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AG 20-791 - Saigon Hair SalonRETURN TO Tim Johnson EXT: 2412 CITY OF FEDERAL WAY LAW DEPARTMENT ROUTING FORM 1. ORIGINATING DEPT. IV: 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., RIB, RFP, RFQ) * PUBLIC WORKS CONTRACT D SMALL OR LIMITED PUBLIC WORKS CONTRACT * PROFESSIONAL SERVICE AGREEMENT Ei MAINTENANCE AGREEMENT Ei GOODS AND SERVICE AGREEMENT El HUMAN SERVICES/ CG El REAL ESTATE DOCUMENT 0 SECURITY DOCUMENT (E.G. BOND RELATED DOCUMENTS) D ORDINANCE El RESOLUTION El CONTRACTA NT (AG#): El INTERLOCAL X OTHER-. CARES ACT FUNDS BUSINESS S1jPPORT GRANT AGREEMENT 5. PROJECT NAME: CARES,ACT GRANT-Ei) 6. NAME OF CONTRACTOR: SAIGON HAIRS ADDRESS: 29500 PACIFIC HWY S # L, FEDERAL WAY WA 98003-3878 T ELEPHONE: (253) 202-7638 E-MAIL: VENUSLEHAIRCAPE@GMAIL.COM SIGNATURE NAME: T TUYET LE TITLE: SEE ATTACHED 7. EXHIBITS AND ATTACHMENTS: El SCOPE, WORK OR SERVICES El COMPENSATION El INSURANCE REQUIREMENTS/CERTIFICATE El ALL OTHER REFERENCED EXHIBITS 0 PROOF OF AUTHORITY TO SIGN El REQUIRED LICENSES El PRIOR CONTRACT/AMENDMENTS 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 X NO IF YES, MAXIMUM DOLLAR AMOUNT: $ IS SALES TAX OWED El YES X NO IF YES, $ PAID BV: 0 CONTRACTOR El CITY RETAINAGE: RETAWAGE AMOUNT: El RETAfNAGE AGREEMENT (SEE CONTRACT) OR El RETAINAGE BOND pam"IF 1612161 0 PURCHASING: PLEASE CHARGE TO:- M— I LLQ -490 I 10. DOCUMENT/CONTRACT REVIEW INITIAL / DATE REVIEWED INITIAL / DATE APPROVED 0 PROJECT MANAGER ,a,KIRECTOR z- Z - 2-0 El RISKMANAGE MENT (MAPPLICABLE) 0 LAW 11. COUNCM APPROVAL (IF APPLICABLE) SCHEDULED COMMITTEE DATE: COMMITTEE APPROVAL DATE: SCHEDULED COUNCIL DATE: COUNCIL APPROVAL DATE: El SENT TO VENDOR/CONTRACTOR DATE SENT: -- DATE REC'D:—"-- El ATTACH: SIGNATURE AUTHORITY, INSURANCE CERTIFICATE, LICENSES, EXHIBITS * 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 * LAW ILEI' ARTMENT E1516<NTORY (MAYOR OR DIRECTOR) El CITY CLERK 0 ASSIGNED AG# AG# COMMENTS: 1/2020 < CITY 00, Federal . . . ay .. CrrY HALL. 5 W4 uo South &r VIA ge0036325 (2 53) 535 -TWO GRANTCARES ACT FUNDS BUSINESS SU?P06rr T WITH. SAIGON HAM SALON CARES ACT BUSINESS GRANT AGREEMENT CJTY Ot CfrV LL 13325 W Aven6* rs'mAh Yui 2.2 Cmmtcc affinns that gmm furK6 will be med fort following purposes- Grmtcc ap= to retmn rampt3 documentrng use of gmt funds and will pmvide thcm to the City or iL% dezignee upon "qUCNL S�Kiuld anv of the condift=3 dcscnbed in section 2. 1. above not be md, the City may rccover all disbursed grant funds uW terminate Lhis agrt=,em 4. t LknumnJnf(I XAer pMrtj,(j(c hcAlthy OeOnumic activity in the City mrml in mnx.m-,;c to the lo,&%es _tL Cd-anice has incumcd drat to the fVID-r 19 Pant'leM IC, the CitV "I provide a gant tc) the Grantee in an amount rx)t to exceed Onc Tbomand and NO' 100 Dofl= (S 1,00000)' 4-2 N22:A22t2P!i�-vf,,U-nd-b, If suffickent funds arc not appropnaied or alimcated for payment under this Agreernent for july fisC41 period, the Citylipt %1 11 - () to not N. b ed mak-c payments under thts agrc=ent_ -ATIO-N. 5. I MPLMNEH._ CARES ACT BUSrNESS GPLAINT AGREEMENT -2- /\ city or Federal Way CITY HALL, \ \A~ut Soum rer©A. qA.f 6�> >/t/f35-7. . N,£ JAI; 2VVI I CARES ACTU E 33« ary or Federal Way 33325 Mh i d ''& yy y� . the Particst i ,:,, at bdow. cffmtive MY OF E RAI, WAY, ' t. .:: SMGON HAIR SALON Printed Name: CARES ACT BUSINBS GRANT a 10/512020 Washington State Department of Revenue V\/ashinalton State Dei ai—,In-,era or Revenue < Business Lookup Entity name: LE, THI TUYET Business name: SAIGON HAIR SALON Entity type: Sole Proprietor UBI #: 604-485-474 Business ID: 001 Location ID: 0001 Location: Active Location address: 29500 PACIFIC HV,1Y S STE L FEDERAL WAY WA 98003-3878 Mailing address: 29500 PACIFIC HWY S STE L FEDERAL WAY WA 98003-3878 Excise tax and reseller permit status: Click here Endorsements Endorsements held at this location L c e,,,,, se # Count Details Status Federal Way General Business 19 -104278 -00 -BL Active Governing PeopleMay L-lude govm&W rent mgktwvd math S—fto, of SfM Governing people Title LE, THI TUYET Registered Trade Names Registered trade names Status SAIGON HAIR SALON Active VENUS LE HAIR CARE Active New search Back to results Expkat,on date Hrst isFwwnce clat Aug -31-2021 Sep -06-2019 The Business Lookup information is updated nightly. Search date and time: 10/5/202011:03:24 AM DR71111111w hftps://secure.dor.wa.gov/gteunauth/­,/#28 First issued Aug -06-2019 Aug -06-2019 6