AG 20-607 - Anna Elisa Dennon091
CITY OF FEDERAL WAY LAW DEPARTMENT ROUTING FORM
ORIGINATING DEPT./DIV: ECONOMIC DEVELOPMENT
ORIGINATING STAFF PERSON: TIM JOHNSON—,m EXT: 2412 agm 3. DATE REQ. BY: ASAP
TYPE OF DOCUMENT (CHECK ONE):
Ei CONTRACTOR SELECTION DOCUMENT (E.G., RFB, RFP, RFQ)
El PUBLIC WORKS CONTRACT Ei SMALL OR LIMITED PUBLIC WORKS CONTRACT
Ei PROFESSIONAL SERVICE AGREEMENT El MAINTENANCE AGREEMENT
Ei GOODS AND SERVICE AGREEMENT Ei HUMAN SERVICES/ CDBG
El REAL ESTATE DOCUMENT El SECURITY DOCUMENT (E.G. BOND RELATED DOCUMENTS)
Ei ORDINANCE E] RESOLUTION
Ei CONTRACTA NT (AG#): El INTERLOCAL
X OTHER —CARES ACT FUNDS BUSINESS SUPPOW'GRANTAGRFEMENT —
PROJECT NAME: CARES ACT GRANT — ROUND 2
NAME OF CONTRACTOR: ANNE ELIISADENNON
ADDRESS: 5130 SW 327TH PL, FEDERAL WAY WA 98023-1942 T ELEPHONE: (503) 440-6155
E-MAIL: AEDENNON@GMAIL.COM
SIGNATURE NAME: ANNE DENNON TITLE: SEE ATTACHED
EXHIBITS AND ATTACHMENTS: Ej SCOPE, WORK OR SERVICES 0 COMPENSATION L1 INSURANCE REQUIREMENTS/CERTIFICATE El ALL
OTHER REFERENCED EXHIBITS D PROOF OF AUTHORITY TO SIGN 11 REQUIRED LICENSES El PRIOR CONTRACT/AMENDMENTS
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: El YES X NO IF YES, MAXIMUM DOLLAR AMOUNT: $
IS SALES TAX OWED El YES X NO IF YES, $_ -- PAID BY: El CONTRACTOR 0 CITY
RETAINAGE: RETAINAGE AMOUNT. 10 RETAINAGE AGREEMENT (SEE CONTRACT) OR El RETAINAGE BOND
ROVII)ED
El PURCHASING: PLEASE CHARGE TO: 001-1800-990-518-100-490 Project Code #267662-25060
0. DOCUMENT/CONTRACT REVIEW INITIAL / DATE REVIEWED INITIAL / DATE APPROVED
11 PROJECT MANAGER
ID- 6iiEGTO R
El RISK MANAGEMENT (IFAPPLICABLE)
11 LAW
1. COUNCIL APPROVAL (IF APPLICABLE) SCHEDULED COMMITTEE DATE: CommmrEE APPROVAL DATE:
SCHEDULED COUNCIL DATE: COUNCIL APPROVAL DATE:
MKOR11211 V 10i�
• SENT TO VENDOR/CONTRACTOR DATE SENT: DATE PAFC'
• ATTACH: SIGNATURE AUTHORITY, INSURANCE CERTIFICATE, LICENSES, EXHIBITS
E] CREATE ELECTRONIC REMINDERINOTIF1CATION 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 need
INITIAL / DATE SIGNED I
El LAW DEPARTMENT
kTORY (MAYOR OR DIRECTOR)
El CITY CLERK 4p;i
El ASSIGNED AG# AG#
;OE S:
1/2020
CITY br-
r6deral Vwiy
CITY HALL
33325 8th Avenue South
Federal Way, WA 98003-6325
(2 a3) 835-7000
mvw_ cityoffederalway. corn
CARES ACT FUNDS BUSINESS SUPPORT GRANT AGREEMENT
WITH
ANNE ELIISA DENNON
This Grant Agreement ("Agreement") is made between the City of Federal Way, a Washington municipal
corporation ("City"), and Anne Eliisa Dennon, 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:
ANNEDENNON
5130 SW 327th PI
FEDERAL WAY, WA 98023-1942
Ade Ariwoola
33325 864,ve. S.
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):
&K Was required by state or local order to close
E] Was forced to lay off employees due to reduced patronage
E] Incurred over $1,000 in COVID-19 related expenses
E] Experienced 10-50% lost revenue
VExperienced over 50% lost revenue
2.2 Use of Funds: Grantee affirms that grant funds will be used for the following purposes:
a) Mortgage or Rent
b) Personal Protection Equipment
CARES ACT BUSINESS GRANT AGREEMENT - 1 -
IN6, CITY Of
,pM� F76deral Way
c) Insurance
• Utilities
e) Marketing
f) Payroll
Cl"N MALL
33325 Sth Avenue South
Federal Way. WA 98003-6325
(253) 835-7000
mvvv. cityoffederalway com
Grantee agrees to retain receipts documenting use of grant funds and will provide them to the City or its
designee upon request.
3. TERMINATION. Should any of the conditions described in section 2.1 above, not be met, the City
may recover all disbursed grant funds and terminate this agreement.
4.1 Amount. In order to promote healthy economic activity in the City and in response to the losses
Grantee has incurred due to the COVID- 19 pandemic, the City shall provide a grant to the Grantee in an amount
not to exceed One Thousand and NO/ 100 • ($ 1,000.00).
4.2 Non -A ri icient funds are not appropriated or allocated for payment
pproy ation of Funds. If suff
under this Agreement for any fiscal period, the City will not be obligated to make payments under this
agreement.
5.1 Gratftg� 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
lio5pa Huw-��, including.,. without limitation their respective a�pt�
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
ilili h-11iWillai
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
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 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 City I nificati6n. The City
• to release, indemnify, defend and hold the Grantee, its
CITY HALL
33325 8th Avenue South
Federal Way, WA 98003-6325
(253) 835-7000
www cityoffederalway coo
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.
MV Mel a ago QM MYR-Ok"M
ANNE ELII SA DENNON-
By: _ �M
I \.
Printed Name:
Title:
DATE: 5 &0
Washingto�� S143te Depaitn,�2nt of ReveflLie
Services Business Lookup ANNE ELIISA DENNON
Entity name:
DENNON, ANNE ELIISA
Business name:
ANNE ELIISA DEON
Entity type:
Sole Proprietor
UBI #:
604-573-607
Business ID:
001
Location ID:
0001
Location:
Active
Location address:
5130 SW 327TH PL
FEDERAL WAY WA 98023-1942
Mailing address:
5130 SW 327TH PL
FEDERAL WAY WA 98023-1942
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 governing people not registered with Secretary of State
Governing people Title
DEN O, ANNE ELIISA
w
:1 I'll,
j-.wj,w0rI 11221
I I I I 2� I ly 1 � I I I I 11111 1 � I I
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Status Expiration date First issuancE
Active Jan -311-2021 Jan -27-2020
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