AG 20-745 - Little Star Home DaycareCITY OF FEDERAL WAY LAW DEPARTMENT ROUTING FORM
2. ORIGINATING STAFF PERSON: TIM JOHNSON EXT: 2412 -- 3. DATE REQ BY' ASAP
4. TYPE OF DOCUMENT (CHECK ONE):
• CONTRACTOR SELECTION DOCUMENT (E.G., RIB, RFP, RFQ)
• PUBLIC WORKS CONTRACT El SMALL OR LIMITED PUBLIC WORKS CONTRACT
El PROFESSIONAL SERVICE AGREEMENT El MAINTENANCE AGREEMENT
El GOODS AND SERVICE AGREEMENT E] HUMAN SERVICES/ CDBG
El REAL ESTATE DOCUMENT El SECURITY DOCUMENT (E.G. BOND RELATED DOC UIMENTS)
0 ORDINANCE El RESOLUTION
11 CONTRACT AMENDNiENT(AG#): F-1 INTERLOCAL
X OTHER CARES ACT FUNDS BUSINESS SUPPORT GRANTAGREEMENT
5. PROJECT NAME: CARESACT GRANT- UND2
6. NAME OF CONTRACTOR: LITTLE STAR HOME DAYCARE LLC
ADDRESS: 33419 25TH AVE SW, FEDERAL WAY WA 98023-2811 T ELEPHONE: (253) 686-4883
E-MAIL: AJOSE15@MSN.COM
SIGNATURE NAME: FELICITAS LIMA TITLE: SEE ATTACHED
7. EXHIBITS AND ATTACHMENTS: El SCOPE, WORK OR SERVICES 0 COMPENSATION El INSURANCE REQUIREMENTS/CERTIFICATE 0 ALL
OTHER REFERENCED EXHIBITS El PROOF OF AUTHORITY TO SIGN El REQUIRED LICENSES El PRIOR CONTRACT/AMENDMENTS
8. TERM: COMMENCEMENT DATE: SEE ATTACHED AUREEME�LT COMPLETION DATI
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 XNO IF YES, MAXIMUM DOLLAR AMOUNT: $
IS SALES TAX OWED DYES X NO IF YES, $ PAID BY: El CONTRACTOR El CITY
RETAINAGE: RETAINAGE AMOUNT: -0 RETAINIAGE AGREEMENT (SEE CONTRACT) OR El RETAINAGE BOND
PROVIDED
0 PURCHASING: PLEASE CHARGE TO: 001-1800-990-518-10-490 Project Code #267662-25060
10. DOCUNIENT/CONTRA CT REVIEW INITIAL DATE REVIEWED INITIAL t DATE APPROVED
tPOJECT MANAGER
t
[RECTOR L-2 -
El RISKMANAGEMENT (IF APPLICABLE)
EI LAW
SCHEDULED COMMITTEE DATE:
SCHEDULED COUNCIL DATE:
I U-1VA I
COMMITTEE APPROVAL DATE:
COUNCIL APPROVAL DATE:
I1.
11 ATTACH: SIGNATURE AUTHORITY, INSURANCE CERTIFICATE, LICENSES, EXHIBITS
0 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
El LAW DEPARTMENT
WNATORY (MAYOR OR DIRECTOR)
El CITY CLERK 0' 11
El ASSIGNED AG# AG#
COMMENTS:
1/2020
CJT* OF
F6deral aA
CITY HALL
33325 8th Avenue South
Federal Way, WA 98003-6325
(2 53} 835-7000
www a1yoffederalway. corn
WITH
LITTLE STAR ROME DAYCARE LLC
This Grant Agreement ("Agreement") is made between the City of Federal Way, a Washington municipal
corporation C'City"), and Little Star Home Daycare, LLC, 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:
2 T4 mw�ml
MEMO
aiosel5(&.rnsn.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.
2.1 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 to 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 CQVID-1 , Grantee business check all that -Wply):
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
Experienced 10-50% lost revenue
Experienced over 50% lost revenue
CARES ACT BUSINESS GRANT AGREEMENT - I - 7/20ZE
Fbdieral VV4
CITY HALL
33325 ath Avenue South
Federal We WA 9800,Z-631
(253) 835-7bOO
www. cityoffederalway com
2.2 Use of Funds: Granteeaffirms that grant funds will be used for the following purposes:
a) Mortgage or Rent
b) Personal Protection Equipment
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.
I
IL gnamy
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 One Thousand and NO/ 100 Dollars ($ 1,000.00).
4.2 Non-Aoro riation 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 un•-
« .
egre
5.1 Gtantee lhdotnoificat , The Grantee agrees to release, indemnify, defend, and hold the City, its
elected officials, officers, employees, agents, representatives, insurers, attomeys, and volunteers harniless 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
litiNation exli�ens s to or bp angi and all fs ersons or entities includin without limitation. their res-�cectiye q
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
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, solelir for the IpMoses of this indemnification. Grantee's indemnification shall not be limited in any way
N - --
L y any limitation on the amount of damages, compensation or benefits payable to or by any third party under
workers' compensation acts, disabty benefit acts or any other benefits acts or programs. The Parties further
acknowledge that they have mutually negotiated this waiver.
[GY.11111.04 =VNIT'" 8: 1 om 1 21
CITY OF
,;Is� F6deral Vft
CITY HALL
33325 Sth Avenue South
Federal Way. WA 98003-6325
(253) 835-7000
www cityoffederalway com
pal SILUcOnLrduLois 11militutib
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,
sent�qAb -aH sig from, resulting from or connected with thi%
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.
Yi a Its •
"I
6.1 It r 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
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 mabe de%osited in the United States maiINkcosta -rc�#Iaid to the address set forth above. Anp 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 CA at Iqw in i: uit or b statute. The failure o
0 V (lo=71fic uroaCn 417
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 �urisdiction over such a suit then suit marl be filed in ang other agcm�scriate couftin-Kiag County,
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
expenses incurred in defending or bringing such claim or lawsuit, including all appeals, in addition to any other
recover i or award i rovided bi . law; grovided I however nothing in this laaragranh shall be construed to limit the
1 ir, I a I rg��=Vpmo INS [on I Its M I I 14 111 urt IN tw a q I I'Lly-im-r-mm I 1PAL41i a I I I
CARES ACT BUSINESS GRANT AGREEMENT - 3- 7/2020
CITY OF CITY HALL
33325 Sth Avenue South
Federal Way Federal Way, WA 98003-6325
(253 836-7000
WWW. ctlyuftbdef -,,.dway coin
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
the same effect as if all Parties hereto had signed the same document. All 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 execution" hereof.
DATE:
By:
Felicitas Lima
Printed Name:
Business Owner
Title:
DATE: October 5 2020
CARES ACT BUSINESS GRANT AGREEMENT � 4 - 7/2020
9/29/2020 Washington State Department of Revenue
Business Lookup
11TIMIM F-MMUM-M
(peva search Back to results
Entity name: LIMA, FEUCITAS
Business name: LrTTLE STAR HOMEDAYCARE LLC
Entity type: Sole Proprietor
UBI #: 602-619-635
Business ID- 001
Location ID: 0001
Location: Active
Location address: 33419 25TH AVE SW
FEDERAL WAY WA 98023-2811
Mailing address: 33419 25TH AVE SW
FEDERAL WAY WA 98023-2811
Excise tax and reseiler permit status: Click here
Endorsements
Endorsements held at this location License # Count Details Status Expiration date First issuance dal
Federal Way Home Occupation 18 -100734 -00 -BL Active Jun -30-2021 Feb -26-2018
Business
Governing People May rmdd. g—Ig pqg. ..t,.qL9-.d ft S.Ma,y afStat.
Governing people Title
UIVIA, FELICUAS
Registered Trade Names
Registered trade names Status First issued
LITTLE STAR HOMEDAYCARE LLC Active Apr -06-2018
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