AG 20-578 - A & D Home Services♦
EXT: 2412
CITY 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):
El CONTRACTOR SELECTION DOCUMENT (E.G., RFB, RFP, R.FQ)
o PUBLIC WORKS CONTRACT El SMALL OR LIMITED PUBLIC WORKS CONTRACT
11 PROFESSIONAL SERVICE AGREEMENT 0 MAINTENANCE AGREEMENT
E] GOODS AND SERVICE AGREEMENT 0 HUMAN SERVICES/ CDBG
El REAL ESTATE DOCUMENT Ei SECURITY DOCUMENT (E.G. BOND RELATED DOCUMENTS)
Ej ORDINANCE El RESOLUTION
Ei CONTRACTA NT (AG#).- El INTERLOCAL
X OTHER- CARES ACT FUNDS BUSINESS SUPPORT GRANT AGREEMENT
.
PROJECT E: CARES ACT GRANT -ROUND 2
NAME OF CONTRACTOR: A & D HOME SERVICES
ADDRESS: 1036 S 325TH ST, FEDERAL WAY WA 98003-5933 T ELEPHONE: (253) 632-6086
E-MAIL: DORYCAVADA@YAHOO.COM
SIGNATURE NAME: DOLORES CAVADA TITLE: SEE ATTACHED
EXHIBITS AND ATTACHMENTS: 0 SCOPE, WORK OR SERVICES 0 COMPENSATION El INSURANCE REQUIREMENTS/CERTIFICATE D A
OTHER REFERENCED EXHIBITS D PROOF OF AUTHORITY TO SIGN 0 REQUIRED LICENSES 11 PRIOR CONTRACT/AMENDMENTS I
COMMENCEMENT DATE: SEE ATTACHED AGREEMENT COMPLETION DATE:
TOTAL COMPENSATION$ (INCLUDE EXPENSES AND SALES TAX, IF ANY)TWO THOUSAND AND NO/100 ($2,000.00)
(IF CALCULATED ON HOURLY LABOR CHARGE - ATTACH SCHEDULES OF EMPLOYEES TITLES AND HOLIDAY RATES)
REIMBURSABLE EXPENSE: E) YES X NO IF YES, MAXIMUM DOLLAR AMOUNT: $
IS SALES TAX OWED 1:1 YES X NO IF YES, $ PAID BY: El CONTRACTOR 13 CITY
RETAINAGE: RETAINAGE AMOUNT: D RETAINAGE AGREEMENT (SEE CONTRACT) OR 11 R-ETAINAGE BOND
ROVIDED
0 PURCHASING: PLEASE CHARGETO: 001-1800-290-518-10-490 Project Code #267662-25060
0. DOCUMENT/CONTRACT REVIEW INITIAL DATE REVIEWED INITIAL / DATE APPROVED
0 PROJECT MANAGER
DD� CTOR
Ej RISK MANAGEMENT (IF APPLICABLE)
11 LAW
1. COUNCIL APPROVAL (IF APPLICABLE) SCHEDULED COMMITTEE DATE: COMMITTEE APPROVAL DATE:
SCHEDULED COUNCIL DATE: COUNCIL APPROVAL DATE:
DATE RECD:
El ATTACH: SIGNATURE AUTHORITY, INSURANCE CERTIFICATE, LICENSES, EXHIBITS
El 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 N/A
tonNATORY (MAYOR OR DIRECTOR)
Y CLERK
0 ASSIGNED AG# AG#
,OMMENTS:
r70,1— ry
r
CITY HALL
33325 8th Avenue South
Federal Way, WA 98003-6325
(253) 835-7000
mvw cityoffedeFalway corn
C -ARES ACT FUNDS BUSINESS SUPPORT GRANT AGREEMENT
WITH
A & D HOME SERVICES
This Grant Agreement ("Agreement") is made between the City of Federal Way, a Washington municipal
corporation ("City"), and A & D Home Services, a sole proprietor ("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:
1POLORES CAVADA
1036 S 325th ST
FEDERAL WAY, WA 98003-5933
# t 0# . -
4.orvcavadaa.vahoo.com
Ade Ariwoola
33325 8th Ave. S.
Federal Way, WA 98003-6325
(253) 835-2414 (telephone)
(253) 835-2509 (facsimile)
at &w I it-, 1#1 Wk, tfflw*�&i # ffa&u Aym, tj kim I
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):
Ej Was required by state or local order to close
E] Was forced to lay off employees due to reduced patronage
X Incurred over $1,000 in COVID-19 related expenses
JR Experienced 10-50% lost revenue
E] Experienced over 50% lost revenue
2.2 Use of Funds: Grantee affirms that grant ftmds will be used for the following purposes:
a)
Mortgage or Rent
b)
Personal Protection Equipment
TOURISM GRANT AGREEMENT - 1 - 312017
c)
Insurance
d)
Utilities
e)
Marketing
f)
Payroll
CITY HALL
33325 8th Avenue South
Federal Way, WA 98003-6325
(253) 835-7000
mvw cityoffederalway corn
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 Cil
may recover all disbursed grant funds and terminate this agreement.
111111141 Iii,1111111mv ipilrn:
VVWV
not to exceed Two Thousand and NO/I 00 Dollars ($2,000.00).
4.2 Non -Appropriation 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 Grantee Indemnification. The Grantee agrees to release indemnify, defend, and hold the Ci
its elected officials, officers, employees, agents, representatives, insurers, attorneys, and volunteers harnmle
from any and all claims, demands, actions, suits, causes of action, arbitrations, mediations, proceeding
judgments, awards, injuries, damages, liabilities, taxes, losses, fines, fees, penalties expenses, attorney's fee
costs, and/or litigation expenses to or by any and all persons or entities, including, without limitation, the
respective agents, licensees, or representatives, arising from, resulting from, or in connection with th
Agreement or the performance of this Agreement, except for that portion of the claims caused by the City
sole negligence. Should a court of competent jurisdiction determine that this Agreement is subject to RC
4.24.115, then, in the event of liability for damages arising out of bodily injury to persons or damages a
property caused by or resulting from the concurrent negligence of the Grantee and the City, the Grantee
liability hereunder shall be only to the extent of the Grantee's negligence. Grantee shall ensure that each su
Grantee shall agree to defend and indernnify the City, its elected officials, officers, employees, agent
representatives, insurers, attorneys, and volunteers to the extent and on the same terms and conditions as t
Grantee pursuant to this paragraph. The City's inspection or acceptance of any of Grantee's work wh
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' compensation acts, disability benefit acts or any other benefits acts or programs. The Parties
ftuther acknowledge that they have mutually negotiated this waiver.
5.3 Cily IndeimilfibAtibn. The City agrees to release, indemnify, defend and hold the Grantee, its
TOURISM GRANT AGREEMENT 'i
4 city or
Alt*
F&deral Mlay
CrFY HALL
33325 Sth Avenue South
Federal Way, WA 98003-6325
(253) 835-7000
www ci"ffederalway corn
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 z
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.
A & D HOME SERVICES:
By:
Printed Name: TW)
Title:
DATE:
,7 26
Services
Business Lookup A & D HOME SERVICES
License Information:
Entity name:
CAVADA, DOLORES ERMITANIO
Business name:
A & D HOME SERVICES
Entity type:
Sole Proprietor
UI #:
602-013-986
Business ID:
001
Location ID:
0001
Location:
Active
Location address:
1036 S325TH ST
FEDERAL WAY WA 98003-5933
Mailing address:
1036 S 325TH ST
FEDERAL WAY WA 98003-5933
Excise tax and reseller permit status: Click here
Endorsements
Endorsements held
at this location License # Count
Federal Way General Business 02 -101411 -00 -BL
Details Status
Active
Governing People May include governing people not registered with Secretary of State
Governing people Title
CAVADA, DOLORES ERMITANICI
CAVADA, OSMUNDO M
Registered trade names
Status
Active
Working together to fund Washington's future
New search Back to results
Expiration date First issuanCE
Feb -28-2021 Apr -25-2002
E139101111irliff 91YOUNA
First issued
Feb -16-2000