AG 20-723 - Kids on First DentistryCITY OF FEDERAL WAY LAW DEPARTMENT ROUTING FORM
*RIGINATING DEPT./DIV: ECONOMIC DEVELOPMENT-_
2. ORIGINATING STAFF PERSON: TIM JOHNSON W EXT: 2412 1DATE REQBY-. ASAP
4. TYPE OF DOCUMENT (CHECK ONE):
El CONTRACTOR SELECTION DOCUMENT (E.G., RFB, RFP, RFQ)
0 PUBLIC WORKS CONTRACT El SMALL OR LIM[ITED PUBLIC WORKS CONTRACT
0 PROFESSIONAL SERVICE AGREEMENT 0 MAINTENANCE AGREEMENT
C1 GOODS AND SERVICE AGREEMENT 0 HUMAN SERVICES/ CBG
El REAL ESTATE DOCUMENT El SECURITY DOCUMENT (E.G. BOND RELATED DOCUMENTS)
0 ORDINANCE El RESOLUTION
El CONTRACTA NT (AG):_ El INTERLOCAL
X OTHER CARES ACT FUNDS BUSINESS SUPPORT GRANT AGREEMENT
5. PROJECT E: CARES ACT GRANT— ROUND 2
6. NAME OF CONTRACTOR: KIDS ON FIRST DENTISTRY
ADDRESS: 33915 1 ST WY S, FEDERAL WAY WN 98003-6396 T ELEPHONE: (253) 517-7780
E-MAIL: MBECKF-Rl77@GMAIL.COM
SIGNATURE NAME: MARTA BECKER TITLE: SEE ATTACHED
7. EXHIBITS AND ATTACHMENTS: I] SCOPE, WORK OR SERVICES 0 COMPENSATION 11 INSURANCE REQUIREMENTS/CERTIFICATE El ALL
OTHER REFERENCED EXHIBITS L1 PROOF OF AUTHORITY TO SIGN 0 REQUIRED LICENSES El PRIOR CONTRACT/AMENDMENTS
9. TOTAL COMPENSATION$ (INCLUDE EXPENSES AND SALES TAX, IF ANY) TWO THOUSAND ANIDNO/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 [:]YES X NO IF YES,$
0 PURCHASING: PLEASE CHARGE TO: 001-1800-990-518-10-490 Proiect Code #267662-25060 -
10. DOCYNIENTICONTRACT REVIEW INITIAL / DATE REVIEWED INITIAL J DATE APPROVED
9PE] OJECT MANAGER
1RECTOR
• RISK MANAGEMENT (IF APPLICABLE)
• LAW
11. COUNCIL APPROVAL (IF APPLICABLE) SCHEDULED COMIvUTTEE DATE: COMMITTEE APPROVAL DATE:
SCHEDULED COUNCIL DATE: COUNCIL APPROVAL DATE:
12. CONTRACT SIGNATURE ROUTING
El SENT TO VENDOR/CONTRACTOR DATE SENT: DATE R-EC'D:—.
El ATTACH: SIGNATURE AUTHORITY, INSURANCE CERTIFICATE, LICENSES, EXHIBITS
0 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
❑�W eD-OART MENT — I - .1 Z- I
r RY (MAYOR OR DIRECTOR)
El CITY CLERK 4A9
'0y)
El ASSIGNED AG# AG#'j�
COMMENTS:
1/2020
0
tY OF
0deMl Woy
CITY HALL
33325 Sth Avenue South
Federal Way WA 98003-6325
(253) 835-7000
wmv cityoffedeFahvay coin
CARES ACT FUNDS BUSINESS SUPPORT GRANT AGREEMENT
I WITH
KIDS ON IST DENTISTRY, DDS, PLLC
This Grant Agreement ("Agreement") is made between the City of Federal Way, a Washington municipal
corporation ("City"), and Kids On lst Dentistry, DDS, PLLC, a professional 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:
MARTA BECKER
33915 1 st Way S # 100, Federal Way, WA 98003-6396
Mailing address: 33915 1ST Wy S,
Federal Way, WA 98003-6396
(253) 517-7780 (telephone)
mbeckerl77@gmail.com
Ade Ariwoola
33325 8th Ave. S.
Federal Way, WA 98003-6325
(253) 835-2414 (telephone)
(253) 835-2509 (facsimile)
EM
1. TERM. This agreement contemplates a one-time grant of funds to the Grantee under the conditions
described herein.
2. CONDITIONS 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 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):
Was required by state or local order to close
Was forced to lay off employees due to reduced patronage
Incurred over $1,000 in COVID-19 related expenses
Ej Experienced 10-50% lost revenue
E] Experienced over 50% lost revenue
2.2 Use of Funds: Grantee affirms that grant funds will be used for the following purposes:
a)
Mortgage or Rent
b)
Personal Protection Equipment
CARES ACT BUSINESS GRANT AGREEMENT - 1 -
Grantee agrees to retain receipts documenting use of grant fimds 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 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
not to exceed Two Thousand and NO/I 00 Dollars ($2,000.00).
4.2 NbntAppro
--p!jAdon 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.
V 11'
MMMM�
5.1 Qj�ot&& Ihd&fimifl&aioh. 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
e w
Al'! 1:2111 iiiiii ii iijiliii I 1117vi
I
is 11, V I W01 1� I W_ I I I I I I
4.
qm!�*M# IMES #1 ONII 11004
the concurrent negligence of the Grantee and the City, the Grantee's liability hereunder shall be only t 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 these covenants 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'
that they have mutually negotiated this waiver.
5.3 Cilyinderimifleation. The City agrees to release, indemnify, defend and hold the Grantee, its
NPX#W#
CITY OF
Federal Way
CITY HALL
33325 8th Avenue South
Federal Way, WA 98003-6325
(253) 835-7000
VVWW city0ftedel ahvay COR7
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 re%resentativ s, arising from., resultin from or connected with this Ameement to the extent solelp
caused by the negligent acts, errors, or omissions o 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 !WgWrdatiou and N16dificatio . 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 declaret
invalid, inoperative, null and void, or illegal shall in no way affect or invalidate any other provision hereof and
such other provisions shall remain in full force and effect. No provision of this Agreement, including this
provision, may be amended, waived, or modified except by written agreement signed by duly authorizei-
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
p notice
ap be deicosited in the United States mailp),ostage geLpid to the address set forth above. Ang
so posted in the United States mail shall be deemed received three (3) days after the date of mailing. Any
remedies provided for under the terms of this Agreement are not intended to be exclusive, but shall be
cumulative with all other remedies available to the City at 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 anv ontion conferred by this Agreement in one or more instances shall not be construed to be a waiver
WN
u I It;, a7-TTUIVer +1 11C k-1 LY
right to declare another breach or default. This Agreem n 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 agree in writing to an alternative process. If the King County Superior Court
does not have jurisdiction over such a suit, then suit may be filed in any other appropriate court in King County,
Washington. Each party consents to the personal jurisdiction of the state and federal courts in King County,
Washington and waives any objection that such courts are an inconvenient forum. If either Party brings any
claim or lawsuit arising from this Agreement, each Party shall pay all its legal costs and attorney's fees and
expenses incurred in defending or bringing such claim or lawsuit, including all appeals, in addition to any other
recovery or award provided by Idw; provided, however nothing in this paragraph shall be construed to limit the
Parties' rights to indemnification under Section 5 of this Agreement.
6.3 Execution. Each individual executing this Agreement on behalf of the City and Grantee
represents and warrants that such individual is duly authorized to execute and deliver this Agreement. Th�a
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
CARES ACT BUSINESS GRANT AGREEMENT -3-
7/2020
56deral� �, ;b `5Y 1y
CITY iOF
CITY HALL
33325 Sth Avenue South
Federal Way.. WA 98003-6325
(253) 535-7000
www cityoffedeTaNvay cant
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
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.
ATE:
R_! •\ i \ _
By:
rir.
Titl
A'
Services Business Lookup KIDS ON FIRST DENTISTRY
License Information:
Expiration date
Entity name:
MARTA BECKER, DDS, PLLC
Business name:
KIDS ON FIRST DENTISTRY
Entity type:
Professional Limited Liability Company
UBI #:
603-416-048
Business ID:
001
Location ID:
0001
Location:
Active
Location address.
33915 1 ST WAY S ST E 100
FEDERAL WAY WA 98003-6396
Mailing address:
33915 1 ST WAYS
FEDERAL WAY WA 98003
Excise tax and reseller permit status: Click here
Secretary of State status:
Click here
Endorsements
Endorsements held at this location License # Count Details
Dental X-ray/CT/ Pan/Ceph 2
Federal Way General Business 14 -106537 -00 -BL
X -Ray, Dental/PodiatdcNleterinary
Governing People May Include governing people not registered with secretary of State
Governing people Title
BECKER, MARTA
iegistered Trade Names
Registered trade names
K 1 0 JST TIS
I.DS LON 1 ST DENTISTRY
I _6 . It
I
New search Back to results
Status
Expiration date
First issuance
Active
Jul -31-2021
Sep -15-2014
Active
Jul -31-2021
Jan -06-2015
Active
Jul -31-2021
Sep -15-2014
The Business Lookup information is updated nightly. Search date and time: 8124/2020 11:20:48 AM
Working together to fund Washington's future