AG 20-769 - Okamoto Dental LabNM
CITY OF FEDERAL WAY LAW DEPARTMENT ROUTING FORM
. ORIGINATING DEPT./DIV-, ECONOMIC DEVELOPMENT
ORIGINATING STAFF PERSOM
_1M jotp[so EXT: , 2412 3. DATE REQ. BY' ASAP -
TYPE OF DOCUMENT (CHECK ONE):
1:1 PUBLIC WORKS CONTRACT El SMALL OR LIMITED PUBLIC WORKS CONTRACT
11 PROFESSIONAL SERVICE AGREEMENT Ei MAINTENANCE AGREEMENT
El GOODS AND SERVICE AGREEMENT 0 HUMAN SERVICES/ CDBG
El REAL ESTATE DOCUMENT El SECURITY DOCUMENT (E.G. BOND RELATED DOCUMENTS)
El ORDINANCE El RESOLUTION
El CONTRACT ANENDMENT(AG#),_,,,_ El INTERLOCAL
X OTHER CARES ACT FUNDS BUSINESS SIJPPOtl'GRANT AGRFFM-ENT_"_I
1112RO-Mmy
NAME OF CONTRACTOR: OKAMOTO DENTAL LAB, INC
ADDRESS: 1639S310THST#C,FEDERALWAY WA98003 T ELEPHONE: (253) 941-4956
E-MAIL: OKAMOTO-DENTAL@HOTMAIL.COM
SIGNATURENAME: KIYOSATO OKAMOTO TITLE: SEE ATTACHED,
EXHIBITS AND ATTACHMENTS: 0 SCOPE, WORK OR SERVICES EJ COMPENSATION El INSURANCE REQUIREMENTS/CERTIFICATE 0 ALL
OTHER REFERENCED EXHIBITS El PROOF OF AUTHORITY TO SIGN El REQUIRED LICENSES El PRIOR CONTRACT/AMENDMENTS
. TERM: COMMENCEMENT DATE: SEE ATTACHED AGREEMENT COMPLETION DATE:
TOTAL COMPENSATION $ (INCLUDE EXPENSES AND SALES TAX, IF ANY) TWO THOUSAND AND NO /100 (S 2,000.00)
(IF CALCULATED ON HOURLY LABOR CHARGE - ATTACH SCHEDULES OF EMPLOYEES TITLES AND HOLIDAY RATES)
REIMBURSABLE EXPENSE: 0 YES X NO IF YES, MAXIMUM DOLLAR AMOUNT: $___,_
IS SALES TAX OWED El YES X NO IF YES, $ PAID BY: 0 CONTRACTOR 0 CITY
RETAINAGE: RETAINAGE AMOUNT: -E] RETAINAGE AGREEMENT (SEE CONTRACT) OR El RETAINAGE BOND
ROVIDED
0 PURCHASING: PLEASE CHARGETO: 001-1800-990-518-10-490 Prpject Coo g #267662-2506
0. DOCUMENT/CONTRACT REVIEW INITIAL / DATE REVIEWED INITIAL 1 DATE APPROVED
01 PR CTM AGER
-- — ---------
HECTO R 7'
Ei RISKMANAGE MENT (IF APPLICABLE)
EI LAW
1. COUNCIL APPROVAL (IF APPLICABLE) SCHEDULED COMMITTEE DATE: COMMITTEE APPROVAL DATE:
SCHEDULED COUNCIL DATE: COUNCIL APPROVAL DATE:
2. CONTRACT SIGNATURE ROUTING
El SENT TO VENDOR/CONTRACTOR DATE SE m DATE REC'D:—,
El ATTACH: SIGNATURE AUTHORITY, INSURANCE CERTIFICATE, LICENSES, EXHIBITS
EJ 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 N/
4,%6NATORY (MAYOR OR DIRECTOR)
El CITY CLERK
C
0 ASSIGNED AG#
,OMMENTS:
1/2020
CiTy Of CITY HALL
33325 8th Avenue South
F;6deraj !A10y Federal Way, WA 98003-6325
(253) 8354000
www.���Vfflycoln
WITH
OKAMOTO DENTAL LAB INC.
This Grant Agreement ("Agreement") is made between the City of Federal Way, a Washington municipal
corporation ("City"), and Okamoto Dental Lab, 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:
103113
ill-Imm" =_
11WV1M21;j41rRt"# MPOIN1410
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 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 Vp]D:
Z Was required by state or local order to close
E] Was forced to lay off employees due to reduced patronage
D' Incurred over $1,000 in COVID-19 related expenses
E] Experienced 10-50% lost revenue
0' Experienced over 50% lost revenue
CARES ACT BUSINESS GRANT AGREEMENT - 1 - 7/2020
QTV Of
CITY HALL
33325 8th Avenue South
Federal Way, WA 98003-6325
(253) 835-7000
wwwalyoffederalwaycom
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
c) Insurance
d) Utilities
e) Marketing
t) Payroll
Grantee agrees to retain receipts documenting use of grant funds and will provide the 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 toitthis 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 N011 00 Dollars ($2,000.00).
4.2 Non-Attoronriation 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.
any and all claims, demands, actions, suits, causes of action, arbitrations, mediations, proceedings, judgme
aw Isinjuries, d s., liabilities, taxes, losses, fines, neTm-tias-�r
rim
event of liability for damages arising out of bodily injury to persons or damages to property cause
res in fr m the concurreiLt nealigence of VkLCmajh�-1. t�f-frli
these covenants of indemnification.
5.2 Industrial jhgItpAct Akt� 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 -,r oses of this indemnification. Grantee% limims, i;WtVWX0,
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
CITY Of CITY HALL
33325 8th Avenue South
Federal Way Federal Way, WA 98003-6325
(253) 835-7000
www cityoffederalway coin
5.3 The City agrees to release, indedefend 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
liti&ation expenses to or b4 ani and all persons or entities. includini -f,- their
. W
Ait"�Out gwitatio
JA; 1TTT7,-TVM=g irorn or connectou wun MIS Agreement te-;Jt�ae-ment—solely
SENT
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.
6.1 lgmrgj�hon and ModHigati6o. 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.
lium
L112mur, sir licd:f Ur' UUPOSILCU in -Ine wrilled States mail ' postage prepaid, to tne address set forth above. Any
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
n lov
insist upon strict performance of any of the covenants and agreements contained in this Agreement, or to
exercise any option conferred by_this Agrgement in one or more kista-cces Rkall not ]NIe
4 1" W 4 Me MFMI I W 6 0
man
too, � I wev
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 iurisdiction over such a su t. then suit may be filed in any, other r
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
recovei; or award Drovided bi law; iroji ed, J Tevi IT
1 im I I r -gm is 1,111 um Lop Isis V.
CARES ACT BUSINESS GRANT AGREEMENT -3- 7/2020
CITY Of C17Y HALL
33325 ft Avenue South
F4deml Federal Way, WA 98003-6325
(253) 835-7000
www 0yoff6daralway, com
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
Agreement maii be executed in Wj number of counteLlivarts each xf -4W �. MumiNqu - "i jrw- -,*z -1 . r I
uG - ij m -T WOZ
the same effect as if all Parties hereto had signed the same document. All such counterparts shall be construed
together and shall constitute one instrutnent, 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 instrurnent 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.
III I I I I � I I ip��g 11111pp 111111 111� �
I I I & 11 o men 51111 M-1
CITY FEAL.WAY:
Lle,
DATE: A,
Printed Name. �Cf<
Title: 0 W .vim
DATE:
CARES ACT BUSINESS GRANT AGREEMENT -4- 7/2020
9/30/2020 Washington State Department of Revenue
Sty D P
< Business Lookup
License Information: New search Back to results
Entity name: OKAMOTO DENTAL LAB, INC.
Business name: OKAMOTO DENTAL LAB
Entity type: Profit Corporation
U #: 602-049-030
Business ID: 001
Location 1D.- 0001
Location: Active
Location address: 1639 S 310TH ST # C
FEDERAL WAY WA 98003
Mailing address: 1639 5 310TH ST * C
FEDERAL WAY WA 98003
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 dal
Federal Way General Business 00 -101276 -00 -BL Active Jul -31-2021
Jan -08-2000
Governing People Nyi.,Iud.-qo.®-E.gpmple.otmgiaemdithSocnmy*fStaft
Governing people Title
OKAMOTO, KIYOSATO
Registered Trade Names
Registered trade names Status
First issued
OKAMOTO DENTAL LAB Active
Jul -03-2000
The Business Lookup information is updated nightly. Search date and time: 9/30/2020 9:50;02 AM
Contact us
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