AG 20-606 - Angels 4 Ever DaycareCITY OF FEDERAL WAY LAW DEPARTMENT ROUTING FORM
. ORIGINATING DEPT./DIV: ECONOMIC DEVELOPMENT E
ORIGINATING STAFF PERSON: _LM JOHNSON — EXT: 2412 — 3. DATE REQ. BY' ASAP
TYPE OF DOCUMENT (CHECK ONE):
El CONTRACTOR SELECTION DOC NT (E.G., RIB, RFP, RFQ)
0 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 / CBG
El REAL ESTATE DOCUMENT 0 SECURITY DOCUMENT (E.G. BOND RELATED DOCUMENTS)
El ORDINANCE Ei RESOLUTION
El CONTRACT AMENDMENT(AG#):_ OINTERLOCAL
X OTHER CARES ACT FUNDS BUSINESS SUPPORT GRAN11"AGREEMENT
. PROJECT NAME: CARES ACT GRANT — ROUND 2 ---.—
NAME OF CONTRACTOR: ANGELS 4 EVER DAYCARE
ADDRESS: 30236 3RD CT S, FEDERAL WAY WA 98003-4076 TELEPHONE: (253) 880-8941
E-MAIL: ANGELs4EVER06@GMAIL.COM
SIGNATURE NAME: VENISHIA COOPER TITLE: SEE ATTACHED
EXHIBITS AND ATTACHMENTS: D SCOPE, WORK OR SERVICES El COMPENSATION E) INSURANCE REQUIREMENTS/CERTIFICATE C] ALL
OTHER REFERENCED EXHIBITS El PROOF OF AUTHORITY TO SIGN El REQUIRED LICENSES El PRIOR CONTRACT/AMENDMENTS
TERM: COMMENCEMENT DATE: SEE ATTACHED AGREEMENT COMPLETIONDATE:
TOTAL COMPENSATION$ (INCLUDE EXPENSES AND SALES TAX, IF ANY) ONE THOUSAND AND NO/100 ($1000,00)
(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: S
IS SALES TAX OWED 0 YES X NO IF YES, $__ PAID BY: L1 CONTRACTOR 13 CITY
RETAINAGE: RETAfNAGE AMOUNT: El RETAfNAGE AGREEMENT (SEE CONTRACT) OR D RETArNAGE BOND
D PURCHASING: PLEASE CHARGE TO: 001-1800-990-518-10-490 Project Code #267662-25060
0. DOCUMENT/CONTRACT REVIEW INITIAL / DATE REVIEWED INITIAL / DATE APPROVED
El PROJECT MANAGER
DIRECTOR
El RISKMANAGEMENT (IF APPLICABLE)
EI LAW
1. COUNCIL APPROVAL (IF APPLICABLE) SCHEDULED COMMITTEE DATE: COMMITTEE APPROVAL DATE:
SCHEDULED COUNCIL DATE: COUNCIL APPROVAL DATE:
PAK61131:11y IMT -0i W)IRWrily 111j It
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
El LAW DEPARTMENT
I' x ATORY (MAYOR OR DIRECTOR)
El CITY CLERK to 4
11 ASSIGNED AG# AG#
'OMMENTS:
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CARESCITY HALL
33325 8th Avenue South
Federal Way, WA 98003-63
(253) 835-7000
►T GRANT AGREEMENT
WITH
► DAYCARE
This Grant Agreement ("Agreement") is made between the City of Federal Way, a Washington municipal
corporation ("City"), and Angels 4 Ever Daycare, 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:
ANGELS 4 EVER DAYCARE: CITY OF FEDERAL WAY:
VEISIA COOPER Ade Ariwoola
30236 3rd Ct S 33325 8th Ave. S.
FEDERAL WAY, WA 98003-4076 Federal Way, WA 98003-6325
(253) 835-2414 (telephone)
(253) 880-8941 (telephone) (253) 835-2509 (facsimile)
an elsever06 ail.com ae.ariwoolacit offeeralwa .com
. TERM. This agreement contemplates a one-time grant of funds to the Grantee under the conditions
described herein.
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
i Grantee maintainsof ` d _
c) Grantee has paid all taxes and government fees due up to the date of execution of this grant
agreement;
) 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 CVI-19 related expenses
JZ 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
TOURISM GRANT AGREEMENT - 1 312017
CITY OF C[TY HALL
33325 8th Avenue South
Federal Way Federal Way, WA 98003-6325
(253) 835-7000
mvwcRyoffedefalwaycorn
c) Insurance
d) Utilities
e) Marketing
f) Payroll
Grantee agrees to retain receipts documenting use of grant flinds 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 C1
may recover all disbursed grant flinds and terminate this agreement.
4.1 Amount. In order to promote healthy economic activity in the City and in •s to the losses
• to exceed • Thousand and NO/100 r• ($1,000.00).
4.2 Non-Armro-o on 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 Cit.
its elected officials, officers, employees, agents, representatives, insurers, attorneys, and volunteers harmle�
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 RCI
4.24.115, then, in the event of liability for damages arising out of bodily injury to persons or damages 1
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 sul
Grantee shall agree to defend and indemnify the City, its elected officials, officers, employees, agent
representatives, insurers, attorneys, and volunteers to the extent and on the same terms and conditions as tl
Grantee pursuant to this paragraph. The City's inspection or acceptance of any of Grantee's work whc
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 Citi Indemnification. The City agrees to release, indemnify, defend and hold the Grantee, its
TOURISM GRANT AGREEMENT -2- 3/2017
A*#*F
�... �. e.
CITY OF
ClFrY IHALIL
33325 Sth Avenue South
F der n "Jay, "A 93003-6325
(253) 835-7000
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.
• . a
DATE:
42—
By:
Printed Name:
Title:
ATE:
9/18/2020 Washington State Department of Revenue
< Business Lookup
Entity name:
COOPER, VENISHIA CARLA
Business name.
ANGELS4EVER DAYCARE
Entity type-
Sole Proprietor
UI #:
604-652-524
Business ID:
001
Location ID:
0001
Location:
Active
Location address: 30236 3RD CT S
FEDERAL WAY WA 98003-4076
Mailing address: 30236 3RD CT S
FEDERAL WAY WA 98003-4076
Excise tax and reseller permit status: Click here
Endorsements
Endorsements held at this location License # Count
Federal Way Home Occupation
Business
Governing People May Include g—ming people not registered with Secrefory of state
Governing people
COOPER, VENISHIA CARLA
•: -• .• Names
Details
RM
New search Back to results
Status Expiration date First issuance dal
Active Aug -31-2021 Sep -17-2020
Registered trade names Status
ANGELS4EVER DAYCARE Active
The Business Lookup information is updated nightly. Search date and time: 9/18/2020 1:47:13 PM
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First issued
Sep -01-2020