AG 20-701 - Home Away from HomeRON
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CITY OF FEDERAL WAY LAW DEPARTMENT ROUTING FORM
ORIGINATING DEPT./DIV: ECONOMIC DEVELOPMENT
2. ORIGINATING STAFF PERSON: TIM JOHNSON EXT: 2
4. TYPE OF DOCUMENT (CHECK ONE):
Ei CONTRACTOR SELECTION DOCUMENT (E.G., RFB, RFP, RFQ)
El PUBLIC WORKS CONTRACT ED SMALL OR LIMITED PUBLIC WORKS CONTRACT
El PROFESSIONAL SERVICE AGREEMENT
El MAINTENANCE AGREEMENT
El GOODS AND SERVICE AGREEMENT
El HUMAN SERVICES / CG
El REAL ESTATE DOCUMENT
[I SECURITY DOCUMENT (E.G. BOND RELATED DOCUMENTS)
* ORDINANCE Ei RESOLUTION
* CONTRACTA NT (AG#):- oINTERLOCAL
* OTHER CARES ACT FUNDS BUSINESS SUPPORT GRANT AGREEMENT
5. PROJECTNAME:- CARES ACT GRANT— ROUND 2
6. NAME OF CONTRACTOR: HOME AWAY FROM HOME
ADDRESS: 32222 8TH AVE SW, FEDERAL WAY WA 98023 T ELEPHONE: (206) 503-8432
E-MAIL: SABDULE@GMAIL.COM
SIGNATURE NAME: SAFIA ABDULLE TITLE: SEE ATTACHED
7. EXHIBITS AND ATTACHMENTS: 0 SCOPE, WORK OR SERVICES 11 COMPENSATION El INSURANCE REQUIREMENTS/CERTIFICATE 11 ALL
OTHER REFERENCED EXHIBITS D PROOF OF AUTHORITY TO SIGN El REQUIRED LICENSES 0 PRIOR CONTRACT/AMENDMENTS
TERM: COMMENCEMENT DATE: SEE ATTACHED AGREEMENT COMPLETIO
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 E YES X NO 117YES,11
1-a3OWD3041
El PURCHASING: PLEASE CHARGE TO: 001-1800-990-518-10-490 Project Code #267662-25060
10. DOCUMENT/CONTRACT REVIEW INITIAL DATE REVIEWED INITIAL 1 DATE APPROVED
Cl PR CT MANAGER
1REr-CTOR
El RISKMANAGEMENT (IF APPLICABLE)
0 LAW
SCHEDULED COMMITTEE DATE:
SCHEDULED COUNCIL DATE:
COMMITTEE APPROVAL DATE:
CouNciL APPROVAL DATE:
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
[JOGNATORY (MAYOR OR DIRECTOR)
1:1 CITY CLERK 'o
El ASSIGNED AG# AG#
COMMENTS:
1/2020
N
CITY OF
Fbderaj Vft
CARES ACT V1TI1S Ell Sin
WITH
HOME AWAY FROM HOME
CITY HALL
33325 Sth Avenue South
Federal Way WA 98003-6325
(253) 835-7000
www cityoffederalway cone
This Grant Agreement ("Agreement") is made between the City of Federal Way, a Washington municipal
corporation ("City"), and Home Away From Home, 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:
SAFIAABDULLE
32222 8th Ave SW, Federal Way, WA 98023
Mailing address: 32222 8TH Ave SW,
Federal Way, WA 98023
sabduleA,mail.com
Ade Ariwoola
33325 8th Ave. S.
Federal Way, WA 98003-6325
(253) 835-2414 (telephone)
(253) 835-2509 (facsimile)
1. TERM. This agreement contemplates a one-time grant of funds to the Grantee under the conditions
described herein.
2. CON-DITIONS` 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):
Ej 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
E] Experienced 10-50% lost revenue
g 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
CARES ACT BUSINESS GRANT AGREEMENT - 1-
CRTY OF
F;040�ral Vft
c) Insurance
d) Utilities
e) Marketing
f) Payroll
CITY HALL
33325 8th Avenue South
Federal Way, WA 98003-6325
(253) 835-7000
mm cityoffederalway corn
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
the Citi6 shall -,trovide awjant to the Grantee in an amount
not to exceed One Thousand and NO/100 Dollars ($1,000.00).
4.2 Non-AppMpriation 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.
5.1 gtoige hidemnificatio . 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
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
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, solely for the purposes of this indemnification. 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 CIMIndemnification. The City agrees to release, indemnify, defend and hold the Grantee, its
CARES ACT BUSINESS GRANT AGREEMENT -2-
4% CITY OF
F�deral Yft
CITY HALL
33325 8th Avenue Scsuth
Federal Way, WA 98003-6325
(253) 835-7000
w cityoffederatway cora
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 2
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: -0..x..
riteName:
Title:
ATE.
VVash-In-,jiton State Departrnerit of Revenue
Services Business Lookup HOME AWAY FROM HOME
License Information:
Entity name:
ABDULLE, SARA OMAR
Business name:
HOME AWAY FROM HOME
Entity type:
Sole Proprietor
UBI #:
602-640-017
Business ID:
001
Location ID:
0003
Location:
Active
Location address:
32222 8TH AVE SW
FEDERAL WAY WA 98023
Mailing address:
32222 8TH AVE SW
FEDERAL WAY WA 98023
Excise tax and reseller permit status: Click here
Endorsements
Endorsements held at this
location License # Count Details
Federal Way Home Occupation
Business
Governing People May Include governing people not registered with Secretary ot'State
Governing people
Title
ABDULLE, SARA OMAR
Registered Trade Names
Registered trade names
Status
HOME AWAY FROM HOME Active
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Status Expiration d,ate,
Active May -31-2021
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The Business Lookup information is updated nightly. Search date and time: 8/24/2020 11:55:37 AM
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