AG 20-646 - D&C Delivery1340119108•
CITY OF FEDERAL WAY LAW DEPARTMENT ROUTING FORM
ORIGINATING DEPT./DIV-. —ECONOMIC DEVELOPMENT
*RIGI?%;ATI1,;G STAFF PERSON: TIM JOHNSON EXT: 2412 1 DATEREQ.BY�' ASAP
• PUBLIC WORKS CONTRACT 0 SMALL OR LEVITED PUBLIC WORKS CONTRACT
• PROFESSIONAL SERVICE AGREEMENT 0 MAINTENANCE AGREEMENT
• GOODS AND SERVICE AGREEMENT 0 HUMAN SERVICES/ CDG
• REAL ESTATE DOCUMENT o SECURITY DOCUMENT (E.G. BOND RELATED DOCUMENTS)
El ORDINANCE El RESOLUTION
El CONTRACT AMENDMENT(AG#):_ 0 INTERLOCAL
X OTHER CARES ACT FUNDS BUSINESS SUPPORT GRANTAGREEMENT
PROJECT NAME:— CARES ACT GRAN! -DZ--- - - - -----
NAME OF CONTRACTOR: D&CDELIVERY
ADDRESS: 952 SWC PUS DR# 192, FEDERAL WAY WA 98023-5019 T ELEPHONE: (253) 754-1001
E-MAIL: DNCDELIVERY@GMAIL.COM
SIGNATURE NAME: KIMUTAI NGENO TITLE: SEE ATTACHED
EXHIBITS AND ATTACHMENTS: El SCOPE, WORK OR SERVICES 0 COMPENSATION 0 INSURANCE REQUIREMENTS/CERTIFICATE []ALL
OTHER REFERENCED EXHIBITS El PROOF OF AUTHORITY TO SIGN 0 REQUIRED LICENSES El PRIOR CONTRACT/AMENDMENTS
TERM: COMMENCEMENT DATE: SEE ATTACHED AGREEMENT COMPLETION DATE:
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: El YES X NO IF YES, MAXIMUM DOLLAR AMOUNT: $
IS SALES TAX OWED El YES X NO IF YES, $ PAID BY: 11 CONTRACTOR 11 CITY
RETAINAGE: RETAINAGE AMOUNT: El RETAINAGE AGREEMENT (SEE CONTRACT) OR 0 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
07 PROJECT MANAGER
DI. ACTOR
7-
D RlSKMANAGE MENT (IF APPLICABLE)
El LAW (
1. COUNCIL APPROVAL (IF APPLICABLE) SCHEDULED CO EE DATE: COMMITTEE APPROVAL DATE:
SCHEDULED COUNCIL DATE: COUNCIL APPROVAL DATE:
CONTRACT SIGNATURE ROUTING
El SENT TO VENDOR/CONTRACTOR DATE SENT: Pw Pw DATE R.EC'D:--"--
0 ATTACH: SIGNATURE AUTHORITY, INSURANCE CERTIFICATE, LICENSES, EXHIBITS
El CREATE ELECTRONIC REMINDERINOTIFICATION 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 /A
JL'IG NATORY (MAYOR OR DIRECTOR)
• CITY CLE 101-f I Taw
• ASSIGNED AG# AG# J
1/2020
CITY HALL
33325 8th ,venue South
Federal Way, WA 98003-0325
(253) 335-7000
www cityoffederatway cam
CARES ACT FUNDS BUSINESS r r, ■ GRANT
WITH
1 & C DELIVERY
This Grant Agreement ("Agreement") is made between the City of Federal Way, a Washington municipal
corporation ("City"), and D & C Delivery, 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:
DELIVERY:I :
KIMUTAI NGENO Ade Ariwoola
952 SW Campus Dr # 192 33325 8th Ave. S.
FEDERAL WAY, WA 98023-5019 Federal Way, WA 98003-6325
(253) 835-2414 (telephone)
(253) 754-1001 (telephone) (253) 835-2509 (facsimile)
cdeliveryail.com ade.ariwoola ,cit offeeralway.com
. TERM. This agreement contemplates a one-time grant of funds to the Grantee under the conditions
described herein.
1 ! I Xfflf,191
2.1 Warranties. The Grantee warrants the following, which are pre -requisites for grant eligibility:
a) Grantee operates business physically located within the political boundaries of of
Federal
! Grantee maintains a current City of ` •' ' business
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 $1,000 in COVID-19 related expenses
Experienced 1-5% lost revenue
Experienced over 5% lost revenue
2.2 Use of Funds: Grantee affirms that grant funds will be used for the following purposes:
a) Mortgage or Rent
b) Personal Protection Equipment
A31Y OF
Fbderal Way
c) Insurance
d) Utilities
e) Marketing
f) Payroll
CITY HALL
33325 Sth Avenue South
Federal Way, WA 98003-6325
(253) 835-7000
mvw cRyoffederalway com
Grantee agrees to retain receipts documenting use of grant funds and will provide them -to the City or its
designee upon request.
3. TERMINATION. Should any of the conditions described in section 2.1 above, not be met, the Ci
may recover all disbursed grant funds and terminate this agreement. I
4.1 Amount. In order to promote healthy economic activity in the City and in response to the loss-"
i all vrovide a ant to the Grantee ir ri
not to exceed One Thousand and NO/1 00 Dollars ($ 1,000.00). 1
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.
1 Ir
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, proceedin
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 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, agent
representatives, insurers, attorneys, and volunteers to the extent and on the same terms and conditions als tt -
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 IftdustU� Insurance Act . 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 lndcmnifig�idib�ft. The City agrees to release, indemnify, defend and hold the Grantee, its
TOURISM GRANT AGREEMENT -2- 3/2017
FWeral ifty
CITY OF
CITY HALL
33325 3th Avenue South
Federal Way, WA, 98003-6325
(253) 335-7000
www c ityoffederalw y com
together and shall constitute one instrument,but • proof
one such counterpart. The signature and acknowledgment pages from such counterparts may be assembled
together to fon-n 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 this Agreement shall be the "date of mutual execution" hereof.
IN WITNESS, the Parties execute this Agreement below, effective the last date written below.
By: C'
Printed Name:
Title:
ATE: -. _..
Washington State Department of Revenue
Services Business Lookup D & C DELIVERY
License Information:
Entity name:
NGENO, KIMUTAI DAVID
Business name:
D & C DELIVERY
Entity type:
Sole Proprietor
UBI #:
604-318-727
Business ID:
001
Location ID:
0001
Location-
Active
Location address:
952 SW CAMPUS DR
APT 192
FEDERAL WAY WA 98023-5019
Mailing address:
952 SW CAMPUS DR
APT 12
FEDERAL WAY WA 98023-5019
Excise tax and reseller permit status: Click here
Endorsements
Endorsements held at this
location License #
Federal Way Home Occupation
18 -103663 -00 -BL
Business
New search Back to results
Status Expiration date
Active Aug -31-2021
Governing People May Include governing people not registered with Secretary of State
Governing people Title
MARITIM, CAROLINE CHEMUTAI
NGENO, KIMUTAI DAVID
J-ftXr-rLWr-=-
Registered trade names
rt C DELIVERY
N
The Business Lookup information is uw�d