, and interpreted in accordance with the laws of
the State of Washington. If the Parties are unable to settle any dispute, difference or claim arising from this
Agreement, the exclusive means of resolving that dispute, difference, or claim, shall be by filing suit under the
venue, rules and jurisdiction of the King County Superior Court, King County, Washington, unless the parties
'Vgfee
ti SA W
�4Aic, w t r—sjjch
2 awl+, Each party consents to
the personal jurisdiction of the state and federal courts in King County, Washington and waives any objection
fl
uf—fim�'s 19 "9 SUC
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IN
1,101, WIN," in 001m
5 of this Agreement.
CARES ACT BUSINESS GRANT AGREEMENT -3-
7/2020
CITY HALL
33325 8th Avenue South
Federal Way, WA 98003-6325
POdera!AN4 (253) B35 -700D
www-060000*myrom
6.3 Execution. Each individual executing this Agreement on behalf of the City and Grantee represents
r
to Otto
pages. The date upon which the last of all of the Parties have execut a counterpart ot tfus Agreement Will I
the "date of mutual execution" hereof.
,Jff�, JIIIIIIIIIIIIqIIIIIIIIIIIII Pill III IIIII III III 1111111ppil
CITY 0
,7ERAL WAY:
. 1--loe
V
DATE:
MON AMI PERMANENT COSMETICS, LLC:
C, A -
By: #`
y:
Printed Name:
Title:
DATE:
CARES ACT BUSINESS GRANT AGREEMENT -4-
7/2020
Washington State Department of Revenue
Business Lookup
Entity name:
MON AMI, LLC
Business name:
HELEN PIATT
Entity type:
Limited Liability Company
UBI #.
603-059-670
Business 1D.-
001
Location ID,
0001
Location:
Active
Location address:
Mailing address:
Excise tax and Feseller permit status:
Secretary of State status:
Endorsements
Endorsements held at this location License #
Federal Way General Business
1626 S 310TH ST
FEDERAL WAY WA 98003-4911
1132 N FIFE ST
TACOMA WA 98406-7308
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Count Details
Governing PeopleMy ikddpl. -tregEo—d fth S—fta,�fStw.
Governing people
PIATT, HELEN
PIATT, JOHN
Registered Trade Names
Registered trade names
HELEN PIATT
N
UM
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Expiration date First issuance date
Aug -31-2021 Aug -25-2020