AG 20-591 - Aesthetic Dental CenterNEWNWIM
CITY OF FEDERAL WAY LAW DEPARTMENT ROUTING FORM
. ..... . ....
ORIGINATING DEPT./DIV. ECONOMIC DEVELOPNIFNT
ORIGINATING STAFF PERSON: TM JOHNSON EXT: 2412 — 3. DATE REQ.
TYPE OF DOCUMENT (CHECK ONE):
El CONTRACTOR SELECTION DOCUMENT (E.G., RFB, RFP, RFQ)
El PUBLIC WORKS CONTRACT 0 SMALL OR LIMITED PUBLIC WORKS CONTRACT
El PROFESSIONAL SERVICE AGREEMENT El MAINTENANCE AGREEMENT
El GOODS AND SERVICE AGREEMENT El HUMAN SERVICES / CBG
El REAL ESTATE DOCUMENT El SECURITY DOCUMENT (E.G. BOND RELATED DOCUMENTS)
* ORDINANCE 0 RESOLUTION
* CONTRACT AMENDMENT(AG#):_ El INTFRLOCAL
* OTHER CARES ACT FUNDS 130 SINES S SUPPORT GRANT AGREEMENT
PROJECT NAME: CARES ACT GRANT —ROUND 2
NAME OF CONTRACTOR: AESTHETIC DENTAL CENTER
ADDRESS: 34700 11TH PL S, FEDERAL WAY WA 98003-6715 T ELEPHONE, (206) 291-6515
E-MAIL: VUON0005@YAHOO.COM
SIGNATURE NAME: CINDY CHOU TITLE: SEE ATTACHED
EXHIBITS AND ATTACHMENTS: E3 SCOPE, WORK OR SERVICES 0 COMPENSATION El INSURANCE REQUIREMENTS/CERTIFICATE [I ALL
OTHER REFERENCED EXHIBITS El PROOF OF AUTHORITY TO SIGN El REQUIRED LICENSES El PRIOR CONTRACT/AMENDMENTS
0
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: 0 YES X NO IF YES, MAXIMUM DOLLAR AMOUNT: $
IS SALES TAX OWED DYES X NO PAID BY: El CONTRACTOR 0 CITY
RETAINAGE: RETAINAGE AMOUNT: --Ej RETAINAGE AGREEMENT (SEE CONTRACT) OR El RETAINAGE BOND
ROVIDED
2 PURCHASING: PLEASE CHARGE TO: 001-1800-990-518-10-490������
0. iiNTRACT REVIEW
D PROJECT MANAGER
R!%RECTOR
[I RISKMANAGEMENT (IFAPPLICABLE)
El LAW
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INITIAL 1 DATE APPROVED
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ComNnT'rEE APPROVAL DATE:
COUNCIL APPROVAL DATE:
• SENT TO VENDOR/CONTRACTOR DATE SENT: DATE C'D:
• ATTACH: SIGNATURE AUTHORITY, INSURANCE CERTIFICATE, LICENSES, EXHIBITS
• CREATE ELECTRONIC REMINDER/NOTIFICATION FOR 1 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 SIG
El LAW DEPARTMENT
W09rGNATORY (MAYOR OR DIRECTOR)
11 CITY CLERK
0 ASSIGNED AG# AG#
7
,OMME IS:
1/2020
City OF
Fbdera1w
Py
CITY HALL
33325 Sth Avenue South
Federal Way WA 98003-6325
(253) 835-7000
wwwcityoffederaiLv�y.coo
CARES ACT FUNDS BUSINESS SUPPORT GRANT AGREEMENT
WITH
AESTHECTIC DENTAL CENTER
This Grant Agreement ("Agreement") is made between the City of Federal Way, a Washington municipal
corporation ("City"), and Aesthetic Dental Center, a professional service corporation ("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:
CINDY CHOU
34700 1 Ith P1 S
FEDERAL WAY, WA 98003-6715
1, 0 a a a - - a 9 •
a -
CITY OF FEDERAL WAY- I
Ade Ariwoola
33325 8th Ave. S.
Federal Way, WA 98003-6325
(253) 835-2414 (telephone)
(253) 835-2509 (facsimile)
ade.ariwoola@cityoffederalway.com
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):
[j 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
Experienced 10-50% lost revenue
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
CITY' OF
P6derai mi�ay
c) Insurance
d) Utilities
e) Marketing
f) Payroll
CITY HALL
33325 Sth Avenue South
Federal Way, WA 98003-6325
(253) 835-7000
www.cityoffederalwaycom
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.
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 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 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
performance of this Agreement, except for that portion of the claims caused by the City's sole negligence.
Should a court of competent jurisdiction determine that this Agreement is subject to RCW 4.24.115, then, in the
event of liability for damages arising out of bodily injury to persons or damages to property caused by or
resulting from the concurrent negligence of the Grantee and the City, the Grantee's liability hereunder shall be
only to the extent of the Grantee's negligence. Grantee shall ensure that each sub -Grantee shall agree to defend
4 ir
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' compensation acts, disability benefit acts or any other benefits acts or programs. The Parties further
acknowledge that they have mutually negotiated this waiver.
5.3 (jLy The City agrees to release, indemnify, defend and hold the Grantee, its
CITY OF
F d
6 La ra
CITY HALL
33325 Sth Avenue South
Federal Way,. WA 98003-6325
(253) 835-7000
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officers, directors, shareholders, partners, employees, agents, representatives, and sub -contractors harmless
from 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, effors, 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 IntglyfetAtiop and Modification. This Agreement • all • the agreements • 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, inoperative, null and void, or illegal shall in no way affect or invalidate any other provision hereof az..4'
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 authorized
representatives • the Parties.
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
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the same effect as if all Parties hereto had signed the same document. All such counterparts shaibe construed
Fodeml My
CITY HALL
33325 8th Avenue South
Federal Way VTR 8003-6325
( a3) 335-7000
v otyoffeder alwgy coo
together and shall constitute one but . * proof a -if it shall only be necessary • produce
one i - i. signature and acknowledgment •.ra from such counterparts. be assembled
togetherto form . single instrument comprised i, all pages of Agreement as . i a complete set of
signature i acknowledgment pages. The date upon. all of the Parties have executed
counterpart of Agreement shallis the "date of . execution" 'i
IN WITNESS, the Parties execute this Agreement below, effective ` last date written below.
By:bb's
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Printed e: t �`' C k,i3 LA
Title:
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ATE: ODAD
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9/29/2020 Washington State Department of Revenue
< Business Lookup
Entity name:
VAN H. VUONG, D.D.S. & CINDY H. CHOU D.D.S., P.S.
Business name:
AESTHETIC DENTAL CENTER
Entity type:
Professional Service Corporation
U #:
602-351-088
Business ID:
001
Location ID:
0001
Location:
Active
Location address: 34700 11TH PL S
FEDERAL WAY WA 98003
Mailing address: 34700 11TH PL S
FEDERAL WAY WA 98003
Excise tax and reseller permit status:
Click here
Secretary of State status:
Click here
Endorsements
Endorsements held at this loca License # Count
Details
Federal Way General 01 -102376 -00 -BL
Business
Governing People May Include governing people not registered with Secretary of State
Governing people
Title
CHOU, CINDY HUANG
VUONG, VAN HAO
Registered Trade Names
Registered trade names Status
AESTHETIC DENTAL CENTER Active
New search Back to results
Status Expiration data First issuance
Active Dec -31-2020 Jun -15-2001
First issued
Nov -29-2004
a 0 . 1 0 0 U19MM1291T,
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