AG 20-699 - Holistics Therapy CenterRETURN TO: Tim Johnson EXT: 2412
CITY OF FEDERAL WAY LAW DEPARTMENT ROUTING FORM
1. ORIGINATING DEPT./DIV: _)KQNOMIC DEVELOPMEN
2. ORIGINATING STAFF PERSON: TIM JOHNSON __ EXT: 2412 3. DATE REQ. BY' ASAP
4. TYPE OF DOCUMENT (CHECK ONE):
El CONTRACTOR SELECTION DOCUMENT (E.G., RIB, RFP, RFQ)
El PUBLIC WORKS CONTRACT El SMALL OR LEVITED PUBLIC WORKS CONTRACT
El PROFESSIONAL SERVICE AGREEMENT 0 MAINTENANCE AGREEMENT
El GOODS AND SERVICE AGREEMENT El HUMAN SERVICES / CDBG
0 REAL ESTATE DOCUMENT 0 SECURITY DOCUMENT (E.G. BOND RELATED DOCUMENTS)
El ORDINANCE 0 RESOLUTION
* CONTRACTA NT (AG#)�. DINTERLOCAL
* OTHER CARES ACT FUNDS BUSINESS SUPP0ffI'GRANT AGREEMENT
5. PROJECT NAME:_ CARES ACT GRANT - ROUND 2
6. NAME OF CONTRACTOR: HOLISTIC THERAPY CENTER LLC
ADDRESS: 30620 PACIFIC HWY S # 105, FEDERAL WAY WA 98003-4888 T ELEPHONE: (626) 320-4346
E-MAIL: 1336726480@QQ.Com
SIGNATURENAME: HONGLIANG LIU TITLE: SEE ATTACHED
7. EXHIBITS AND ATTACHMENTS: 0 SCOPE, WORK OR SERVICES El COMPENSATION El INSURANCE REQUIREMFNTS/CERTIFICATE 11 ALL
OTHER REFERENCED EXHIBITS El PROOF OF AUTHORITY TO SIGN 0 REQUIRED LICENSES El PRIOR CONTRACT/AMENDMENTS
8. TERM: COMMENCEMENT DATE: —SEE ATTACHED AGREEMENT —COMPLETIONDATj
9. 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 [] YES X NO IF YES, $__, PAID BY: 0❑CONTRACTOR E3 CITY
RETAINAGE: RETAINAGEAmoUNT: _E1 RETAINAGE AGREEMENT (SEE CONTRACT) OR El RETAINAGE BOND
PROVIDED
El PURCHASING: PLEASE CHARGE TO: 001-1800-990-518-10-490 Project Code #267662-25060
10. DOCUMENT/CONTRACT REVIEW INITIAL / DATE REVIEWED INITIAL / DATE APPROVED
L❑ -7 PROJECT MANAGER
0,04RECTOR Ap Z.Ow
Ei RISK MANAGEMENT (IF APPLICABLE) z
El LAW
11. COUNCIL APPROVAL (IF APPLICABLE) SCHEDULED COMMITTEE DATE: COMMITTEE APPROVAL DATE:
SCHEDULED COUNCIL DATE: COUNCIL APPROVAL DATE:
El SENT TO VENDOR/CONTRACTOR DATE SENT: a. DATE C'D®
El ATTACH: SIGNATURE AUTHORITY, INSURANCE CERTIFICATE, LICENSES, EXHIBITS
El 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
0 LAW DEPARTMENT
JATORY (MAYOR OR DIRECTOR)
• CITY CLERK
• ASSIGNED AG# AG#
COMMENTS:
, :.1 evl<
CITY OF CITY HALL
33325 8th Avenue South
Federal Way, WA 9800.3-6325
N
Federal Way (253) 835-7000
www cityoffederalway com
CARES ACT FUNDS BUSINESS SUPPORT GRANT AGREEMENT
WITH
HOLISTIC THERAPY CENTER LLC
This Grant Agreement ("Agreement") is made between the City of Federal Way, a Washington municipal
corporation ("City"), and Holistic Therapy Center LLC, a limited liability company ("Grantee"). The City ant
Grantee (together "Parties") are located and do business at the below addresses which shall be valid for any notice
required under this Agreement:
Ade Ariwoola
33325 8th Ave. S.
Federal Way, WA 98003-6325
... (253) 835-2414 (telephone)
lei (253) 835-2509 (facsimile)
W --------- ade.ariwoola@cityoffederalway.com
1. 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 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 toCO ID -19, Grantee business (check all that apply):
Was required by state or local order to close
E] Was forced to lay off employees due to reduced patronage
E] Incurred over $1,000 in COVID-19 related expenses
Experienced 10-50% lost revenue
Ej Experienced over 50% lost revenue
2.2 Use of Funds: Grantee affirms that grant funds will be used for the following purposes:
a) Mortgage or Rent
b) Personal Protection Equipment
TOURISM GRANT AGREEMENT
c) Insurance
d) Utilities
e) Marketing
f) Payroll
CITY HALL
33325 8th Avenue South
Federal Way. WA 98003-6325
(253) 835-7000
mm cityoffederalway com
Grantee agrees to retain receipts documenting use of grant funds and will provide them to the City or its
designee upon request.
3. TERMINATION. Should any of the conditions described in section 2.1 above, not be met, the City
may recover all disbursed grant funds and terminate this agreement.
4.1 Amount. In order to promote healthy economic activity in the City and in response to the loss
amount
not to exceed One Thousand and NO/ 100 Dollars ($ 1,000. 00). 1
4.2 Non -A icient funds are not appropriated or allocated for payment
ppropriation 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 Grantee Indemnification. The Grantee agrees to release indemnify, defend, and hold the Cit
its elected officials, officers, employees, agents, representatives, insurers, attorneys, and volunteers harnmle
from any and all claims, demands, actions, suits, causes of action, arbitrations, mediations, proceedin
t
judgments, awards, injuries, damages, liabilities, taxes, losses, fines, fees, penalties expenses, attorney's fe
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 thil
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 'I
4.24.115, then, in the event of liability for damages arising out of bodily injury to persons or damages
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 s
Grantee shall agree to defend and indemnify the City, its elected officials, officers, employees, ag
ie -Vii ' attorneps, and volunteers to the extent and on the same terms and conditions as It
Grantee pursuant to this paragraph. The City's inspection or acceptance of any of Grantee's work whi
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 indenmification. Grantee's indeninification 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 hidemnifigatio . The City agrees to release, indemnify, defend and hold the Grantee, its
TOURISM GRANT AGREEMENT -2- 3/2017
Fbderalt k
CITY HALL
33325 8th Avenue South
Federal Way. WA 8003-6325
(2 a3) 835-7000
www cffyoffederalway-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 Pa
counterpart of Agreement shallbe the "date of • execution" hereof.
IN WITNESS, the Parties execute this Agreement below, effective the last date written below.
By: Y043 11124
.
Printed UOn q
Title: 0 V1/17 el
8/28/2020
V'Vas'hinclT'o""' Sul tf� LD' "', —
E,111, -a I tinent of Revenue
Services Business Lookup HOLISTIC THERAPY CENTER LL.0
License Information:
Entity name:
HOLISTIC THERAPY CENTER LLC
Business name:
HOLISTIC THERAPY CENTER LLC
Entity type:
Limited Liability Company
UBI #:
604-425-260
Business ID:
001
Location ID:
0001
Location:
Active
Location address:
30620 PACIFIC HWY S
STE 105
FEDERAL WAY WA 98003-4888
Mailing address:
30620 PACIFIC HWY S
STE 105
FEDERAL WAY WA 98003-4888
Excise taxa reseller permit status: Click here
Secretary of State status:
Click here
Endorsements
Endorsements held at this location License # Count Details
Federal Way General Business 19 -101254 -00 -BL
Governing People May Include governing people not registered with Secretary of State
Governing people Title
Lill, HONGLIANG
F =o
New search Back to results
Status Expiration date
Active Mar -31-2021
https:Hsecure.dor.wa.gov/gteunauth/—/#1 9 1/1