AG 20-642 - Country Bear Child Care1-13MR11
CITY OF FEDERAL WAY LAW DEPARTMENT ROUTING FORM
*RIGINATING DEPT./DIV- ItONQMW b JJMtNT
2. ORIGINATING STAFF PERSOM EXT: 2412 3. DATE tLEQ. BY' ASAP
_11M JOHNSON
4. TYPE OF DOCUMENT (CHECK ONE):
• CONTRACTOR SELECTION DOCUMENT (E.G., RFB, RFP, RFQ)
• PUBLIC WORKS CONTRACT 0 SMALL OR LIMITED PUBLIC WORKS CONTRACT
• PROFESSIONAL SERVICE AGREEMENT E] MAINTENANCE AGREEMENT
• GOODS AND SERVICE AGREEMENT 11 HUMAN SERVICES/ CDBG
• REAL ESTATE DOCUMENT 0 SECURITY DOCUMENT (E.G. BOND RELATED DOCUMENTS)
El ORDINANCE El RESOLUTION
El CONTRACT AMENDMENT (AG#):— 0 INTERLOCAL
X OTHER CARES
ACT FUNDS BUSINESS SUPPORT GRANT AGREE N I
6. NAME OF CONTRACTOR: COUNTRY BEAR CHILD CARE
ADDRESS: 5405 SW 326TH CT, FEDERAL WAY WA 98023 TELEPHONE: (206) 249-3674
E-MAIL: COUNTRYBEARCHILDCARE@COMCAST.NET
SIGNATURE NAME: PAULINE NASTASI TITLE: SEE ATTACHED
7. EXHIBITS AND ATTACHMENTS: El SCOPE, WORK OR SERVICES 0 COMPENSATION El INSURANCE REQUIREMENTS/CERTIFICATE D ALL
OTHER REFERENCED EXHIBITS 11 PROOF OF AUTHORITY TO SIGN El REQUIRED LICENSES El PRIOR CONTRACT/AMENDMENTS
TOTAL COMPENSATION $ (INCLUDE EXPENSES AND D AND NO/100 ($1,000.00)
(IF CALCULATED ON HOURLY LABOR CHARGE - ATTACH SCHEDULES OF EMPLOYEES TITLES AND HOLIDAY RATES)
REIMBURSABLE EXPENSE: D YES X NO IF YES, MAXIMUM DOLLAR AMOUNT: $
IS SALES TAX OWED DYES X NO IF YES, $ — PAID BY: 0 CONTRACTOR El CITY
RETAINAGE: RETAINAGE AMOUNT: El RETAINAGE AGREEMENT (SEE CONTRACT) OR 11 RETAINAGE BOND
0 PURCHASING: PLEASE CHARGE TO: 001-1800-990-518-_10-490 _—PrdLct Code #267662-25060
10. DOCUMENT/CONTRACT REVIEW INITIAL/ DATE REVIEWED INITIAL, /DATE APPROVED
0 PAOJECT MANAGER
R,2'61RECTOR
El RISKMANAGE MENT (IF APPLICABLE)
1:1 LAW
11. COUNCIL APPROVAL (IF APPLICABLE) SCHEDULED COMMITTEE DATE: COMMITTEE APPROVAL DATE:
SCHEDULED COUNCIL DATE: COUNCIL APPROVAL DATE:
• SENT TO VENDOR/CONTRACTOR DATE SENT: DATE REC'D:—
• ATTACH: SIGNATURE AUTHORITY, INSURANCE CERTIFICATE, LICENSES, EXHIBITS
• CREATE ELECTRONIC REMINDERJNOTIFICATION 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 SIGN -ED
• LAW DEPARTMENT N/A
poMNATORY (MAYOR OR DIRECTOR)
0 CITY CLERK
El ASSIGNED AG # AG#
COMMENTS:
4
— - --------
1/2020
C47V or-
dll*N,-� al Way
Feder
CITY HALL
3,3325 Sth Avenue Scuth
Fedeml Way, WA 98003-6325
(253) 835-7000
wwwcayuffh,de�aln,�av corn
jrr+W�01GIA Ift;&r1rt
WITH
COUNTRY BEAR CHILD CARE
This Grant Agreement C'Agreement") is made between the City of Federal Way, a Washington municipal
corporafion C'City"), and Country Bear Child Care, a sole proprietor C'Grantee"). The City and Grant&;
(together "Parties") are located and do business at the below addresses which shall be valid for any' notice
required under this Agreement:
COUNTRY BEAR CHILD CARE: CITY OF FEDERAL WAY:
PAULINE R- NASTASI Ade Ariwoola
5405 SW 326th Ct 33325 8th Ave. S,
FEDERAL WAY, WA 98023 Federal Way, WA 98003-6325
(253) 835-2414 (telephone)
(206) 249-3674 (telephone) (253) 835-2509 (facsimile)
countrvbLarc co ade.ariwoola'@cityoffederalway.com
h
1. TE- This agreement contemplates a one-time grant of funds to the Grantee -under the conditions
described herein.
2. (,0ND1TKjNLS OF -GRANT
.L_
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;
1.) 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 rzymues do not queed mM than $1.5 iftiffioh per year;
f) Grantee d6 * business as defiried by the Internal Revenue
Service;
g) Due to COVID-1 9, Grantee business
C] Was required by state or local order to close
E] Was forced to lay off employees due to reduced patronage
0 Incurred over $1,000 in COVID-19 related expenses
Experienced 10-50% lost revenue
Experienced over 50% lost revenue
2.2 Use of Funds: Grantee affirms that grant funds will be used for the following purposes:
a) Mortgage -or Rent
b) Personal Protection Equipment
CARES ACT BUSINESS GRANT AGREEMENT - I - 7/201
rJTY OF
Federal Way
C1r( HALL
33325 Sth Avanue South
Federal Wiv, WA 98003-325
(253) 835-7000
kvmv.o1yoftederahrayrom
Grantee agrees to retain receipts documenting use of grant funds and will provide them to the City or its
designee upon request.
3. TERMINATION. Should anyof the conditions described in section 2.1 above, not be met� the City
may recover all disbursed grant funds and terminate this agreement.
4.1 Amount In order to promote healthy economic activity in the City and in response to the losses
e Citi., shall vx'de a grant to the amount
not to exceed One Thousand and N011 00 Dollars ($ 1,000.00).
4.2 on-NpRLoIniation of Funds. If sufficient funds are not appropriated orallocated for payment
under this Agreement for any fiscal period, the City will not be obligated to make payments under this
agreement.
5. INDEMNIFICATION.
volunteers to the extent and on the •" terms and conditions as the Grantee pursuant to this paragraph. The
ftese caivenants of indemnification.
5.2 Industrial Insurance IW It is specifically and expressly understood that the Grantee
waives any immunity that may •" granted to it under the Washington State industrial insurance act, Title 51
for the
,11:F !MY'11MILaU011 U11 -t-10 iJ-IL11RVL 1111 VIP Irr Tj 51 -FLY t, "'j, LIILQ�
workers' compensation acts, disability benefit acts or any other benefits acts or programs, The Parties further
acknowledge that they have mutually negotiated this waiver.
CARES ACT BUSINESS GRANT AGREEMENT
CITY OF Cirf HALL
33125 Sth Avenue South
Federal Way, WA 98003-6325
Federal Way (253) 835-7000
www,EYlyvftderaitvalv.com
5.3 tj(Xjj��� The City agrees to release, indemnify, defend and hold the Grantee, its
any and all claims, demands, actions, suits, causes of action, arbitrations, mediations, proceedings, judgments,
awards, injuries, damages, liabilities, losses, -fines, fees, penalties expenses, attorney's fees, costs, and/or
Utigation expenses to or by any aj�d all persons or entities, including without limitation, their respective agents,
licensees, or representatives, arising from, resulting from or connected with this Agreement to the extent solely
caused by the negligent acts, errors, or omissions of the City.
5.4 Survival. The provisions of this Section shall survive the expiration or termination of this
Agreement with respect to any event occurring prior to such expiration or termination.
Z #
#
6.1 This Agreement contains all of the agreements of the Parties
with respect to any matter covered or mentioned in this Agreement and no prior statements or agreements,
whether oral or written, shall be effective for any purpose. Any provision of this Agreement that is declared
invalid, inoperative, null and void, or illegal shall in no way affect or invalidate any other provision hereof and
such other provisions shall remain in full force and effect. No provision of this Agreement, including this
provision, may be amended, waived, or modified except by written agreement signed by duly authorized
representatives of the Parties.
by filing suit under the venue, rules and jurisdiction of the King County Superior Cour� King County,
Washington, unless the parties agree in writing to an alternative process. If the King County Superior Court
I! 1 11.11, i !li AM
iqffio" �, - uit—themsui" i I I
Washington. Each party consents to the personal jurisdiction of the state and federal courts in King County,
Washington and waives any objection that such courts are an inconvenient forum. If either Party brings any
claim or lawsuit arising from this Agreement, each Party shall pay all its legal costs and attorney's fees and
exDcnses incurred in defendin or brinaing such claim or lawsuit, includin all anneal in additioi to ani othv
Parties' rights to indemnification under Section 5 of this Agreement.
6.3 Execution. Each individual executing this Agreement on behalf of the City and Grantee
represents and warrants that such individual is duly authorized to execute and deliver this Agreement. This
CARES ACT BUSINESS GRANT AGREEME117 -3- 71M
CItY OF CITY HALL
33325 8th Avenue Soulh
aderal Way FederaIl Way, WA -QM33-6325
FL
(253) 835-7000
www rilyoftckwaAwy, com
the same effect as jfTJ, Parties hereto signed the same document. A-1 such counterparts shall be construed
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 a
counterpart of this Agreement shall be the "date of mutual execution7 hereof.
IIIIII I 111 111111111! pIlpipil 11 1 111� 1_1
•
CARES ACT BUSINESS GRANT AGREEMENT -4- 7/2020
9/29/2020 Washington State Department of Revenue
< Business Lookup
Entity name:
NASTASI, PAULINE RUTH
Business name:
COUNTRY BEAR CHILD CARE
Entity type:
Sole Proprietor
UB1 #:
602-020-276
Business ID:
001
Location ID:
0001
Location:
Active
Location address: 5405 SW 326TH CT
FEDERAL WAY WA 98023-3601
Mailing address: 5405 SW 326TH CT
FEDERAL WAY WA 98023-3601
Ertdorse-tm-tts
Endorsements held at this location License #
Count
Federal Way General Business 18 -105027 -00 -BL
Governing People May include gumming people not regia terd with Secretary of State
Governing people
NASTASI, JEFFERSON M
NASTASI, PAULINE RUTH
Registered Trade Names
Registered trade names
Status
COUNTRY BEAR CHILD CARE
Active
DASH POINT HIGHLANDS CHILD CARE AND LEARNING
Active
CENTER
New search Back to results
Details Status Expiration date First issuance dal
Active Mar -31-2021 Dec -11-2018
mm
The Business Lookup information is updated nightly. Search date and time: 9/29/2020 8:46:24 AM
First issued
Mar -13-2000
Apr -24-2015
https://secure.dor.wa.gov/gteunauth/,/#2 1/2