AG 20-712 - Jeffrey's Jewlers3=130011MMIMT01
CITY OF FEDERAL WAY LAW DEPARTMENT ROUTING FORM
ORIGINATING DEPT/DIV. —ECONOMIC DEVELOPMENT
2. ORIGINATING STAFF PERSON: TIM JOHNSON EXT: 2412 3. DATE Q. BY: ASAP
4. TYPE OF DOCUMENT (CHECK ONE):
El CONTRACTOR SELECTION DOCUMENT (E.G., RFB, M RFQ)
11 PUBLIC WORKS CONTRACT El SMALL OR LIMITED PUBLIC WORKS CONTRACT
El PROFESSIONAL SERVICE AGREEMENT 0 MAINTENANCE AGREEMENT
El GOODS AND SERVICE AGREEMENT E] HUMAN SERVICES/ CDBG
1:1 REAL ESTATE DOCUMENT El SECURITY DOCUMENT (E.G. BOND RELATED DOCUMENTS)
0 ORDINANCE El RESOLUTION
13 CONTRACTA NT (AG#):_ El INTER -LOCAL
X OTHER CARES ACT FUNDS BUSINESS SUPPORT GRANT AGREEMENT
5. PROJECT NAME: CARES ACT GRANT — ROUND 2
6. NAME OF CONTRACTOR: JEFFREY'S JEWELERS
ADDRESS: 1200 S 324TH ST # 6, FEDERAL WAY WA 98003-8477 T ELEPHONE: (253) 941-3131
E-MAIL: JEFFREYSJEWELERS@AOL.COM
SIGNATURE NAME: JEFFERY BUETOW TITLE: SEE ATTACHED
8. TERM: COMMENCEMENT DATE: SEE ATTACHED AGREEMENr COMPLETIONDATE:
9. TOTAL COMPENSATION$ (INCLUDE EXPENSES AND SALES TAX, IF ANY) TWO THOUSAND AND NO/100 ($2,000.00)
(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: 1:1 CONTRACTOR 11 CITY
RETA1NAGE: RETAINAGEAmoUNT: El RETAINAGE AGREEMENT (SEE CONTRACT) OR El RETAINAGE BOND
PROVIDED
10. DI#ICII:fllEil'F/CWIT]v'.,�Cl'-L'U"lI
OPROJECT MANAGER
CTOR
E1 RISKMANAGEMENT (IFAPPLICAIIB
El LAW
110110111MRA111 k_rjV1&*11_11wj
SCHEDULED COMMITTEE DATE: COMMITTEE A-PPROVAL DATE:
SCHEDULED COUNCIL DATE: COUNCIL APPROVAL DATE:
El ATTACH: SIGNATURE AUTHORITY, INSURANCE CERTIFICATE, LICENSES, EXHIBITS
• CREATE ELECTRONIC REMINDERfNOTIFICATION 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
• LAW DEPARTMENT N/
Q4`GNATORY (MAYOR OR DIRECTOR)
* CITY CLERK A/6I
* ASSIGNED AG# AG#
�AMENTS:
)"IZ41 '4z"; -ff
1/2020
CITY OF
AQ &
F dera I �My
CITY HALL
33325 Sth Avenue South
Federal Way, WA 98003-6325
(253) 835-7000
wvvw. cityoffederalway com
CARES ACT FUNDS BUSINESS SUPPORT GRANT AGREEMENT
WITH
JEFFREY'S JEWELERS
This Grant Agreement ("Agreement") is made between the City of Federal Way, a Washington municipal
corporation ("Cityand Jeffrey's Jewelers, 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:
R) of 2111 t] alklKlmmrx"
110004WAi 1i
1200 S 324th St #6, Federal Way, WA 98003
Mailing address: 1200 S 324 TH ST #6
Federal Way, WA 98003
(253) 941-3131 (telephone)
ief,kevsiewelersa.aol.com
vow
1. TERM. This agreement contemplates a one-time grant of funds to the Grantee under the conditions
(O.escribed herein.
I I i9LUM, 91
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):
Was required by state or local order to close
Was forced to lay off employees due to reduced patronage
E] Incurred over $1,000 in COVID-19 related expenses
Rr Experienced 10-50% lost revenue
Experienced over 50% lost revenue
2.2 Use of Funds: Grantee affirnis that grant funds will be used for the following purposes:
a) Mortgage or Rent
b) Personal Protection Equipment
TOURISM GRANT AGREEMENT - I - 3/2017
CITY OF CITY HALL
33325 8th Avenue South
Awo
Federal Way Federal Way, WA 98003-6325
(253) 835-7000
mvw cityoffederalway cora
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 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,"
10,11 4J-�,�WQa,
lya)mC., -"shall vrovide a grant to the Grantee in a --
-K,4 tv;
not to exceed Two Thousand and NO/100 Dollars ($2,000.00).
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.
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 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,
--jr-ka) afttorneps 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 lndastii�fl lns�e 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 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 Ci1y Indemnification. The City agrees to release, indemnify, defend and hold the Grantee, its
TOURISM GRANT AGREEMENT -2- 312017
CITY HALL
33325 6th Avenue South
Federal mays SVA 96003-6325
(253) 835-7000
ci Tederahvaycorn
togethertogether and shall constitute one instrument, but in making proof hereof it shall only be necessary to producq
one such counterpart. The signature and acknowledgment pages from such counterparts may be assembled
i form a singlei; r ` 1 of all pagesof J'_ and •complete _ of
signature / acknowledgment pages. The date uponof _ Parties_ executed
counterpart of this Agreement shall be the "date of mutual execution" hereof.
IN WITNESS, the Parties execute this Agreement below, . date written below.
By:
Prin e e:
Title:
ATE:
O•IM Eye WORM H•. ,
Ser,\,4Hces Busl�ness Lookup JEFFR,,,-',YS JEWEILERS
License Information:
Entity name:
BUTO, JEFFREY S
Business name:
JEFFREYS JEWELERS
Entity type:
Sole Proprietor
UBI #:
600-501-208
Business ID:
001
Location ID:
0001
Location:
Active
Location address:
1200 S 324TH ST # 6
FEDERAL WAY WA 98003-8477
Mailing address:
1200 S 324TH ST # 6
FEDERAL WAY WA 98003-8477
Excise tax and reseller
permit status: Click here
Endorsements
Endorsements held at this location License # Count
Federal Way General Business 00 -101515 -00 -BL
New search Back to results
Details Status Expiration date
AdLiye Jul -31-2021
Governing People May Include governing people not registered with Secretary or State
Governing people Title
BUETO, JEFFREY S
Registered Trade Names
Registered trade names Status
JEFFREY'S JEWELERS Active