AG 20-776 - Patricia Michelle SeaverCITY OF FEDERAL WAY LAW DEPARTMENT ROUTING FORM
ORIGINATING DEPT./DIV: ECONOMIC DEVELOPMENT
ORIGINATING STAFF PERSON: TIM JOHNSON EXT: 2412 3. DATE REQ.BY. ASAP
TYPE OF DOCUMENT (CHECK ONE):
D CONTRACTOR SELECTION DOCUMENT (E.G., RFB, RFP, RFQ)
El PUBLIC WORKS CONTRACT D SMALL OR LIMITED PUBLIC WORKS CONTRACT
• PROFESSIONAL SERVICE AGREEMENT E] MAINTENANCE AGREEMENT
• GOODS AND SERVICE AGREEMENT El HUMAN SERVICES/ CDBG
0 REAL ESTATE DOCUMENT [I SECURITY DOCUMENT (E.G. BOND RELATED DOCUMENTS)
El ORDINANCE El RESOLUTION
* CONTRACT AMENDMENT (AG): -- DINTERLOCAL
* OTHER- CARES ACT FUNDS BUSINESS SUPPORT GRANT AGREEMENT
5. PROJECT NAME: CARES ACT GRANT — ROUND 2
6. NAME OF CONTRACTOR: PATRICIA MICHELLE SEAVER
ADDRESS: 1626S310THST#A,FEDERALWAY WA 98003 T ELEONE: (206) 498-7086
E-MAIL: LUJNNITRUN I III QNJAIL-CON1
SIGNATURE NAME: PATRICIA SEAVER TITLE: SEE ATTACHED
EXHIBITS AND ATTACHMENTS: El SCOPE, WORK OR SERVICES El COMPENSATION 0 INSURANCE REQUIREMENTS CERTIFICATE El ALL
OTHER REFERENCED EXHIBITS D PROOF OF AUTHORITY TO SIGN El REQUIRED LICENSES 0 PRIOR CONTRACT/AMENDMENTS
8. TERM: COMMENCEMENT DATE: AIJACHEL),LO . COMPLETION DATE:
9. TOTAL COMPENSATION$ (INCLUDE EXPENSES AND SALES TAX, IF ANY) ONE THOUSAND AND NO/100 ($1,000 00)
(IF CALCULATED ON HOURLY LABOR CHARGE - ATTACH SCHEDULES OF EMPLOYEES TITLES AND HOLIDAY RATES)
REIMBURSABLE EXPENSE: 11 YES X NO IF YES, MAXIMUM DOLLAR AMOUNT: $.
IS SALES TAX OWED DYES X NO IF YES,$ PAID BY: El CONTRACTOR El CITY
RFTAINAGE: RETAINAGE AMOUNT: El RETAINAGE AGREEMENT (SEE CONTRACT) OR D RETAINAGE BOND
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11 PURCHASING: PLEASE CHARGE TO: 001-1800-990-518-10-490 Project Code #267662-25060
10. DOCUMENT/CONTRACT REVIEW INITIAL / DATE REVIEWED INITIAL DATE APPROVED
0 PWJECT MANAGER
8151RECTO R
El RISK MANAGEMENT (IFAPPLICABLE)
El LAW
11. COUNCIL APPROVAL (IF APPLICABLE) SCHEDULED COMMITTEE DATE; COMMITTEE APPRovAL DATE:
Q-- iin t'- n,.— 1�TT ADD-17AT PATE'
12. CONTRACT SIGNATURE ROUTING
El SENT TO VENDOR/CONTRACTOR DATE SENT: DATE REC'D:-
El ATTACH: SIGNATURE AUTHORITY, INSURANCE CERTIFICATE, LICENSES, EXHIBITS
• 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
• LAW DEPARTMENT N/
ATONY (MAYOR OR DIRECTOR)
CITY 11CLQ
R K
0 ASSIGNED AG # gAG#
COMMENTS:
1/2020
cily OF CrrY HALL
33325 8th Avenue South
FederW Way, WA 98003-6325
Federal Way (253) B3,5-7000
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UARES ACT F'JIMPS jqZ;L1Tr
WITH
PATMCIA AHCHMLE SEAVER
This Grant Agreement ("Agreemenf') is made between the City of Federal Way, a Washington mumcip,
corporation C'Cily"), and Patricia Michelle Seaver, a sole proprietor OGrantee"). The City aand an,
r ot
(together "Parties") are located and do business at the below addresses which shall be valid for any
any
required under this Agreement:
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PATRICIA SEAVER
1626 S 3 10th St # A
FEDERAL WAY, WA 98003
Mailing Address:
20058 Yd Ave SW
NORMANDY PARK, WA 98166
Ade Ariwoola
33325 8th Ave. S.
Federal Way, WA 98003-6325
(253) 835-2414 (telephone)
(2-53) 815 2509 (facsimile)
1. TERM. This agreement contemplates a one-time grant of funds to the Grmtee under the conditions
described herein.
2.1 Warranties: The Grantee warrants the following, which arc 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 emplo
(20,800 man-hours total for all employees per year);
e) Grantee's net revenues do not exceed more than $1.5 mon per year;
f) Grantee does not operate as a tax-exempt business as defined by the Internal
Service;
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g) Due to COVID-19, Grantee business (6gghglj 1 ---- LD -y ReVenj
M,-*' Was rcqoj� by state or 1004 000 0 close
E) Was forced to lay off employees due to reduced patronage
thourted over $1,000 in COVID-19 related expenses
E*pehienced 10-50% lost revenue
Experienced over 50% ost revenue
CARES ACT BUSINESS GRANT AGREEMENT
CITY OF CITY HALL
4 33325 Sth Avenue South
Federal Way, WA 98003-6325
Federal Way
(253) 835-7000
wwrvca4,offederalwaycom
2.2 Use of Funds: Grantee affirms that grant funds will be used for the following purposes:
a) Mortgage or Rent
b) Personal Protection Equipment
c) Insurance
d) Utilities
e) Marketing
f) Payroll
Grantee agrees to retain receipts documenting use of grant funds and will provide them to the City or its
designee upon request
3. TERMINATION. Should any of the conditions described in section 2.1 above, not be met, the Ci!Vj
may recover all disbursed grant funds and terminate this agreement. I
4.1 Amount. In order to promote healthy economic activity in the City and in response to the losses
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xot to exceed One Thousand and NO/I 00 Dollars ($ 1,000.00).
4.2 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
® INDEMNIFICATION.
MY"
The
volunteers toAt 04* 00 on the same terms and conditions as the Grantee pursuant to this paragraph
Viese 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 indernnification 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
CARES ACT BUSINESS GRANT AGREEMENT -2- 712020
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. This
A qrt.-, each of which shall be deemed anon nalandwith
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Printed Name: EaC
�4y -4,Jle -�-Cclvfr
Title:
DATE:
CARES ACT BUSINESS GRANT AGREEMENT -4- 7/2020
9/29/2020 Washington State Department of Revenue
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< Business Lookup
License Information: New search Back to results
Entity name: SEAVER, PATRICIA MICHELLE
Business name: PATRICIA MICHELLE SEAVER
Entity 'type: Sole Proprietor
USX 602-012-836
Business ID: 001
Location ID: 0001
Location: Active
Location address: 1626 S 310TH STE A
FEDERAL WAY WA 98003
Mailing address: 1626 S 310TH STE A
FEDERAL WAY WA 98003
Excise tax and reseller permit status: Click here
Endorsements
Endorsements held at this location Ucense 0 Count Details Status Expiration date First issuance dal
Federal Way General Business 00 -101991 -00 -BL Active Feb -28-2021 Feb -25-2000
Governing PeopleM. inddg.s.."ing p"pt. -9,.g&f9rd wkhSc ftvy fStaft
Governing people Title
SEAVER, PATRICIA MICHELLE
Contact us
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