AG 20-615 - Barwaqo Family ChildcareCITY OF FEDERAL WAY LAW DEPARTMENT ROUTING FORM
ORIGINATING DEPT./DIV. ECONOMIC DEVELOPMENT
ORIGINATING STAFF PERSON: TIM JOHNSON EXT: 24 [2 3. DATE REQ. ff�ASAP
TYPE OF DOCUMENT (CHECK ONE):
El CONTRACTOR SELECTION DOCUMENT (E.G., RFB, RFP, RFQ)
E] PUBLIC WORKS CONTRACT 0 SMALL OR LEVITED PUBLIC WORKS CONTRACT
El PROFESSIONAL SERVICE AGREEMENT El MAINTENANCE AGREEMENT
El GOODS AND SERVICE AGREEMENT El HUMAN SERVICES/ CDG
El REAL ESTATE DOCUMENT El SECURITY DOCUMENT (E.G. BOND RELATED DOCUMENTS)
El ORDINANCE 0 RESOLUTION
El CONTRACTA T (AG #).,- El INTERLOCAL
X OTHER t: ES ACT FUNDS BUSINESS SLfPPOKI'CI?J\N-I'A(]PFF;MENI-
I PROJECT NAME: —CARES ACT GRANT— ROUND 2
NAME OF CONTRACTOR: BARWAQO FAMILY CHILDCARE
ADDRESS: 2833 S 285TH PL, FEDERAL WAY WA 98003-3337 T ELEPHONE: NONE
E-MAIL: BARWAQOFCC@GMAIL.COM
SIGHT URENAME: F ALI TITLE: SEE ATTACHED
EXHIBITS AND ATTACHMENTS: 1:1 SCOPE, WORK OR SERVICES El COMPENSATION 0 INSURANCE REQUIREMENTS/CERTIFICATE 0 ALL
OTHER REFERENCED EXHIBITS 1:1 PROOF OF AUTHORITY TO SIGN 0 REQUIRED LICENSES El PRIOR CONTRACT/AMENDMENTS
COMMENCEMENT DATE: --SEE ATTACHED AGREEMENT-• DATI1
TOTAL COMPENSATION$ (INCLUDE EXPENSES AND SALES TAX, IF ANY) ONE THOUSAND AND NO/100 ($1,000.00)
(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 El YES X NO IF YES, $ PAID BY: El CONTRACTOR 11 CITY
RETAINAGE: RETAINAGE AMOUNT: El RETArNAGE AGREEMENT (SEE CONTRACT) OR El RETAINAGE BOND
ROVIDED
1:1 PURCHASING: PLEASE CHARGE TO: 001-1800-990-518-10-490 Prof of Code #267662-25060
0, DOCUINIENT/CONTRACT REVIEW INITIAL / DATE REVIEWED INITIAL DATE APPROVED
a ��_zoizcr 'IA AGER
[D'DIRECTOR
El RISK MANAGEMENT (IF APPLICABLE)
0 LAW
1. COUNCIL APPROVAL (IF APPLICABLE) SCHEDULED COMMITTEE DATE: COMMITTEE APPROVAL DATE:
SCHEDULED COUNCIL DATE: COUNCIL APPROVAL DATE:
2. CONTRACT SIGNATURE ROUTING
[I SENT TO VENDOR/CONTRACTOR DATE SENT: DATE RECD
El ATTACH: SIGNATURE AUTHORITY, INSURANCE CERTIFICATE, LICENSES, EXHIBITS
11 CREATE ELECTRONIC REMINDERINOTIFICATION FOR I MONTH PRIOR TO EXPIRATION DA1
(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
11 LAW DEPARTMENT N/
• OXNATORly, (MAYOR OR DIRECTOR)
• CITY CLERK
11 ASSIGNED AG# AG#
:O1V1,1V1FNTS� Ae-
1/2020'
44 CITY OF
Federal Way
CITY HALL.
33325 8th Avenue South
Federal Way, WA 98003-6325
(253) 835-7000
CARESWWW C]"ffederahvay corn
1S BUSINESS SUPPORT GRANTAGREEMENT
WITH
',.a .: FAMILY CHILDCARE
underThis Grant Agreement ("Agreement") is made between the City of Federal Way, a Washington municipal
corporation ("City"), and Barwaqo Family Childcare, a sole proprietor ("Grantee"). The City and Grantee
Agreement:
Iii # ►�� . 'i�
Li! 1r## &y S # !
Ade x. # # r+:,:
! ►
Federal 98003-6325
835-2414 (telephone)
_ _ ! # y
835-2509
0i
1. TERM. This agreement contemplates a one-time grant of funds to the Grantee under the conditions
described
2.1 Warranties. r .. warrants the following, for eligibility:
a) Grantee operates a business physically located within the political boundaries of the City
#' Federal x
i Grantee maintainsFederal
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 - o s total for all employees per year);
e) tee's net revenues do not exceed ore 1.5 million per year;
Grantee does not operate s a tax-exempt s® ess as defined by the Internal Revenue
Service;
Due to V -, Grantee business (check all that ply):
Was required y state or local order to close
Was forced to lay off employees due to reduced patronage
Incurred over $1,000 in COVID-19 related expenses
Experienced 1- % lost revenue
Experienced over 50% lost revenue
2.2 Use of Funds: r teefi s that grant funds will be used for the following purposes:
a) Mortgage or Rent
Personal Protection Equipment
t
W-MIX418
el lid L V O '..
I
-1-
Grantee agrees to retain receipts documenting use of grant funds and will provide the to the City or its designee
upon request.
3. TERMINATION. Should any of the conditions described in section 2. 1, above, not be met, the City may
recover all disbursed grant funds and terminate this agreement.
4. ■ AMOUNT.
4.1 Amount. In order to promote healthy economic activity in the City and in response to the losses
Grantee has incurred due to the COVID- 19 pandemic, the City shall provide a grant to the Grantee in an amount
not to exceed One Thousand and NO/I 00 Dollars ($ 1,000. 00).
4.2 Non -Appropriation of Funds. If sufficient fLmds are not appropriated or allocated for paymeni
under this Agreement for anv fiscal Deriod. the Citv will not be obligated to make Davments
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
*)fffis,4.,,Iaement,e-,Yce�2tf.iirft.,21:i(ti ion of Ae clai-tis eviviaiji)XVie Ci�j7's s*le lr,�21
MV -014) ta-sia6lil $I lervim H41 H IV Woo 011 to) Igor -IN III I I IMI tril 9401
L I CII)RCLITCHL IM�gHgOlIUCLAI L11C UWAI-ILCO WLIT LUC k_,ILJ� L11C UlAILCO S fla,0111Lj nerelTiTer snau P, Y L41 U10, CXI - L
of the Grantee's negligence. Grantee shall ensure that each sub -Grantee shall agree to defend and indemnify the
City, its elected officials, officers, employees, agents, representatives, insurers, attorneys, and 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,
• for the purposes • 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 fiarther acknowledge
that they have mutually negotiated this waiver.
5.3 !!�� Ih&mhiflcati6n. The City agrees to release, indemnify, defend and hold the Grantee, its
CARES ACT BUSINESS GRANT AGREEMENT -2-
7/2020
CITY OF
Federal Way
CITY HALL
33325 8th Avenue South
Federal Way, WA 98003-6325
(3 3) 835-7000
mvw.oV)fh,deia1w,gyrom
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 reiiresentatiyf4 arisin��f U14HOM0"
—rom. result from or connected with this Agieement to the extent
solely caused by the negligent acts, errors, 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.
1.: - - 11 1 It #
6.1 Wgmretatioh and MWJfioatio . This Agreement contains all of the agreements of 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- ino(cerative, null and void, or ilk-4,�al shall in no w -m affect or invalidate ang other �*,xovision hereof and
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 of the Parties.
...........
V
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
Agreement may be executed in any number of counterparts, each of which shall be deemed an original and with
the same effect as if all Parties hereto had sign2d the same document. All such counteMarts shall be construed
CARES ACT BUSINESS GRANT AGREEMENT -3-
7/2020
CITY OF
f;6dera
1 A�Oy
CITY HALL
33325 5th Avenue South
Fe derM Way, WA 98003-5325
(253) 335-7000
mvwcftyrffederalwaycom
together and shallt one but in making proof tf it shallonly 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.
• i a
ATE:
Hill! • a a �;
By:
Printed e: r {
Title:
ATE:
WV.1T*TdK1M1aVWUCRANT AGREEMENT
Washington State Department of Revenue
< Business Lookup
Entity name:
ALI, FADUMO HUSSEIN
Business name:
BARWAQO FAMILY CHILDCARE
Entity type.
Sale Pruprietar
LIBI #.
604-171-030
Business ID-.
001
Location ID.,
0001
Location:
Active
Location address: 2833 S 285TH PL
FEDERAL WAY WA 98003-3337
2833 S 285TH PL
FEDERAL WAY WA 98003-3337
Excise tax and reseller permit status.,
Endorsements
Endorsements held at this location License #
f=ederal Way Horne Occupation
Business
Governing Peoplell L..bk y—nirw P -P& ..tgLdffM Mth 5-re.'Y ®f
Governing people
ALI, FADLIM0 HUSSEIN
Registered Trade Names
Registered trade names
BARWAQO FAMILY CHILDCARE
■
WM
Status
Active,
The Business Lookup information is updated nightly. Search date and time: 10/11/2020 12:51A1 PM
Contact us
How are we doing?
Take our survey!
New search Back to results
Expiration date First issuance date
Aug -31-2021 Sep -03-2020
First issued
Sep -21-2017