AG 20-715 - Jonathon Einowski DDS PLLCCITY OF FEDERAL WAY LAW DEPARTMENT ROUTING FORM
. . .. ...... ..
Willi'GTIATING DEPT./DIV: ECONOMIC DEVELOPMENT
ORIGINATING STAFF PERSON: _Lml JOHNSON EXT: - 2412 3. DATE REQ. BY, ASAP
4. TYPE OF DOCUMENT (CHECK ONE):
Ei CONTRACTOR SELECTION DOCUMENT (E.G., RIB, REP, RFQ)
El PUBLIC WORKS CONTRACT El SMALL OR LIMITED PUBLIC WORKS CONTRACT
El PROFESSIONAL SERVICE AGREEMENT C1 MAINTENANCE AGREENIENT
El GOODS AND SERVICE AGREEMENT 11 HUMAN SERVICES/ CDBG
El REAL ESTATE DOCUMENT 0 SECURITY DOCUMENT (E.G. BOND RELATED DOCUMENTS)
El ORDINANCE El RESOLUTION
* CONTRACT AMENDMENT(AG#): 11 INTERLOCAL
* OTHER CARES ACT FUNDS BUSINESS SUPPORT GRANT AGREEMENT
5. PROJECT NAME: CAFES ACTGRAN T
6. NAME OF CONTRACTOR: JONATHON EINOWSKI DDS PLLC
ADDRESS: 720 S 320TH ST # 1, FEDERAL WAY WA 98003-5254 T ELEPHONE: (530) 400-9343
E-MAIL: EINOWSKI@GMAIL.COM
SIGNATURE NAME: JONATHONE INOWSKI TITLE: SEE ATTACHED
7. EXHIBITS AND ATTACHMENTS: El SCOPE, WORK OR SERVICES 1:1 COMPENSATION 0 INSURANCE REQUIREMENTS/CERTIFICATE 0 ALL
OTHER REFERENCED EXHIBITS 0 PROOF OF AUTHORITY TO SIGN D REQUIRED LICENSES El PRIOR CONTRACT/AMENDMENTS
b*. TERM: COMMENCEMENT DATE: SEE ATTACHED AGREEMENT COMPLETION
9. TOTAL COMPENSATION $ (INCLUDE EXPENSES AND SALES TAX, IF ANY) TWO THOUSAND AND NO/100 ($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, MAX UM DOLLAR AMOUNT: $
IS SALES TAX OWED OYES X NO IF YES, $_ PAID BY: 0 CONTRACTORD CITY
RETAINAGE: RETAINAGE AMOUNT: -.0 RETAINAGE AGREEMENT (SEE CONTRACT) OR El RETAINAGE BOND
PROVIDED
a PURCHASING: PLEASECHARGETO: 00 1 - 1;i1,-•+1 i•1•
*ect Code #267662-
_25060
10. DOCUMENT/CONTRACT REVIEW
in PRO CT MANAGER
&=RECTOR
El. MANAGEMENT (IF APPLICABLE)
El L4,W
INITIAL / DATE -APPROVED
J—h
SCHEDULED CONINUTTEE DATE: CO BITE APPROVAL DATE:
SCHEDULED COUNCIL DATE: COUNCIL APPROVAL DATE:
F-1 SENT TO VENDOR/CONTRACTOR DATE SENT: DATE RECD:
—
0 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
0 LAN' EPARTMENT
GNA:
GNATORY (MAYOR OR DIRECTOR)
El CITY CLERK
0 ASSIGNED AG#
COMMENTS:
1/2020
This Grant Agreement ("Agreement") is made between the City of Federal Way, a Washington municipal
corporation ("City"), and Jonathon Einowski, DDS PLLC, a professional limited liability company ("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:
720 S 320th St # I
Federal Way, WA 98003
101=1
AIIr.IIKW_IjII�
i_ 1 01
RX&PNE-111MA
I . - I
S.
MR- = 1 1.
Lt+pj-,A# �,Pwrsml
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 apply):
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
E] Experienced 10-50% lost revenue
VExperienced over 50% lost revenue
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
f) Payroll
CITY HALL
33325 8th Avenue South
Federal Way WA 98003-6325
(253) 835-7000
m4w cityoffederalway coni
Grantee agrees to retain receipts documenting use of grant funds and will provide them 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 terminate this agreement.
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 amoun)
not to exceed Two Thousand and NO/100 Dollars ($2,000.00).
4.2 Non -Appropriation 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.
5.1 Grantee Indemnification. 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
gation 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
5!17 R -kY_e_84t iefeT4
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 covenants of indemnification.
5.2 Industrial Insurance Act 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 purposes of this indemnification. Grantee's indemnification shall not be limited in any way
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.
5.3 Cjfy� Indemnification. The City agrees to release, indemnify, defend and hold the Grantee, its
officers, directors, shareholders, partners, employees, agents, representatives, and sub -contractors harmless
"S CITY OF
AN
Federal Way
CrT-Y HALL
33325 8th Avenue South
Federal Way WA 98003-6325
(253) 835-7000
mwv cillyoffederaiway com
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 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 connected with this Agreement to the extent
solely 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 and Modificati6n. 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 Aareement 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.
6.2 Enforcement. Any notices required to be given by the Parties shall be delivered at the addresses
set forth at the beginning of this Agreement. Any notices may be delivered personally to the addressee of the
notice or may be deposited in the United States mail, postage prepaid, to the address set forth above. Any notice
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
insist upon strict performance of any of the covenants and agreements contained in this Agreement, or to
eement in one or more instances shall not be construed to be a waiver
or relinquishment of those covenants, agreements or options, and the same shall be and remain in full force and
effect. Failure or delay of the City to declare any breach or default immediately upon occurrence shall not waive
such breach or default. Failure of the City to declare one breach or default does not act as a waiver of the City's
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 jurisdiction over such a suit, then suit may be filed in any other appropriate court in King County,
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
recovery or award provided by law; provided, however, nothing in this paragraph shall be construed to limit the
Parties' rights to indemnification under Section 5 of this Agreement.
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 may be executed in any number of counterparts, each of which shall be deemed an original and with
the same effect as if all Parties hereto had signed the same document. All such counterparts shall be construed
Fbde
t,,.§ 1£j Way
CITY HALL
33325 8th Avenue South
Federal Way, WA 08003-6325
(253) 835-7000
vvww cityofiederatway coin
together and shall constitute one instrument, 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 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 a
counterpart of this Agreement shall be the "date of mutual execution" hereof.
IN WITNESS, the Parties execute this Agreementbelow, effective the last date written below.
CITY OF FEDERAL WAY:
Jim Fe�Iay®r
/
ATE:
sem.
Prini Name'
Title .
DATE: ?
10/8/2020 Washington State Department of Revenue
")tLite Depaitfy�ent of Revenue
< Business Lookup
License Information:
New search Back to results
Entity name: JONATHON EINOWSKI, DDS, PLLC
Business name- JONATHON EINOWSIG, DDS, PLLC
Entity type: Professional Limited Liability Company
UBI #: 603-587-553
Business ID: 001
Location ID: 0001
Location: Active
Location address: 720 S 320TH ST STE I
FEDERAL WAY WA 98003-5254
Mailing address: 720 S 320TH ST STE I
FEDERAL WAY WA 98003-5254
Excise tax and reseller permit status:
Click here
Secretary of State status:
Click here
Endorsements
Endorsements held at this location License N Count
Details
Status
Expiration date
First issuance dat
Dental X-Ray/CT/ Pan/Ceph 3
Active
Feb -28-2021
Jun -04-2016
Federal Way General Business 16 -101754 -00 -BL
Active
Feb -28-2021
May -06-2016
X -Ray:
Active
Feb -28-2021
Jun -04-2016
Dental/Podiatric/Veterinary
Governing People
Governing people
Title
EINOWSKI, JONATHON
Registered Trade Names
Registered trade names Status
First issued
FEDERAL WAY GENERAL & LASER DENTISTRY Active
Aug -03-2017
FEDERAL WAY LASER DENTISTRY Active
May -25-2017
LASER DENTISTRY OF WASHINGTON Active
May -25-2017
hftps:Hsecure.dor.wa.gov/gteunauth/—,/#2 1/2