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AG 20-772 - Pacific BuildersCITY OF FEDERAL WAY LAW DEPARTMENT ROUTIN-G- FORM 1. ORIGINATING DEPT./DIV. ECONOM(C DEVELOPMENT 2. ORIGINATING STAFF PERSON: TIM JOHN EXT: 2412 3. DATE Q. BY'-- ASAP 9 TYPE OF DOCUMENT (CHECK ONE): El CONTRACTOR SELECTION DOCUMENT (E.G., RFB, RFI� R-FQ) 0 PUBLIC WORKS CONTRACT El SMALL OR LIMITED PUBLIC WORKS CONTRACT 11 PROFESSIONAL SERVICE AGREEMENT El MAINTENANCE AGREEMENT 0 GOODS AND SERVICE AGREEMENT El HUMAN SERVICES/ CDBG 11 REAL ESTATE DOCUMENT 0 SECURITY DOCUMENT (E.G. BOND RELATED DOCUMENTS) 11 ORDINANCE 0 RESOLUTION El CONTRACTA NT (AG#):_ OINTERLOCAL 11T"d 6. NAME OF CONTRACTOR: PACIFIC BUILDERS LLC ADDRESS: 1112 S 344TH ST # 307, FEDERAL WAY WA 98003,- '8 T ELEPHONE: (253) 266-7133 E-MAIL: PACBUILDERSLLC@GMAIL.COM SIGNATURE NAME: MYONG SONG TITLE: SEE ATTACHED 7. EXHIBITS AND ATTACHMENTS: 0 SCOPE, WORK OR SERVICES 11 COMPENSATION 0 INSURANCE REQUIREMENTS/CERTIFICATE 0 ALL OTHER REFERENCED EXHIBITS El PROOF OF AUTHORITY TO SIGN 0 REQUIRED LICENSES 0 PRIOR CONTRACT/AMENDMENTS 8. TERM: COMMENCEMENT DATE: .—,S,—FEA COMPLETIONDATE: 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: 0 YES X NO IF YES, MAXIMUM DOLLAR AMOUNT: IS SALES TAX OWED El YES X NO IF YES, $--- m PAID BY: C1 CONTRACTOR 13 CITY RETAINAGE: RETAINAGE OUNT my i RETAINAGE AGREEMENT (SEE CONTRACT) OR El RETAINAGE BOND PROVIDED El PURCHASING: PLEASE CHARGE TO: 001-1800-990-518-10-490 - - get Code #267662-25060 10. DOCUMENT/CONTRACT REVIEW INITLAL.11, DATE, RFAIIEWEI3 INITIAL /DATE APPROVED o PR6,JECT MANAGER "IRECTOR ym 0 RISIS MANAGEMENT (IF APPLICABLE) 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 El 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 EPARTMENT 'N/A "2�NATORY(MAYOR OR DIRECTOR) 1:1 CITY CLERK 0 ASSIGNED AG# AG# COMMENTS: 1 020 lzlly- Of CITY HALL 33325 MIN Avenue Sawth Vft Federal �A* WA 98003-6326 (2S3� CARES ACT FUNDS BUSMSS SUPPOAT GRANT AOR�MWNT WITH PACIFIC RUILIWAS LLC This Grant Agreement CAgreemenf) is made between the City of Federal Way, a Wksh� municipal cqrpprotion (-Cit5e'), and Pacific Builders LLC, a limited liability Fompany ("Grantee). The City and Grantee (together "Parties'� are located and do business at the below addresses which shall be valid for any notipt,, required under this Agreement: DAVESONG 1112 S 344th St # 307 FEDERAL WAY, WA 9801 Ade Ariwoola 33325 8th Ave. S. i Federal Way, WA 98003-6325 (253) 835-2414 ftelepbow) 835-2509 (facsimile) 1. IMM. This agreement contemplates a one-time grant of funds to the Grantee under the conditions desm'bed herein. 99-10z�� t 0 # CITY HALL 33326 Sth Avenue South P. � W I Fb4ONJ W&Y, V" 98003-6325 (253) 835-7000 2-2 Us—e-dlu—ndsz' Grantee affirm that grant fimds will be used fbr the following purposes: a) Mortgage or Rzut b) Personal Protection Equipment c) Insurance d) Utilities e) Marketing J) Payro)) Grantee agrees to rt:tain receipts documenting use, of grant funds and will provide them to the City or its designee upon request. I WRMTNkUgk� i> '>i aOof OJO 000ditions 1- 0. i r eaareC— f4ods and krin� " agreenioa 4.1 Amount, la order to p;nwote healthy economic activity in 0* City an&in losponse to jhe� losses not to exceed One Thousand and NOII 00 Dollars ($ 1,000.00). 4.2. &��ation-o ttifficieut funds M not appropriated or allocated *0 f under this A4pperneiiiW fikal ffiOO4 *: Otk will not be obligated to make payments e r Ith, Agroonloot. voluntem to the exte* and on s terms and conditions as the Grantee pwsuant to this �para-� l. The City's inspection or acceptance of any of Granwe's work when completed shall not be grounds to avoid any of these covenants of indemnification, ---------- 6.3 !LXM� Each inagreement on behalf of the City and Grantee, represents and waTrants that such individual is duly auftnized to execute and deliver this Agreement. This 3.i 1'} mav be eygmlir; �', ,v T�nwiNer;i-f c4mutmai Pq-t-Ir s,f wwn& ft7L#�J—41,67 FTIVI UEUTY it Ex X'SLI21ty1t ProutIce one such counterpart. The sipature and 400W*100" pages from such counterparts may be assembled together to form a siY ins11et comprised of all pages of this Agreement and a complete set of all sipature and ackuowk0guieut pages. The date upon which the last of all of the Parfies have executed a counterpaft of this Agfedmtot shall be the "date of mutual execution" hereof. i M a, UTZ TIM r 7- re I jl�%j l1111RUPIMIN OrrY HALL 33326 Uth Avenue South Federal Way, WA 98003-43325 (253) 835.7,000 6.3 !LXM� Each inagreement on behalf of the City and Grantee, represents and waTrants that such individual is duly auftnized to execute and deliver this Agreement. This 3.i 1'} mav be eygmlir; �', ,v T�nwiNer;i-f c4mutmai Pq-t-Ir s,f wwn& ft7L#�J—41,67 FTIVI UEUTY it Ex X'SLI21ty1t ProutIce one such counterpart. The sipature and 400W*100" pages from such counterparts may be assembled together to form a siY ins11et comprised of all pages of this Agreement and a complete set of all sipature and ackuowk0guieut pages. The date upon which the last of all of the Parfies have executed a counterpaft of this Agfedmtot shall be the "date of mutual execution" hereof. i M a, UTZ TIM r 7- re I jl�%j l1111RUPIMIN 9/30/2020 Washington State Department of Revenue \J'Y-i ;�)!n! !-_)ti St a r? Dpo art wienL of P:_,ve - i2 Business Lookup AMMM-M.17i"trT =- Entity name: PACIFIC BUILDERS LLC Business name: PACIFIC BUILDERS LLC Entity type: Limited Liability Company LII 'i 603-550-862 Business 113: 001 Location ID: 0001 Location: Active Location address: 1112 5 344TH ST STE 307 FEDERAL WAY WA 98003-6728 Mailing address: 1112 5 344TH ST STE 307 FEDERAL WAY WA 98003-6728 Excise tax and reseller permit status: Secretary of State status: Endorsements Endorsements held at this location License # Federal Way General Business 15 -105448 -00 -BL Fife General Business - Non - Resident Lakewood General Business - Non -Resident Governing People May Include gomming people not np9blered with Somfoey of State GoverMng perople BYUN, WILLIAM SONG, MYONG Y New search Back to results Click here Click here Details Status Expiration date First issuance dal Active Oct -31-2021 Nov -09-2015 Active Oct -31-2021 Apr -10-2019 Active Jan -31-2021 Jan -13-2020 17" The Business Lookup information is updated nightly. Search date and time: 9/30/2020 9:24:46 AM httos://secure.dor.wa.gov/gteunauth/—,/#24 1/2 STA7, BUSINESS LICE,N-SE STATE OF WASHINGTON Limited Liability Company PACIFIC BUILDERS LLC 1112 S 344TH ST STE 307 FEDERAL WAY, WA 98003-6728 UNEMPLOYMENT INSURANCE -ACTIVE TAX REGISTRATION - ACTIVE Issue D. Sep 11, 202# Unified Business ID #: 603550862 Business ID #: 001 Location: 0001 Expires: Oct 31, 2021 CITY ENDORSEMENTS: FIFE GENERAL BUSINESS - NON-RESIDENT - ACTIVE LAKEWOOD GENERAL BUSINESS - NON-RESIDENT (EXPIRES 1/31/2021) - ACTIVE FEDERAL WAY GENERAL BUSINESS #15-10544.8-00-131- - ACTIVE LICENSING RESTRICTIONS: Not licensed to hire minors without a Minor Work Permit. QRS 1ip This document lists the registrations, endorsements, and licenses authorized for the business �11',',,'Lnamed above, By accepting this document, the licensee certifies the information on the application t h t s was complete, true, and accurate to the best of his or her knowledge, and that business will be e conducted in compliance with all applicable Washington state, county, and city regulations. Director, Department of Revenue STATE OF WASHINGTON JBI: 603550862 001 0001 Expires. Oct 31, 2021 :'ACIFIC BUILDERS LLC UNEMPLOYMENT INSURANCE - 1112 S 344TH ST STE 307 ACTIVE -EDERAL WAY, WA 98003-6728 INDUSTRIAL INSURANCE - ACTIVE TAX REGISTRATION -ACTIVE FIFE GENERAL BUSINESS - NON-RESIDENT - ACTIVE LAKEWOOD GENERAL BUSINESS - NON-RESIDENT (EXPIRES 1/31/2021) -ACTIVE FEDERAL WAY GENERAL BUSINESS #1 5 -105448 -00 -BL -ACTIVE