AG 20-739 - Legendary DoughnutsRETURN TO: EXT:
CITY OF FEDERAL WAY LAW DEPARTMENT ROUTING FORM
ORIGINATING DEPT./DIV: ECONOMIC DEVELOPMENT
ORIGINATING STAFF PERSON: TIM JOHNSON EXT: 2412 3. DATE REQ. BY. ASAP
TYPE OF DOCUMENT (CHECK ONE):
❑ CONTRACTOR SELECTION DOCUMENT (E.C�, RFB, RFP, RFQ)
❑ PUBLIC WORKS CONTRACT ❑ SMALL OR LIMITED PUBLIC WORKS CONTRACT
❑ PROFESSIONAL SERVICE AGREEMENT ❑ MAINTENANCE AGREEMENT
❑ GOODS AND SERVICE AGREEMENT ❑ HUMAN SERVICES/ CDBG
❑ REAL ESTATE DOCUMENT ❑ SECURITY DOCUMENT (E.G BOND RELATED DOCUMENTS)
❑ ORDINANCE ❑ RESOLUTION
❑ CONTRACT AMENDMENT (AG#)-. ❑ INTERLOCAL
❑ OTHER
. PROJECT NAME: CARES ACT GRANT RESTAURANT AMENDMENT
NAME OF CONTRACTOR:LEGENDARYDOUGHNUTS, INC.
ADDRESS: 32079 PACIFIC Hwy S TELEPHONE: (253) 569-5569
E-MAIL: SHANNON@LEGENDARYDOUGHNUTS.COM
SIGNATURE NAME: KENNETH PATTEN TITLE: SEE ATTACHED
EXHIBITS AND ATTACHMENTS: ❑ SCOPE, WORK OR SERVICES ❑ COMPENSATION ❑ INSURANCE REQUIREMENTS/CERTIFICATE ❑ ALL
OTHER REFERENCED EXHIBITS ❑ PROOF OF AUTHORITY TO SIGN ❑ REQUIRED LICENSES ❑ PRIOR CONTRACT/AMENDMENTS
. TERM: COMMENCEMENT DATE:
COMPLETION DATE:
TOTAL COMPENSATION $ (INCLUDE EXPENSES AND SALES TAX, IF ANY) FIVE THOUSAND AND N0/100 ($5,000)
(IF CALCULATED ON HOURLY LABOR CHARGE - ATTACH SCHEDULES OF EMPLOYEES TITLES AND HOLIDAY RATES)
REIMBURSABLE EXPENSE: ❑ YES ❑ NO IF YES, MAXIMUM DOLLAR AMOUNT: $
IS SALES TAX OWED ❑ YES ❑ NO IF YES,
RETAINAGE: RETAINAGE AMOUNT:
❑ PURCHASING: PLEASE CHARGE TO:
0. DOCUMENT/CONTRACT REVIEW
❑ PjyOJECT MANAGER
IRECTOR
❑ RISK MANAGEMENT (IF APPLICABLE)
❑ LAW
PAID BY: ❑ CONTRACTOR ❑ CITY
❑ RETAINAGE AGREEMENT (SEE CONTRACT) OR ❑ RETAINAGE BOND PROVIDE
INITIAL /, DATE REVIEWED INITIAL/ DATE APPROVED
1. COUNCIL APPROVAL (IF APPLICABLE) SCHEDULED COMMITTEE DATE: COMMITTEE APPROVAL DATE:
SCHEDULED COUNCIL DATE: COUNCIL APPROVAL DATE:
2. CONTRACT SIGNATURE ROUTING
❑ SENT TO VENDOR/CONTRACTOR DATE SENT: DATE REC'D:
❑ ATTACH: SIGNATURE AUTHORITY, INSURANCE CERTIFICATE, LICENSES, EXHIBITS
❑ CREATE ELECTRONIC REMINDER/NOTIFICATION 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 EPARTMENT
ATORY (MAYOR OR DIRECTOR)
ITY CLERK
E] ASSIGNED AG# JA�'i 20-739
;OMMENTS:
1/2020
CITY 01F CITY HALL
Feder
edar l Way
y Feder 8th Avenue South
a Y Federal Way, WA 98003-6325
(253) 835-7000
www atvoffederalway eom
AMENDMENT NO.1
TO
CARES ACT BUSINESS SUPPORT GRANT AGREEMENT
WITH
LEGENDARY DOUGHNUTS, INC.
This Amendment ("Amendment No. 1") is made between the City of Federal Way, a Washington municipal
corporation ("City"), and Legendary Doughnuts, Inc., a Washington corporation ("Grantee"). The City and Grantee
(together "Parties"), for valuable consideration and by mutual consent of the Parties, agree to amend the original
Agreement ("Agreement") dated effective November 17, 2020, as follows:
1. AMENDED COMPENSATION. The amount of the grant, as referenced by Section 4 of the Agreement,
shall be amended to change the total grant the City shall pay the Grantee as delineated in Exhibit A-1, attached
hereto and incorporated by this reference. Contractor shall be solely responsible for the payment of any taxes
imposed by any lawful jurisdiction as a result of payment of this Agreement. 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.
2. GENERAL PROVISIONS. All other terms and provisions of the Agreement, together with any prior
amendments thereto, not modified by this Amendment, shall remain in full force and effect. Any and all acts done by
either Party consistent with the authority of the Agreement, together with any prior amendments thereto, after the
previous expiration date and prior to the effective date of this Amendment, are hereby ratified as having been
performed under the Agreement, as modified by any prior amendments, as it existed prior to this Amendment.
[Signature page follows]
AMENDMENT - 1 - 3/201.7
CITY of CITY HALL
' ._.
Federal 1�V`ay Feder 8th Avenue South
8003
Federal Way, WA 98003-6325
(253) 835-7000
www cityoffederalway.. com
IN WITNESS, the Parties execute this Agreement below, effective the last date written below.
CITY OF FEL WAY:
By:
Jim F yor
DATE:
LEGENDARY DOUGHNUTS, INC.:
By: '-
Printed Name: 'A�2r
Title: 1k, 4,;def
Date: 11-18-20
AMENDMENT - 2 - 3/2017
C1iv OF CITY HALL
Federal Way 33325 8th Avenue Soutli
Federal Way, WA 98043003
-6325
(253) 835-7000
www cltyoffeder hvay-com
EXHIBIT A-1
ADDITIONAL COMPENSATION
1. Total Compensation: In order to promote economic activity in the City and in response to losses incurred due
to the COVID-19 pandemic, the City shall provide an additional grant amount not to exceed Five Thousand and
NO/100 Dollars ($5,000.00). The total amount payable to Grantee pursuant to the original Agreement and this
Amendment shall be an amount not to exceed Five Thousand and NO/100 Dollars ($5,000.00).
AMENDMENT - 3 - 3/2017
1/2020
RETURN TO: Tim Johnson EXT: 2412
CITY OF FEDERAL WAY LAW DEPARTMENT ROUTING FORM
1. ORIGINATING DEPT./DIV. ECONOMIC DEVELOPMENT
2. ORIGINATING STAFF PERSON: TIM JOHNSON EXT: 2412 3. DATE REQ. BY: AsAP
4. TYPE OF DOCUMENT (CHECK ONE):
❑ CONTRACTOR SELECTION DOCUMENT (E.G., RFB, RFP, RFQ)
❑ PUBLIC WORKS CONTRACT ❑ SMALL OR LIMITED PUBLIC WORKS CONTRACT
❑ PROFESSIONAL SERVICE AGREEMENT ❑ MAINTENANCE AGREEMENT
❑ GOODS AND SERVICE AGREEMENT ❑ HUMAN SERVICES/ CDBG
❑ REAL ESTATE DOCUMENT ❑ SECURITY DOCUMENT (E.G. BOND RELATED DOCUMENTS)
❑ ORDINANCE ❑ RESOLUTION
❑ CONTRACT AMENDMENT (AG#): ❑ INTERLOCAL
X OTHER CARES ACT FUNDS BUSINESS SUPPORT GRANT AGREEMENT
5. PROJECT NAME: CARES ACI' GRANTROUN❑ 2
6. NAME OF CONTRACTOR: LEGENDARY DOUGHNUTS, IWC..
ADDRESS: 1402 LAKE TAPPS PKWY # 104, AUBURN, WA 98092 T ELEPHONE: (253) 569-5569
E-MAIL: SHANNON@LEGENDARYDOUGHNUTS.COM
SIGNATURE NAME: KENNETH PATTEN TITLE: SEE ATTACHED
7. EXHIBITS AND ATTACHMENTS: ❑ SCOPE, WORK OR SERVICES ❑ COMPENSATION ❑ INSURANCE REQUIREMENTS/CERTIFICATE ❑ ALL
OTHER REFERENCED EXHIBITS ❑ PROOF OF AUTHORITY TO SIGN ❑ REQUIRED LICENSES ❑ PRIOR CONTRACT/AMENDMENTS
8. TERM: COMMENCEMENT DATE: . SEE ATTACHED AGREEMENT. COMPLETION DATE:
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: ❑ YES X NO IF YES, MAXIMUM DOLLAR AMOUNT: $
IS SALES TAX OWED ❑ YES X NO IF YES, $ PAID BY: ❑ CONTRACTOR ❑ CITY
RETAINAGE: RETAINAGE AMOUNT:. ❑ RETAINAGE AGREEMENT (SEE CONTRACT) OR ❑ RETAINAGE BOND
PROVIDED
❑ PURCHASING: PLEASE CHARGE TO: _001-1800-990-518-10-490 Project Code 9267662-25060
10. DOCUMENT/CONTRACT REVIEW INITIAL / DATE REVIEWED INITIAL / DATE APPROVED
❑ PROJECT MANAGER _
—
�-t;- iRECTOR _ - -1 o z U
❑ RISK MANAGEMENT (iF APPLICABLE)
❑ LAW
11. COUNCIL APPROVAL (IF APPLICABLE) SCHEDULED COMMITTEE DATE: COMMITTEE APPROVAL DATE:
SCHEDULED COUNCIL DATE: COUNCIL APPROVAL DATE:
12. CONTRACT SIGNATURE ROUTING
❑ SENT TO VENDOR/CONTRACTOR DATE SENT: DATE REC'D:
❑ ATTACH: SIGNATURE AUTHORITY, INSURANCE CERTIFICATE, LICENSES, EXHIBITS
❑ CREATE ELECTRONIC REMINDER/NOTIFICATION 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 NI
YATORY (MAYOR OR DIRECTOR)
❑ CITY CLERK a
❑ ASSIGNED AG# AG#
COMMENTS:
1/2020
CITY OF CITY HALL
Fe d e ra I Way 33325 8th Avenue South
Federal Way, WA 98003-6325
(253) 835-7000
www.cityoffederalway.com
CARES ACT FUNDS BUSINESS SUPPORT GRANT AGREEMENT
WITH
LEGENDARY DOUGHNUTS, Inc.
This Grant Agreement ("Agreement") is made between the City of Federal Way, a Washington municipal
corporation ("City"), and Legendary Doughnuts, Inc., a Washington corporation ("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:
LEGENDARY DOUGHNUTS, INC.:
KENNETH PATTEN
32079 Pacific Hwy S, Federal Way, WA 98003-6001
Mailing address: 1402 Lake Tapps Pkwy # 104,
Auburn, WA 98092
(253) 569-5569 (telephone)
shannonAlegendar_ydoughr
The Parties agree as follows:
CITY OF FEDERAL. WAY:
Ade Ariwoola
33325 8th Ave. S.
Federal Way, WA 98003-6325
(253) 835-2414 (telephone)
(253) 835-2509 (facsimile)
ade.ariwoola(a-,)cityouffederalway.com
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 employees 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
14 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 - 1 -
7/2020
CITY OF CITY HALL
Fe d e ra I Way 33325 8th Avenue South
Federal Way, WA 98003-6325
(253) 835-7000
www cityoffederatway com
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 City may
recover all disbursed grant funds and terminate this agreement.
4. GRANT AMOUNT.
4.1 Amount. In order to promote healthy economic activity in the City and in response to the losses
Grantee has incurred due to the COVID-19 pandemic, the City shall provide a grant to the Grantee in an amount
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. INDEMNIFICATION.
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, 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 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.
CARES ACT BUSINESS GRANT AGREEMENT -2-
7/2020
2-
7/2020
CITY OF CIN HALL
Fe d e ra I Way 33325 8th Avenue South
Federal Way, WA 98003-6325
(253) 835-7000
www. cityoffedera l way. com
5.3 City Indemnification. The City agrees to release, indemnify, defend and hold the Grantee, its
officers, directors, shareholders, partners, employees, agents, representatives, and subcontractors harmless from
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 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 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.
6. GENERAL PROVISIONS.
6.1 Interpretation and Modification. 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.
6.2 Enforcement. Any notices required to be given by the Parties shall be delivered at the addresses
set forth at the beginning of this Agreement. Any notices may be delivered personally to the addressee of the
notice or may be deposited in the United States mail, postage prepaid, to the address set forth above. Any notice
so posted in the United States mail shall be deemed received three (3) days after the date of mailing. Any remedies
provided for under the terms of this Agreement are not intended to be exclusive, but shall be cumulative with all
other remedies available to the City at law, in equity or by statute. The failure of the City to insist upon strict
performance of any of the covenants and agreements contained in this Agreement, or to exercise any option
conferred by this Agreement in one or more instances shall not be construed to be a waiver or relinquishment of
those covenants, agreements or options, and the same shall be and remain in full force and effect. Failure or delay
of the City to declare any breach or default immediately upon occurrence shall not waive such breach or default.
Failure of the City to declare one breach or default does not act as a waiver of the City's right to declare another
breach or default. This Agreement shall be made in, governed by, and interpreted in accordance with the laws of
the State of Washington. If the Parties are unable to settle any dispute, difference or claim arising from this
Agreement, the exclusive means of resolving that dispute, difference, or claim, shall be by filing suit under the
venue, rules and jurisdiction of the King County Superior Court, King County, Washington, unless the parties
agree in writing to an alternative process. If the King County Superior Court does not have jurisdiction over such
a suit, then suit may be filed in any other appropriate court in King County, Washington. Each parry 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 Parry brings any claim or lawsuit arising from this Agreement,
each Party shall pay all its legal costs and attorney's fees and expenses incurred in defending or bringing such
claim or lawsuit, including all appeals, in addition to any other recovery or award provided by law; provided,
however, nothing in this paragraph shall be construed to limit the Parties' rights to indemnification under Section
5 of this Agreement.
CARES ACT BUSINESS GRANT AGREEMENT -3-
7/2020
3-
7/2020
CITY RALE
CITY of 33325 Sth AWnsta South
Federal Way til r0a 88003 6325
(253)
(253} 835 -7 7000
titi�wcdvallt ien�l,t;) ram
6.3 Execution. Each individual executing this Agr(xtrtelat on behalf of the City and Clr utle a repre
sents
and warrants abut suQlt individual is duly au"rizc:d to execute and deliver this Agreement, This Agrremclit may
be executed in any number of counterparts, each of which shall be deaned an original and with the some: of cet
as if all Parties hereto had signed the same document. All such counterparts shall be cons onctogether and parll
shal
constitute one instrument, but in making proof hereof it shall only be n ess ryasse1produce
pr d ucet0gone to form a single
The signature and acknowledgment pages from such cotmt�erparts may
instrument comprised of all pages of this Agreement and a complete set of all signature and acknowledgment
fogey. The date upon which the: last of all of the Parties have executed a counterpart of this Agreement shall lie:
the "date of mutual execution" hcreof.
IN WITNESS, the Parties execute this Agreement below, effective the last date written below.
Wy
r
J's-rrcll, Maynr --
T e,]
DATE:
C.EGF.NDARY DOUGITNUTS, INC.:
Printed'Name: I0.. n h r✓ S
Title:
1);V I -t..:
a
D
ARES A(' l BUSINESS GRANT AGREEMENT -4-
72020
4-
72020
A- 1 1 15��
Washington State Department of Revenue
C Business Lookup
License Information:
Entity name:
LEGENDARY DOUGHNUTS, INC.
Business name:
LEGENDARY DOUGHNUTS
Entity type:
Profit Corporation
UBI #:
602-990-607
Business ID:
001
Location ID:
0005
Location:
Active
Location address: 32079 PACIFIC HWY S
FEDERAL WAY WA 98003-6001
Mailing address: 1402 LAKE TAPPS PKWY #104
AUBURN WA 98092
Excise tax and reseller permit status:
Click here
Secretary of State status: Click here
Endorsements
Endorsements held at this location License # Count Details Status Expiration date First issuance date
Federal Way General Business 17 -102497 -00 -BL Active Feb -28-2021 Jun -06-2017
Minor Work Permit Active Feb -28-2021 Jul -18-2018
Governing People May &l-We9—Igpwple wt rWh* W with Sec'dry ofSftrte
Governing people Title
PATTEN, KEN
PATTEN, SHANNON
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The Business Lookup information is updated nightly. Search date and time: 10/1/2020 1:29:17 PM
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