AG 20-834 - Trucking CompanyCITY OF FEDERAL WAY LAW DEPARTMENT ROUTING FORM
1. ORIGINATING DEPT./DIV: ECONOMIC DEVELOPMENT mm
2. ORIGINATING STAFF PERSON: TIM JOHNSON EXT: 2412 — 3. DATE Q. BY ASAP
4. TYPE OF DOCUMENT (CHECK ONE):
0 CONTRACTOR SELECTION DOCUMENT (E.G., RFB, RFP, RFQ)
El PUBLIC WORKS CONTRACT El SMALL OR LIMITED PUBLIC WORKS CONTRACT
El PROFESSIONAL SERVICE AGREEMENT El 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 0 RESOLUTION
[I CONTRACTA NT (AG):_ DINTERLOCAL
X OTHER CARES ACT FUNDS BUSINESS :SUPPORT GRANTAGREEWNT
5. PROJECT NAME: CARES ACT GRANT — ROUN D 2
6. NAME OF CONTRACTOR: TRUCKING COMPANY LLC
ADDRESS: 2323 SW DASH POINT RD, FEDERAL WAY WN 98023-7815 T ELEPHONE: (206) 816-4264
E-MAIL: MHUSLAVIC@YAHOO.COM
SIGNATURENAME: VEACESLAV 14AITU TITLE: SEE ATTACHED
7. EXHIBITS AND ATTACHMENTS: 0 SCOPE, WORK OR SERVICES El COMPENSATION El INSURANCE REQUIREMENTS/CERTIFICATE El ALL
OTHER REFERENCED EXHIBITS El PROOF OF AUTHORITY TO SIGN E3 REQUIRED LICENSES El PRIOR CONTRACT/AMENDMENTS
8. TERM: COMMENCEMENT DATE: SEE ATTACHED AGREEMENT COMPLETION DATE'
9. TOTAL COMPENSATION $ (INCLUDE EXPENSES AND SALES TAX, IF ANY) ONE THOUSAND AND NO1100 ($1000.00)
(IF CALCULATED ON HOURLY LABOR CHARGE - ATTACH SCFMDULES OF EMPLOYEES TITLES AND HOLIDAY RATES)
REIMBURSABLE EXPENSE: 0 YES X NO IF YES, MAXIMUM DOLLAR AMOUNT: $ -
IS SALES TAX OWED El YES X NO IF YES, $__ -- PAID BY: 11 CONTRACTOR El CITY
RETAfNAGE: RETAiNAGE AMOUNT: RETAINAGE AGREEMENT (SEE CONTRACT) OR 0 RETAINAGE BOND
PROVIDED
0 PURCHASING: PLEASE CHARGE TO: 001-1800-990-518-10-490 Project Code #267662725060 _
=0 P JECT MANAGER
-44RECTOR
[I RISK MANAGEMENT (IF APPLICABLE)
Ei LAW
#
INITIAL DATE REVIEWED
SCHEDULED COMETTEE DATE:
SCHEDULED CouNcit, DATE:
INITIAL / DATE APPROVED
CoNmTTEE APPRovAL DATE:
COUNCIL APPRovAL DATE:
El SENT TO VENDOR/CONTRACTOR DATE SENT: DATE REC'D:---
0 ATTACH: SIGNATURE AUTHORITY, INSURANCE CERTIFICATE, LICENSES, EXHIBITS
11 CREATE ELECTRONIC REMINDERINOTIFICATION FOR I MONTH PRIOR TO EXPIRATION DATE
(Include dept. supports if necessary and feel free to set notification more than a month in advance if council approval is needed.)
INITIAL / DATE SIGNED
171 LA DEPARTMENT /A &10A
Vel -N, ATORY (MAYOR OR DIRECTOR)
El CITY CLERK A 2
El ASSIGNED AG# AkG#U,— 1k
COMMENTS:
11M
C"V
Federal Way
CARF
,S Aer yV, AV
SUPPORT GP.., - r AGREEMENT
VaTH
TRUCWNG COMPANY LLC
This Grant Agreement ("Agreententr) is made bete the City of Federal Way, a Wa.-Anngton municipal
. I - . m - i' , L- -4 ---1 Tk+� ritvmirl Cirantee
this Agreement,
VEACESLAV HAITU
2323 SW Dash Point Rd
FEDERAL WAY, WA 98023-7815
Ade Ariwoola
n
J33325 Sth A go
i
WA J003 6325
The Parties agree as follows:
1. TERM. This agreement contemplates a one-time grant of funds to the Grantee and the conditions
desoriherein.
2. 99N1UMPL9A
2.1 W_arranties. Tine. Grantee warn us, the fol lowin& which are pre -requisites for gnuit eligibllity;
a) Grantee opersacs a business physically located Nvithin, tine political boundaries of the City
of Federal Way;
b) Grantee maintains a current City of Federal Way business license.
c) Grantee ha's paid all taxes and goverimuent 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
q_0,gt)0 man-houps total for all employees per year);
e) Grantee's net revenues do not exceed more than $1.illion per year;
f) Grantee does not operate as a tax-exempt business as defined by the Internal Revenue
Service;
g) Tice to VI -19, Grantee business (chock all that apply):
Was required by sate or local order to close
Was forced to lay off employees due to reduced patronage
incurred over $1,000 in COVID-1 9 related expenses
Experienced 10 -SOS lost revenue
E] Experienced over 50% lost revenue
2.2 KL$c qf f -_un lo i urpo es
A,3: Grantee affinns that grant funds wflI be used for the fol wi ig p s
a) Mortgage or Rent
b) Personal Protection Equipment
CARES ACT BUSINESS GRANT AGREEMENT
V2020
a
CITY HALL
33325 Oth Avenue SOMIJ
Grantee agrees to retain receipts documenting use of grant funds and will provide them to'the City or its designee
upon request.
3. IEP
,AJ12LATION. Should any of the conditions described in section 2. 1, above, not be met the City may
recover all dish ursed grant funds and ten-ninate this agreement,
4. 99ANIAMMAL
46 to �";te j"ft economic activity ifi the (W and in resporise to the losses
13M ig��Ipjljlqlltpj
III lj�;IIJIIIIJUHIIII I
5. LNPFM MICATIAM-
A_
5.1gmLyee IndeiliAMP44. tee ees t(i roles indeninify, defend, and hold the City, its
---1—The (umagr
elected officials, ,officars, employees, agents, representatives, insurets, attorneys, and volunteers hanitless from
any and all claim-,, demands, actions, suit:, causes of action, arbitratiorl mediations, proceedings, judgments,
awards, injurie-,;, darriages, liabilities, taxi -s. losses, fines, kes, penalties expenses, attorney's lie s, costs, and/or
litition ens to or d all rsons or ut
ities, including, without limitation, their respective agents,
gaxpeseby any anpec
licensees, or representatives, arising ftom, resulting fro -in, or in counjection with this AgTeenrem or the
"1 -1
5,2 Incau
d
it claims sed by the City s5oce
le negligen, OF10111
ul is Subject to RCW 4,24-115, then, in the event of
so r damages to property caused by or resulting from
Iranee"s liability hereunder shall be, only to the extent
c sub -Grantee shall agree to derend and indemnify the,
resentafives, hisurIll attorneys, and volunteers to the
I V94J�F or by any third PartY under w0fkels'
a on thkiO
CARES ACT BUSINESS GRANT AGREEMENT -2-
712020
CITY OF CITY HALL
33326 6th Avenue South
Federal Way, WA 98003-6325
Federal Way (263) $35.7000
www cilwfodem4iw com
compensation acts, disability benefit acts or any other benefits is or programs. The Parties finther acknowledge
that they have mutually negotiated this waive.r.
mom
Or To
resen 8,
the negligent ta, errors, or OMIISSMS 0 e Clty
old the Gmnlee, its
$, costs, and/or litigAtion
ective agents, licensc
extent solely caused by
pib�bini shall Ircti0thit ifi full ftOe No P"9011 01 U118 AM nctumng I
amended, waived, or modified except by written Agreement slg* by 4* itt Otized rqproerfta� Fit 4110
Parties.
reQuired to ii J�ty ft pat� 0114 be Ili4�4 * the wdrc
4 *�Uty to insist upon strict
pemehL or to lekercise any c"1011
-ted in
accordance with the laws of
Ference or claim arising from this
n, s, y filing suit under the
CARES ACT BUSINESS GRANT AGREEMENT -3-
7/2020
CITY HALL
W00 (253) an -mo
io*o���Com I
however, nothing in this paragraph shall be construed to limit the Parties' rights to indemnification under i®
5 of this Agreemento
instrumment olnpn 0 au Pagm UL L14'Zi
pages. The date jj�nwhich the1ast of all of thePartie§ hiWdt*ii6jWd a 000WOW "t
the "date of mutual execution" hereof.
IN *i*�SS, the Parties execute this Agreement below, effective the last date written�below.
TRUCKING COMPANY LLC-.
Printed Name -
DATE:
< Business Lookup
License Information:
Entity name:
TRUCKING COMPANY LLC
Business name:
TRUCKING COMPANY LLC
Entity type:
Urnited Liabifity Company
LIBI #.
603-517-726
Business ID:
001
Location ID:
0001
Location:
Active
Location and Mailing address:
2323 SW DASH POINT RD
FEDERAL WAY WA 98023-7815
Excise tax and reseller permit status:
Secretary of State status:
Endorsements
Endorsements held at this location License #
Federal Way Home Occupation
Business
Governing People wth s—wfswt�
Governing people
HAITU, VEACESLAV
Details Status
Active
M
The Business Lookup information is updated nightly. Search date and time: 10/2/2020 12:01:18 PM
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Expiration date First issuance date
Aug -31-2021 Sep -04-2020