AG 20-600 - Amazing Care II AFH..... . . . . . . ........ ....
RETURN TO: Tim Johnson EXT: 2412
CITY OF FEDERAL WAY LAW DEPARTMENT ROUTING FORM
. ORIGINATING DEPT./DIV: ECONOMIC DEVELOPMENT
ORIGINATING STAFF PERSON: TIM JOHNSON EXT: 2412 3. DATE REQ Y. ASAP
TYPE OF DOCUMENT (CHECK ONE):
El CONTRACTOR SELECTION DOCUMENT (E.G., RFB, RF?, RFQ)
11 PUBLIC WORKS CONTRACT El SMALL OR LIMITED PUBLIC WORKS CONTRACT
El PROFESSIONAL SERVICE AGREEMENT 0 MAINTENANCE AGREEMENT
0 GOODS AND SERVICE AGREEMENT 0 HUMAN SERVICES/ CDBG
El REAL ESTATE DOCUMENT 0 SECURITY DOCUMENT (E.G. BOND RELATED DOCUMENTS)
El ORDINANCE 0 RESOLUTION
El CONTRACT AMEENDMENT(AG#):_ DINTERLOCAL
X OTHER CARES ACT FUNDS BUSINESS SUPPORT GRANTAGREEM-ENT
PROJECTNAME:— CARES ACT GRANT -(ROUND 2
NAME OF CONTRACTOR: AMAZING CARE II AFH
ADDRESS: 32614 8TH CT S, FEDERAL WAY WA 98003-5918 TELEPHONE: (253) 203-8118
E-MAIL: AMAZINGc2017@GMAIL.COM
SIGNATURE NAME: E KINYUA TITLE: SEE ATTACHED
EXHIBITS AND ATTACHMENTS: 0 SCOPE, WORK OR SERVICES El COMPENSATION El INSURANCE REQUIREMENTS/CERTIFICATE El ALL
OTHER REFERENCED EXHIBITS El PROOF OF AUTHORITY TO SIGN 0 REQUIRED LICENSES 0 PRIOR CONTRACT/AMENDMENTS
TOTAL COMPENSATION$ (INCLUDE EXPENSES AND SALES TAX, IF ANY) TWO THOUSAND AND N01100 OZ,00000)
(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: 13 CONTRACTOR El CITY
RETAINAGE: RFTAINAGE AMOUNT: —Ei RETAINAGE AGREEMENT (SEE CONTRACT) OR 11 RETAINAGE BOND
ROVIDED
2 PURCHASING: PLEASE CHARGE TO: 001-1800-990-518-10-490 Project Code #267662-25060
0. DOCUMENT/CONTRACT REVIEW
F-1 P
,F,OJECT MANAGER
U,'DIRECTOR
El RISKMANAGEMENT (IFAPPLICABLE)
ElL4W.
SCHEDULED CommiTTEE DATE: COMNHTTEE APPROVAL DATE:
SCHEDULED COUNCIL DATE: COUNCIL APPROVAL DATE:
DATE REC'D„
El ATTACH: SIGNATURE AUTHORITY, INSURANCE CERTIFICATE, LICENSES, EXHIBITS
11 CREATE ELECTRONIC REMINDERINOTIFICATION 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
L,*G-9ATORY (MAYOR OR DIRECTOR)
I] CITY CLERK
El ASSIGNED AG # AGW-600
'OMMENTS:
1/2020
ciry OF
F�deral Way
CITY HALL
33325 8th Avenue South
Federal Way, WA 98003-6325
(253) 535-7000
pv cityoffederalway cora
CARES ACT FUNDS BUSINESS SUPPORT r
WITH
s l/ u CARE 11 AFH
This Grant Agreement ("Agreement") is made between the City of Federal Way, a Washington municipal
corporation ("City"), and AmazingCare II AFH, a sole proprietor ("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:
AMAZING CARE I A L _ Y:
EMMA A Ade Ariwoola
32614 8th Ct S 33325 8th Ave. S.
FEDERAL WAY, WA 98003 Federal Way, WA 98003-6325
(253) 835-2414 (telephone)
(253) 203-8118 (telephone) (253) 835-2509 (facsimile)
azingc2017@?a til.com ade.ariwoola@cityoffederalw4y.com
TERM.1. This agreement conte plates a one-time grant of funds to the Grantee under the conditions
described herein.
1 1 i
following, pre -requisites forgrant
a) Grantee operates a business physically located within the political boundaries of the City
of _.
grantb) 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
agreement;
) Grantee's business employs no more than the equivalent of ten (10) full-time employees
(20,800 -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 CVI -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 CVI-19 related expenses
Experienced 10-50% lost revenue
Experienced 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
) Personal Protection Equipment
CITY OF CFTY HALL
33325 Sth Avenue South
Federal Way, WA 98003-6325
,,,,Federal Way -7000
7
(253)835
www o1yoffederalway corns
c) Insurance
d) Utilities
e) Marketing
f) Payroll
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 is to the COVID- 19 pandemic, the City shall provide a grant to the Grantee in an amount
riot to exceed Two Thousand and NO/100 Dollars ($2,000.00).
4.2 Non-Appro or payment
priation of Funds. If sufficient funds are not appropriated or allocated f
under this Agreement for any fiscal period, the City will not be obligated to make payments under this
agreement.
5.1 Grantee hidemnifi�cgtp . 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
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 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
only to the extent of the Grantee's negligence. Grantee shall ensure that each sub -Grantee shall agree to defend
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 ludu�Waf his nee Act )MaiV& 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 Ofy hiddinnifitgfig . The City agrees to release, indemnify, defend and hold the Grantee, its
officers, directors, shareholders, partners, employees, agents, representatives, and sub -contractors harmless
& CITY Of
4m�*� Fekdeml 1"
CITY HALL
33325 Sth Avenue South
Federal Way WA 98003-6325
(253) 835-7000
www Myoffederalway coo
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 fes, 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 IntarDrelation. and Modification. 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.
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
wimim-UM @-,kwid 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
together and shall constitute one instrument, but in making proof hereof it shall only be necessary to produce
M9 17.1 N I ffid
III! III 111111IIIIIIIIIIIIIIIIIIIqll 11111 %1111111111111111, liI�ililill 1111 �llill 11111 1111111111111
CITY OF FEDERAL WAY:
4 Jimp M4
DATE:
AMAZING CARE 11 AFH:
a.Printed Name:—, tL�
r
Title:
DATE- -kLL
CARES ACT BUSINESS GRANT AGREEMENT
'10112/2020
\A/ashingion State Dej)aitnient ol Revenue
< Business Lookup
• •
Entity name:
KINYUA, EMMA
Business name:
AMAZING CARE H AFH
Entity type:
Sole Proprietor
UI #.-
603-295-390
Business ID:
001
Location ID:
0002
Location;
Active
Location address- 32614 8TH CT S
Washington State Department of Revenue
FEDERAL WAY WA 98003-5918
32614 8TH CT S
FEDERAL WAY WA 98003-5918
Excise tax and reseller permit status: Click here
Endorsements
Endorsements held at this location License N Count
Federal Way General Business 16 -105400 -00 -BL
Governing People Myi.cf.dg.—in9p..pi...trgi�teedithS4cmt.,y®fStte
Governing people
ICNYUA, EMMA
PAUL, BERNARD
Registered Trade Names
Registered trade names Status
AMAZING CARE H AFH Active
Details Status
Active
mm
New search Back to results
Expiration date First issuance dot
Apr -30-2021 Nov -16-2016
View Additional Locations
The Business Lookup information is updated nightly. Search date and time: 10/12/2020 4:35:28 PM
First issued
Mar -23-2017
Contact us
https://secure.dor.wa.gov/gteunauth/,/#20 112