AG 20-584 - Gogi JijjarI • # mint117win,
EXT: 2412
........ . ... 1-111-11-1-11 . . . ....... ............
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1. ORIGINATING DEPT. IV: —ECONOMIC DEVELOPMENT
I -P. ORIGINATING STAFF PERSON: _11 1NSON : EXT: 2412 3. DATE REQ. BY. AsAp
I
0 PUBLIC WORKS CONTRACT El SMALL OR LIMITED PUBLIC WORKS CONTRACT
El PROFESSIONAL SERVICE AGREEMENT 0 MAINTENANCE AGREEMENT
El GOODS AND SERVICE AGREEMENT El HUMAN SERVICES/ CDBG
EI REAL ESTATE DOCUMENT 0 SECURITY DOCUMENT (E.G. BOND RELATED DOCUMENTS)
* ORDINANCE El RESOLUTION
* CONTRACTA NT (AG): DINTERLOCAL
* OTHER CARES ACT FUNDS BUSINESS SUPPORT GRANT AGREEMENT
DINMEM719
6. NAME OF CONTRACTOR: GOGINUJAR.
ADDRESS: 32530 24TH AVE SW, FEDERAL WAY WA 98023-2507 T ELEPHONE: (253) 874-3539
E-MAIL: GOGINIJJAR@Q.'COM
SIGNATURE NAME: GOGI NUJAR TITLE: SEE ATTACHED
7. EXHIBITS AND ATTACHMENTS: El SCOPE, WORK OR SERVICES D COMPENSATION D INSURANCE REQUIREMENTS/CERTIFICATE 13 ALL
OTHER REFERENCED EXH113ITS D PROOF OF AUTHORITY TO SIGN El REQUIRED LICENSES 0 PRIOR CONTRACT/AMENDMENTS
9. TOTAL COMPENSATION S (INCLUDE EXPENSES AND SALES TAX, IF ANY) ONE THOUSAND AND NO/100 ($1000.00)
(IF CALCULATED ON HOURLY LABOR CHARGE - ATTACH SCHEDULES OF EMPLOYEES TITLES AND HOLIDAY RATES)
REIMBURSABLE EXPENSE: EIVEs XNO IF YES, MAXIMUM DOLLAR AMOUNI,r-
.
IS SALES TAX OWED DYES X NO IF YES, PAID BY: D CONTRACTOR 0 CITY
RETAINAGE: RETAINAGE AmouNT: 0 RETAlNAGE AGREEMENT (SEE CONTRACT) OR 0 RETAINAGE BOND
PROVIDED
0 PURCHASING- PLEASE CHARGE TO: 001-1800-990-51 -10-490 Project Code #267662-25060
10. DOCUMENT/CONTRACT REVIEW INITIAL / DATE REVIEWED INITIAL / DATE APPROVED
� 0P .SECT NAGE
— I
TIRECTOR z
El RISK MANAGEMENT (IF APPLICABLE)
0 LAW
11. COUNCIL APPROVAL (IF APPLICABLE) SC RULED CONMTTEE DATE: COMWITEE APPRovAL DATE:
SCHEDULED CouNcE, DATE: CouNcii, APPRovAL DATE.-
wW. K
-AMOLyNt Ort I
0 SENT TO VENDORJCONTRACTOR DATE SENT: DATE REC'D:--
Ei ATTACH: SIGNATURE AUTHORITY, INSURANCE CERTIFICATE, LICENSES, EXHIBITS
1:1 CREATE ELECTRONIC REMINDER/NOTIFICATION FOR I MONTH PRIOR TO EXPIRATION DATE
(Include dept. supports if necessary and feel free to set notification more than a month in advance if council approval is needed.)
INITIAL / DATE SIGNED
11 LAW DEPARTMENT tTjL'A
FtJ461qATO RY (MAYOR OR DIRECTOR)
0 CITY CLERK dozZ
El ASSIGNED AG # G
COMMENTS:
COY *F
,�S� P6derarw�iy
CITY HALL
33325 Sth Avenue South
Federal Way. WA 98003-6325
(253) 835-7000
wmy city oftederalway com
CARES ACT FUNDS BUSINESS SUPPORT GRANT AGREEMENT
WITH
IN
This Grant Agreement ("Agreement") is made between the City of Federal Way, a Washington municipal
corporation ("City"), and Gogi Nijar, 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:
GOGI NIJJAR
32530 24th Ave SW
FEDERAL WAY, WA 98023-2507
(253) 874-3539 (telephone)
goginijijpr �,.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. CONDITIONS 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) fall -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):
E] 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
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
712020
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.
UfalfV00 naS HIC1110-it ttC U41 LIM L11C W-ALI SIldir-PTUTIL0 a &--UIIL M tile 07711100 in
not to exceed One Thousand and NO/100 Dollars ($1,000.00).
-MIR is
UJIMILIMMItVAI L Wintems
5.1 Gighteg Indthmillation. The Grantee agrees to release indenmify, 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
--s,,ersons or
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.
110ill''I!IIIII 'I, I - 61
-NUI Ic -11
L I IL
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.
Washington State Department of Revenue
Business Lookup
License Information: Mery search Back toresufts
Entity name: NlJJAR, GOA
Business name: ABC DAYCARE
Entity type: Sole Propeietor
UBI #: 604-507-529
Business ID: 001
Location ID: 0001
Location: Active
Location address. 32530 24TH AVE SW
FEDERAL WAY WA 98023-2507
Mailing address: 32530 24TH AVE SW
FEDERAL WAY WA 98023-2507
Excise tax and reseller permit status: Click here
Endorsements
Endorsements held at this location License # Count Details Status Expiration date First issuance date
Federal Way Home Occupation 05 -100659 -00 -BL Active Oct -31-2020 Mar -10-2005
Basin ces
Governing People My Was& go &W pmpk rW MW—d with Sremftqr alState
Governing people Title
NIJJAR, GOA
The Business Lookup information is updated nightly. Search date and time: 1016/2020 3:28:15 PM
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