AG 20-637 - Collabora Investment EstateEXT: 2412
CITY OF FEDERAL WAY LAW DEPARTMENT ROUTING FORM
ORIGINATING DEPT./DIV. _—ECONOMIC DEVELOPME4T
ORIGINATING STAFF PERSON: TPA JOHNSON EXT: 241
• PUBLIC WORKS CONTRACT El SMALL OR LIMITED PUBLIC WORKS CONTRACT
• PROFESSIONAL SERVICE AGREEMENT El MAINTENANCE AGREEMENT
El GOODS AND SERVICE AGREEMENT El HUMAN SERVICES/ CG
El REAL ESTATE DOCUMENT El SECURITY DOC NT (E.G. BOND RELATED DOCUMENTS)
• ORDINANCE El RESOLUTION
* CONTRACT AMENDMENT (AG#): El INTERLOCAL
* OTHER CARES ACT FUNDS BUSINESS SUPPORT GRANT AGREEMENT
I PREJECT NAME : CARE ACT GRANT — ROUND 2
NAME OF CONTRACTOR: COLLABORA INVESTMENT ESTATE LLC
ADDRESS: 2117 S 279TH PL, FEDERAL WAY WA 98003-6951 T ELEPHONE: (425) 698-0201
E-MAIL: LcYANITA@HOTMAIL.COM
SIGNATURE NAME: ANITA CHING-Yl LO TITLE: SEE ATTACHED
EXHIBITS AND ATTACHMENTS: 0 SCOPE, WORK OR SERVICES E COMPENSATION 0 INSURANCE REQUIREMENTS/CERTIFICATE El ALL
OTHER REFERENCED EXHIBITS El PROOF OF AUTHORITY TO SIGN El REQUIRED LICENSES 0 PRIOR CONTRACT/AMENDMENTS,
6
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: 1:1 YES X NO IF YES, MAXIMUM DOLLAR AMOUNT: $
IS SALES TAX OWED 0 YES X NO IF YES, $ PAID BY: 0 CONTRACTOR El CITY
RETAINAGE: RETAINAGE AMOUNT: ORETAINAGE AGREEMENT (SEE CONTRACT) OR El RETAINAGE BOND
ROVIDED
0 PURCHASING: PLEASE CHARGE TO: ,001-1800-990-518-10-490 Project Code #267662-25060
0. DOCUMENT/CONTRACT REVIEW INITIAL / DATE REVIEWED INITIAL / DATE APPROVED
C1 PROJECT MANAGER
CL1,6j'R"ECTOR Z -(z Z'1
El RISKMANAGEMENT (IFAPPLICABLE)
0 LAW
1. COUNCIL APPROVAL (IF APPLICABLE) SCHEDULED COMMITTEE DATE: COMMITTEE APPROVAL DATE:
SCHEDULED COUNCIL DATE: COUNCIL APPROVAL DATE:
2. CONTRACT SIGNATURE ROUTING
L] SENT TO VENDOR/CONTRACTOR DATE SENT: DATE C'D:
El ATTACH: SIGNATURE AUTHORITY, INSURANCE CERTIFICATE, LICENSES, EXHIBITS
El 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 SIGNED
El LAW DEPARTMENT 6NIA ,
Lj
�f
NATORY (MAYOR OR DIRECTOR)
El CITY CLERK 11f4_1U%
El ASSIGNED AG # AG#
1/2020
CITY OF CITY HALL
33325 $th Avenue South
Awo
Federal Way Federal Way, WA 93003-6325
(253) 835-7000
www cityoffederalway com
CARES ACT FUNDS BUSINESSAGREEMENT
WITH
COLLABORA INVESTMENT ESTATE LLC
• •• • . • r• - .r company •
Grantee (together "Parties") are located and do business at the below addresses which shall be valid for any notic+
required under this Agreement:
a a't
2117 S 279th PI
FEDERAL WAY, WA 98003-6951
Ave.33325 8th
Federal Way, WA 98003-6325
(253) 835-2414 (telephone)
i• _
. 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 Way;
b) Grantee maintains a current City of Federal Way business license
c) Grantee has •• • all taxes and government fees due up to the date of • of
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 COVI -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 $1,000 in COVID-19 related expenses
Experienced 10-50% lost revenue
vr Experienced over 50% lost revenue
2.2 Use of Funds: Grantee affirms that grant funds will be used for the following purposes.
a) Mortgage or Rent
b) Personal Protection Equipment
1 i ;
CITY OF CITY HALL
33325 8th Avenue South
Federal Way Federal Way. WA 98003-6325
(253) 835-7000
mvw cityoffedeFalway eon?
c) Insurance
d) Utilities
e) Marketing
f) Payroll
Grantee agrees to retain receipts documenting use of grant funds and will provide them to the City or its
designee upon request.
3. TERMINATION. Should any of the conditions described in section 2.1 above, not be met, the Ci
may recover all disbursed grant finids and terminate this agreement. I
4.1 Amount. In order to promote healthy economic activity in the City and in response to the loss(I
• to exceed One Thousand and NO/1 00 Dollars ($ 1,000.00).
4.2 Non -A ri e or payme
— pprgpriation of Funds. If sufficient funds are not approp at d or allocated f
under this Agreement for any fiscal period, the City will not be obligated to make payments under thl
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 harnimle
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, th
respective agents, licensees, or representatives, arising from, resulting from, or in connection with t I
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 I
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 indemnify the City, its elected officials, officers, employees, agen
representatives, insurers, attorneys, and volunteers to the extent and on the same ternis 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, T e 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.
TOURISM GRANT AGREEMENT -2- 3/2017
CITY HALL
33325 8th Avenue South
Federal Way, WA 003-5325
(253) 335-7000
www cityoffederalwaycom
togetherI shall constituteone instrument, but • + proof hereofonly is necessary to produce
one i i. The signature • i acknowledgment pages fromcounterparts 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
counterpart of Agreement it"date ,I • execution" h' e
PartiesIN WITNESS, the execute this Agreement below, effective a last I• • written below.
MOW
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Printed e:
Services Business Lookup COLLABORA INVESTMENT ESTATE LLC
License Information:
Entity name:
COLLABORA INVESTMENT ESTATE LLC
Business name:
COLLABORA INVESTMENT ESTATE LLC
Entity type:
Limited Liability Company
UI #:
603-277-029
Business ID:
001
Location ID:
0001
Location:
Active
Location address:
2117 S 279TH PL
FEDERAL WAY WA 98003-6951
Mailing address:
2117 S 279TH PL
FEDERAL WAY WA 98003-6951
Excise tax and reseller permit status: Click here
Secretary of State status:
Click here
Endorsements
Endorsements held at this location License # Count Details
Federal Way Home Occupation 14 -102564 -00 -BL
Business
Governing People May include governing people not registered with Secretary of State
Governing people Title
LO, ANITA CHING-Yl
New search Back to results
Status Expiration date First issuancf
Active Feb -28-2021 Jun -18-2014
0 If - * # I rI