AG 20-663 - Edward Nelson Law OfficesRETURN TO: Tim Johnson EXT: 2412
CITY OF FEDERAL WAY LAW DEPARTMENT ROUTING FORM
1. ORIGINATING DEPT./DIV. —ECONOMIC DEVELOPMENT --
2. ORIGINATING STAFF PERSON:, TIN4 JOHNSON EXT: 2412 3. DATE Q. BY. AS
4. TYPE OF DOCUMENT (CHECK ONE):
13 CONTRACTOR SELECTION DOCUMENT (E.G., RFB, REP, RFQ)
0 PUBLIC WORKS CONTRACT 0 SMALL OR LIMITED PUBLIC WORKS CONTRACT
El PROFESSIONAL SERVICE AGREEMENT El MAINTENANCE AGREEMENT
El GOODS AND SERVICE AGREEMENT 0 HUMAN SERVICES / CDG
11 REAL ESTATE DOCUMENT El SECURITY DOCUMENT (E.G. BOND RELATED DOCUMENTS)
El ORDINANCE El RESOLUTION
* CONTRACT AMENDMENT (AG): DINTERLOCAL
* OTHER CARES ACT FUNDS BUSINESS SUPPORT GRANT AGREEMENT,
5. PROJECT NAME: CARr-S.�NCL7L(LiBRAJA1,14T Rto�UND-2? 4
C-
6. NAME OF CONTRACTOR: EDWARD NELSON LAW OFFICES, PLLC
ADDRESS: 31620 23RD AVE S ft 315, FEDERAL WAY WA 98003-5064 T ELEPHONE: (253) 941-6340
E-MAIL: EDW ARDNELSON @EANLAW.COM
SIGNATURENAME: EDWARD NELSON TITLE: SEE ATTACHED
7. EXHIBITS AND ATTACHMENTS: El SCOPE, WORK OR SERVICES El COMPENSATION E] INSURANCE REQUIREMENTS/CERTIFICATE 0 ALL
OTHER REFERENCED EXHIBITS El PROOF OF AUTHORITY TO SIGN 0 REQUIRED LICENSES D 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, $"mm PAD) BY: 0 CONTRACTOR 0 CITY
RETAINAGE: RETAiNAGE AMO uNT.- 0 RETAINAGE AGREEMENT (SEE CONTRACT) OR 0 RETAINAGE BOND
PROVIDED
Ei PURCHASING: PLEASE CHARGE TO: 001-1800-990-518-1 -490 - 'Proiect Code #267662-25060
10. DOCUMENT/CONTRACT REVIEW INITIAL DATE REVIEWED INITIAL DATE APPROVED
02PRO ECT MANAGER
QRECTOR -2 0
El RISK MANAGEMENT (IF APPLICABLE)
z
0 LAW t
11. COUNCIL APPROVAL (IF APPLICABLE) SCHEDULED CONIMITTEE DATE:_. C01,BUTTEE APPRovAL DATE -
SCHEDULED CouNaL DATE: CouNcu- APPRovAL DATE:
12. CONTRACT SIGNATURE ROUTING
1-1 SENT TO VENDOR/CONTRACTOR DATE SENT: DATEREC'D:—
• ATTACH: SIGNATURE AUTHORITY, INSURANCE CERTIFICATE, LICENSES, EXHIBITS
• CREATE ELECTRONIC REMINDER/NOTIFICATION FOR I MONTH PRIOR TO EXPIRATION DATE
(Include dept. supports if necessary and feel free to set notification more than a month in advance if council approval is needed.)
INITIAL / DATE SIGNED
• LAW DEPARTMENT
P43<N—ATORY (MAYOR OR DIRECTOR) h Z -j
El CITY CLERK 16[wifiruz
0 ASSIGNED AG4 AG 2L0-663
COMMENTS:
1/2020
i !ill v
rMICS am wCHOU SIDE GO OUSTOW 81 me below aawwm WfucH SIMM v
(P
for any notice required under this Agroo*�:
NELSON LAW OFFICES, PLLQ I- CITY OF FEDERAL WAY:
1. TERNL This agreement eontempWes a one-time gmnt of fundB to the Grantee under the condifions
described herein.
2. CONDITIONS OF GRANT
2.2 Use, of -Funds: Grantee affirms that gmnt funds wifl be used for the following purposm:
a) Mortpge or Rent
b) Perwnal Protoction Biquiptnent
CARES ACT BUSINESS GRANT AGREEMENT - I -
7/2020
VAr.fTY OF
�, Federal Way
CITY HALL
33325 Ifth Avenue Souft
FWorsl Way, WA 98003-8325
'253,
w
mc� COM
Gmtw agrem to relmn reMPU dmwtenting use of gmt funds aud wU pmvide tbcm to the City or ib des'pm
upon reqwjt,
3. MR_MINATION. Should any ofthe conditions described in section 2. 1, above, not be mid, the City may
rewver all dnbrasW grant funds and tcn ®s agmment.
4. 9BAB1AM—Q-t_JNT.
4.1 Anto-UN, In order to promote healthy economic activity in the City and in response to the losses
Grantee has inc� due to the COVED- 19 pandemic, the City AaU provide a grant to the Gmtee in an amount
not to exceed Onefhoumd and NO/100 DoUars ($1,000.00).
5. 1NDEMNffj9&U0--N--
CARES ACT BUSPIESS GRANT AGRIMMENT -2-
CITY KAU
33325 Me Avonue South
4A� FiWeral V��y F*" WWI, WA NW345325
(253) 835-70W
offiz4r� di
tthe negligent art% errors, or onussions of the City
5.4 Sy
x&Aj, The provisions ties shall surviver ternuitation of this
Agreement with respect to any event occurring pnor to such expizabon or tenumation.'
CARES 'i BUSINESS GRANT AGREEMENT -3-
CITY Of CITY HALL
I W 33325 ft Avtnus South
OA� F&detal W FedwW VV* WA 90WW03-8
12
WW7W CM
Mil
instrument comprised of all pages of this Agreement and a complete set of all sigmaure and a&wwWgMz-M
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 execution7rpt f.
MWARD NELSON LAW OFFICES, PLLC:
X"
By.
Printed Name:
DATE: t
CARES ACT BUSINESS GRANT AGREEMENT -4-
7/2020
Washington State Department of Revenue
< Business Lookup
Entity name.,
EDWARD NELSON LAW OFFICES, PLLC
Business name:
EDWARD NELSON LAW OFFICES, PLLC
Entity type:
Professional Limited Liability Company
UBI 4%
603-614-183
Business ID-
001
Location ID:
0001
Location:
Active
Location address:
31620 23RD AVE S STE 315
FEDERAL WAY WA 98003-5064
Mailing address- 31620 23RD AVE S STE 315
FEDERAL WAY WA 98003-5064
Excise tax and reseller permit status:
Secretary of to status:
Endorsements
Endorsements held at this location License # Count
Federal Way General Business 16 -102801 -00 -BL
Governing People May WWd. g.v &w p-&- -tcy&ft,.d Uh.1.cmWo,.fSth,
Governing people
NELSON, EDWARD
Registered Trade Names
Registered trade names Status
EDWARD NELSON LAW OFFICES PLLC Active
Click here
Click here
Status
Active
I
The Business Lookup information is updated nightly. Search date and time: 10/12/2020 1:14:01 PM
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Expiration date First issuance date
Apr -30-2021 Jun -23-2016
First issued
May -27-2016