AG 20-753 - Marine View AFH 1CITY OF FEDERAL WAY LAW DEPARTMENT ROUTING FORM
1. ORIGINATING DEPTIDIV: -ECONOMIC DEVELOPMENT
2. ORIGINATING STAFF PERSON: TIM JOHNSON EXT: 2412 3. DATE Q. Y. ASAP
Ell
TYPE OF DOCUMENT (CHECK ONE):
El CONTRACTOR SELECTION DOCUMENT (E.G., RFB, RFP, RFQ)
• PUBLIC WORKS CONTRACT 13 SMALL OR LIMITED PUBLIC WORKS CONTRACT
• PROFESSIONAL SERVICE AGREEMENT El MAINTENANCE AGREEMENT
El GOODS AND SERVICE AGREEMENT El HUMAN SERVICES/ CG
0 REAL ESTATE DOCUMENT El SECURITY DOCUMENT (E.G. BOND RELATED DOCUMENTS)
E] ORDINANCE El RESOLUTION
El CONTRACTA NT (AG#): 11 INTERLOCAL
hM11461
=9
6. NAME OF CONTRACTOR: MARINE VIEW AFH 1, INC
ADDRESS: 2804 SW 315TH ST, FEDERAL WAY WA 98023-7833 T ELEPHONE: (240) 640-2057
E-MAIL: MVADULTFAMILY@GMAIL.COM
SIGNATURE NAME: AYDA ABRAIIA TITLE: SEE ATTACHED
7. EXHIBITS AND ATTACHMENTS: 0 SCOPE, WORK OR SERVICES El COMPENSATION 11 INSURANCE REQUIREMENTS/CERTIFICATE El ALL
OTHER REFERENCED EXHIBITS El PROOF OF AUTHORITY TO SIGN El REQUIRED LICENSES El PRIOR CONTRACT/AMENDMENTS
8. TERM: COMMENCEMENT DATE: SEE ATTACHED AGREEMENT COMPLETION DATE:
9. TOTAL COMPENSATION $ (INCLUDE EXPENSES AND SALES TAX, IF ANY) ONE THOUSAND AND N0/100 ($1,000,00)
(IF CALCULATED ON HOURLY LABOR CHARGE - ATTACH SCHEDULES OF EMPLOYEES TITLES AND HOLIDAY RATES)
REIMBURSABLE EXPENSE: 11 YES X NO IF YES, MAXIMUM DOLLAR AMOUNT: $
IS SALES TAX OWED El YES X NO IF YES, $ PAID BY: 0 CONTRACTOR El CITY
RETAINAGE: RETArNAGE AMOUNT: .0 RETAINAGE AGREEMENT (SEE CONTRACT) OR 13 RETAINAGE BOND
PROVIDED
El PURCHASING: PLEASE CHARGE TO: 001-1800-990-518-10-490 Proiect Code #267662-25060
10. DOCUMENT/CONTRACT REVIEW INITIAL DATE REVIEWED INITIAL, / DATE APPROVED
11 PROJECT MANAGER
F_-,J?fkECTOR
0 RISKMANAGEMENT (IFAPPLICABLE)
El LAW
11. COUNCIL APPROVAL (IF APPLICABLE) SCHEDULED COMMITTEE DATE: COMMITTEE APPROVAL DATE:
SCHEDULED COUNCIL DATE: COUNCIL APPROVAL DATE:
El SENT TO VENDOR/CONTRACTOR DATE SENT: DATE
El ATTACH: SIGNATURE AUTHORITY, INSURANCE CERTIFICATE, LICENSES, EXHIBITS
11 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
11 LAW DEPARTMENT
R'<GNATORY (MAYOR OR DIRECTOR)
0 CITY CLERK
I rt.0
11 ASSIGNED AG # AG#
COMMENTS:
--------- --
1/2020
CITY Of
F�deral Vltay
Cire HA—'L
33225 Etl A�sne V atm
Feder3l 'Aay VIA Ser= -6325
(253) 53570C3
4v.4,v n} q tderE
CARES ACU FIRDS t i iAGREEN1E3j
WITH
NIARINE VIEW AFI1 1, INC
'Nis Grant Agreement ("Agreement") is made between the City of Federal Way, a Washington municipal
corporation ("City"), and Marine View AFH 1, Inc, a Washington corporation ("Grantee"). The City and
Grantee (togcther "Parties") arc located and do business at the below addresses which shall be valid for any
notice required under this Agreement:
BONN% ms 1 0
M
Ade Ariwoola
33325 8th
Federal Way, WA 98003-6325
(253) 835-2414 (telephone)
(253) 835-2509 (facsimile)
1. TERM. This ageemcnt contemplates a one-time grant of funds to the Grantee under the conditions
,tescribed 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;
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 Mply
C] 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
Experienced 10-50% lost revenue
0 Experienced over 50% lost revenue
city Of
F�deml
CITY HALL
33325 Sth Avenu4,) South
(253) 835-7000
kvww i.styorf, wfforofwiiy coin
2.2 t Ise of Funds: Grantee affirms that grant funds will be used for the following purposes-,
a) Mortgage or Rcnt
b) Personal Protection Equipment
c) Insurance
d) Utilities
c) Marketing
0 Payroll
Grantee agrees to retain receipts documenting use of grant funds and will provide them to the City or its
• upon •
3. TERMINATION. Should any of the conditions described in section 2.1 above, not be met, the Ci
may
♦ 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 lossm
Grantee has incurred due to the COV ID- 19 7,andemic ' the City shall n1lu—UM
not to exceed One Thousand and NO/100 Dollars ($1,000.00)- 1
4.2 Nbp�ApZqp6tion of Funds. If sufficient funds are not appropriated or allocated for payme
under this Agreement for any fiscal period, the City will not be obligated to make payments under t
.• I
5.1 GLUtee Indmnification. 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
• • indemnification.
to R
CITY HALL
CITY Of 33325 8th Avenue South
Federal Way. WA 98003-6325
Federal Way (253) 835-7000
wim aryoffederalway cuar
f. (�ENERAL, PROVISIONS.
6.1 Inttrtretation haM"fication. Thi�
with respect to Any matter cover6d1ormentioned i
ljhi��er 6fal or Written i shall be effeotive for any 2
sUdh other prd"tiojis� shall rernlain in full fbrce at
provjsion� m�y be arri6tWedl, WaivWl, or modmed
representatives of the Parties.
CARES ACT BUSINESS GRANT AGREEMENT
CITY OF
Fbdeml W�y
CITT HALL
33325 Sth Avenue South
Federal W A VVA 98010 5
MawIk%'Q'Qff-UVA21ffit
-
6.3 Execution. Each individual executing this Agreement on behalf of the City and Grantee
represents and warrants that such individual is duly author'=d to execute and deliver this A�geement This
the same effect as if all Parties hereto had signed doouraent. All such counterpAM shall be construed
together and shall constitute one instrument, but in making proof hereof it shall only be necessary to pro uc*
one such counterpart. The signature and acknowledgment pages from such counterparts may be assemblei.
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 -,q
counterpart of this Agreement shall be the "date of mutual execution" hereof
-I�M! 11-1310.1 3112, 0 - 1 0 - 0
DATE:
LUM
CARES ACT BUSINESS GRANT AGREEMENT -41
1016/2020 Washington State Department of Revenue
Business Lookup
License Information: New search Back to results
Entity name: MARINE VIEW AFH 1, INC
Business name: MARINE VIEW AFH I INC
Entity type: Profit Corporation
UBI #: 604-178-277
Business ID: 001
Location ID: 0001
Location: Active
Location address; 2804 SW 315TH ST
FEDERAL WAY WA 98023-7833
Mailing address: 2804 SW 315TH ST
FEDERAL WAY WA 98023-7833
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 da:
Federal Way Home Occupation Active
Jul -31-2021 Aug -13-2020
Business
Governing People My i.d.& governing p-pk not iw9hiftnuf fth S.Mary fSt.W
Governing people Title
AB HA, AYDA GEBRHIW0T
Registered Trade Names
Registered trade names Status
First issued
MARINE VIEW AFH 1 INC Active
May -14-2019
Contact us
w—, --- '4n;-7
https://secure.dor.wa.gov/gteunauth/,/#33 1/2