AG 20-808 - Spinecare ChiropracticMNEPMR
CITY OF FEDERAL WAY LAW DEPARTMENT ROUTING FORM
ORIGINATING DEPT./DIV: ECONOMIC DEVELOPM
2. ORIGINATING STAFF PERSON: TIM J014NSON EXT: 21 0
4. TYPE OF DOCUMENT (CHECK ONE):
El CONTRACTOR SELECTION DOCUMENT (E.G., RFB, RFP, RFQ)
0 PUBLIC WORKS CONTRACT D SMALL OR LIMITED PUBLIC WORKS CONTRACT
E] PROFESSIONAL SERVICE AGREEMENT 0 MAINTENANCE AGREEMENT
0 GOODS AND SERVICE AGREEMENT El HUMAN SERVICES / CDBG
El REAL ESTATE DOCUMENT El SECURITY DOCUMENT (E.G. BOND RELATED DOCUMENTS)
* ORDINANCE 0 RESOLUTION
* CONTRACTA ENDMENT OINTERLOCAL
* OTHER CARES ACT FUNDS BUSINESS SUPPORT GRANT AGREEMENT
21
NAME OF CONTRACTOR:T-HE-W-O-N,-eOWA-NY-(-BOASPtNECAPF.CHIROPR,ACTIO)
,-'
ADDRESS: 33130 PACIFIC HWY S # 4, FEDERAL WAY WA 98003 T ELEPHONE: (253) 661-0030
E-MAIL: DRWONKIM@HOTMAIL.COM
SIGNATURE NAME: WON KIM TITLE: SEE ATTACHED
TOTAL COMPENSATION $ (INCLUDE EXPENSES AND SALES TAX, IF ANY) 1,000
(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, ITITITITPAID BY: El CONTRACTOR 11 CITY
RETAINAGE: RETAINAGE AMOUNT: 0 RETAINAGE AGREEMENT (SEE CONTRACT) OR El RETAINAGE BOND
PROVIDED
F-1 PURCHASING: PLEASE CHARGE TO: 001-1800-990-518-10-490 Project Code #267662-25060
10. DOCUMENT/CONTRACT REVIEW INITIAL / DATE REVIEWED INITIAL / DATE APPROVED
El PROJECT MANAGER
19DliECTOR 0,7 — 2-c>
El 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 REC'D',
El 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 N/A 0 0
C
17 -41 -9419-ATORY (MAYOR OR DIRECTOR) -
El CITY CLERK
El ASSIGNED AG# AG#
-
1/2020
CITY HALL
ANIL
a3325 81h okVerlUe South
Federal WayWA 98003-W
(263) 835-7000
CARES ACT FUNDS BUSINESS SUPPORT GRANT AGREEISIENT
SPINECAAA CIftIMPRACTIC
This Grant Agreement CAgreement") is made between the City of Federal Way, a Washington municipal
corporation ("City"), and Spinecare Chiiq� a Washington corporation The City and Grantee
tif - 4-
tot
WON KIM
33130 Pacific Hwy S # 4
FEDERAL WAY, WA 98003-6440
rgt w�E
RIONOMPOWAM
I
333 25 8th
Federal Way, WA 98003-6325
(253) 835-2414 (tel0o*c)
(253) 83 5-2509 (facsimile)
This agreement contemplates a one-time grant of funds to the Grantee under the conditions
described herein.
2.1 lWarranties: The Grantee warrants the following, which are pre-requishes for grant eligibility:
a) Grantee operates a business physically located within the political boundaries of the
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 ofoocutio of this
agreement;
d) Grantee's business employs no more than the equivalent of ten (10) full-fitne empl
(20,800 man-hours total fbr all employees per year);
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
Service;
g) Ducto OVID- 19. Grantee business (check all that apply):
Was required by state or, local order to close
Was forced to lay off employees due to reduced patronage
Incurred over S 1 000 in COVID- 19 related expenses
Experienced 10-500/a lost revenue
Experienced over 50% lo st revenue
2.2 VA6 of Funds� Grantee affirms that grant funds will he used for the following purposes:
a) ��e or Rent
b) Personal Protection Equipment
CARES ACT BUSINESS GRANT AGREEMFNT
7/2020
CITY HALL
AAL 4;IVV O,
33325 Sth Avenue South
Federai Way. WA 00
98003-6325
(253) 835-70
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pages- The date upon which the last
of all of Parties have executed a counterpartthis g"I be
Ag "date of mutual executiotT hereof.
iiii �•� IIJ 111 •: 't t' t�
CITY OF FEDERAL WAY:
Jinn FOA, III
By:
Name:Prhited
• e.: elve
CARES
GRANT
4-
....
9/30/2020 Washington State Department of Revenue
< Business Lookup
License Information:
Entity name.
THE WON COMPANY
Business name:
SPINECARE CHIROPRAC11C
Entity type:
Profit Corporation
UI #:
604-283-091
Business ID:
001
Location ID:
0001
Location:
Active
Location address:
33130 PACIFIC HWY S
STE 4
FEDERAL WAY WA 98003-6440
Mailing address: 33130 PACIFIC HWY S
STE 4
FEDERAL WAY WA 98003-6440
Excise tax and reseller permit status: Click here
Hrsl issuance dat
Secretary of State status: Click here
Jun -19-2018
Endorsements
May -15-2018
Endorsements held at this location a....: _+* e 4' Count DeW6
Status
Federal Way General Business 18 -102576 -00 -BL
Active
Medical Radiographic 1
Active
X -Ray:
Active
Hospital/Medical/Chiropractic
Governing People may include go�lqg people not regLawed "h SwetaryofState
Governing peope Title
MM, WON
Registered Trade Names
Registered trade names Status
SPINECARE CHIROPRACTIC Active
i
https://secure.dor.wa.gov/gteunauth/—/#2
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date
Hrsl issuance dat
May -31-2021
Jun -19-2018
May -31-2021
May -15-2018
May -31-2021
May -15-2018
First issued
May -11-2018
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