AG 20-737 - JK & JB IncTim Johnson EXT: 2412
CITY OF FEDERAL WAY LAW DEPARTMENT ROUTING FORM
1. ORIGINATING DEPT./DIV: —ECONOMIC DEVELOPMENT
2. ORIGINATING STAFF PERSON: TIM JOHNSON EXT: 2412 3. DATE Q. BY-- ASAP
4. TYPE OF DOCUMENT (CHECK ONE):
11 CONTRACTOR SELECTION DOCUMENT (E.G., RFB, RFP, RFQ)
0 PUBLIC WORKS CONTRACT 1:1 SMALL OR LIMITED PLJ13LIC WORKS CONTRACT
El PROFESSIONAL SERVICE AGREEMENT El MAINTENANCE AGREEMENT
El GOODS AND SERVICE AGREEMENT I:] HUMAN SERVICES/ CDBG
El REAL ESTATE DOCUMENT 0 SECURITY DOCUMENT (E.G. BOND RELATED DOCUMENTS)
* ORDINANCE 0 RESOLUTION
* CONTRACT AMENDMENT (AG):— DINTERLOCAL
* OTHER CARES ACT FUNDS BUSINESS SUPPORT GRANT AGREEMENT
5. PROJECT NAME:. CARES ACT GRAN R(0)UND
rLAT44 A AfA L -T
6. NAME OF CONTRACTOR: JK & JB INC.
ADDRESS: 1219 S 308TH ST, FEDERAL WAY WA 98003-5401 T ELEGE: (206) 335-4646
E-MAIL: jK3032@HOTMAIL.COM
SIGNATURENAME: J LEE TITLE: SEE ATTACHED
7. EXHIBITS AND ATTACHMENTS: El SCOPE, WORK OR SERVICES 11 COMPENSATION El INSURANCE REQUIREMENTS/CERTIFICATE El ALL
OTHER REFERENCED EXHIBITS El PROOF OF AUTHORITY TO SIGN 11 REQUIRED LICENSES 0 PRIOR CONTRACT/AMENDMENTS
EE ATTACHED &GREEMENTCOYWLETIO1D a
9. TOTAL CO TION (INCLUDE EXPENSES AND SALES TAX, IF ANY) ONE THOUSAND AND x01100 ($1000 00)
(IF CALCULATED ON HOURLY LABOR CHARGE - ATTACH SCHEDULES OF EMPLOYEES TITLES AND HOLIDV41-
REIMBURSABLEE XPENSE: 11 YES X NO IF YES, MAXIMUM DOLLAR AMOUNT: $
IS SALES TAX OWED OYES X NO IF YES, $ PAD) BY: 0 CONTRACTOR El CITY
RETAINAGE: RETAINAGE AMOUNT: 0 RETAINAGE AGREEMENT (SEE CONTRACT) OR 0 RETAINAGE BOND
PROVIDED
El PURCHASING: PLEASE CHARGE TO: —001-1800-990-518-1800-990-518-10-490 -Proj ect Code #267662-25060
10. DOCUMENT/CONTRACT REVIEW INITIAL / DATE REVIEWED INITIAL / DATE APPROVED
�0; P CT AGE
PIRECTOR
El RISKMANAGE MENT (IFAPPLICABLE)
11 LAW
11. COUNCIL APPROVAL (iF APPLicABLE) SCHEDULED COMNUTTEE DATE: CoNmTTEE APPRovAL DATE:
SCHEDULED CouNaL DATE: CouNciL APPRovAL DATE:
12. CONTRACT SIGNATURE ROUTING
El SENT TO VENDOR/CONTRACTOR DATE SENT: DATE REC'D:
El ATTACH: SIGNATURE AUTHORITY, INSURANCE CERTIFICATE, LICENSES, EXIIIBITS
El 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 SIGN -ED
El LAW DEPARTMENT
I�IN ATORY (MAYOR OR DIRECTOR)
• CITY CLERK
• ASSIGNED AG# AG 20-737
COMMENTS:
M
CITY OF CITY HALL
33325 8th Avenue South
ay
Fed erM Way, VVA 98003-6325
(253) 835-7000
Federal W
wwwxityoffederalwaycom
a) Mortgage or Rent
b) Personal Protection Equipment
c) Insurance
d) Utilities
e) Marketing
f) Payroll
Grantee agrees to retain receipts documenting use of grant fimds and will provide the 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.
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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 One Thousand and NO/ 100 Dollars ($ 1,000. 00).
4.2 Non -Appropriation of Funds. If sufficient Rmds are not appropriated or allocated for payment
under this Agreement for anv fiscal Deriod. the Citv will not be obligated to make navinents under this agreement.
5.1 Grantee Indeninificatidn. The Grantee agrees to release indemnify, defend, and hold the City, its
elected officials, officers, employees, agents, representatives, insurers, attomeys, 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
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SA FUILMUL-L&L 1,1111
Gill 144k,11111111
najiInty 11'r &Wnlafcs drislut; *ILL *1 U1V(L11:T 11L) I! 1 -y -LIF P11CRIM, %NW -ROS L4I )1r1VI,#:C1L7 U&I-SCIt Vy IT rCSL1L111&1F*11I
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, attomeys, 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
inde.-#.,inific2_tio_,f,.
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,
solelgi f
or "h XMoses of this indemnification. Grantee's indemnification shall not be limited in an
limitation on the amount of damages, compensation or benefits payable to or by any third party under wo ers'
compensation acts, disability benefit acts or any other benefits acts or programs. The Parties fiirther acknowledge
that they have mutually negotiated this waiver.
CARES ACT BUSINESS GRANT AGREEMENT -2-
7/2020
CITY OF CITY HALL
33325 8th Avenue South
Federal Way, WA 98003-6325
(2531 835-7000
Federal Way
5.3 Cib� lnd&mhificAti0A. The City agrees to release, indemnify, defend and hold the Grantee, its
officers, directors, shareholders, partners, employees, agents, representatives, and subcontractors harmless from
any and all claims, demands, actions, suits, causes of action, arbitrations, mediations, proceedings, judgments,
awar
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 l,pVWNtqWn: and Modlfk�gft. 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,
inoi)cerative null and void_.. -or illegal shall in no wagi affect or invalidate an -L yrovision 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 vosted in the United States mail shall be deemed received three (3) -day, s 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 exercise any option
conferred by this Agreement in one or more instances shall not be construed to be a waiver or relinquishment of
those covenants ents or ojQtions and the same shall be and remain in full force and effect. Failure or delav
ve "Va Llic k-ILI S rigi V itcu
Im at M Pm
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 yrocess. If the Ki Su-oerior Court does not have; urisdiction 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 Agreem-ej4,
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.
CARES ACT BUSINESS GRANT AGREEMENT -3-
7/2020
Washington State Department of Revenue
Business Lookup
License Information:
Entity name:
X At JB INC
Business name:
LAPHA HEALTH
Entity type,
Profit Corporation
UB! #*
604-108-907
Business ID:
001
Location ID:
0001
Location-
Active
Location address:
31217 PACIFIC HVVY 5
STE A102
FEDERAL WAY WA 98003-5401
Mailing address:
1219 S 308TH ST
FEDERAL WAY WA 98003-4757
Excise tax and reseller permit status: Click here
Secretary of State status:
Click here
Endorsements
Endorsements held at this location License # Count Details Status
Federal Way General Business
17 -102211 -00 -BL Attive
Governing Peopleff, arrude ga—Ing p-ple not rLyhtwmd wide Sisntaqr of,ftaft
Governing people Title
LEE, JAE KYUNG
Registered Trade Names
Registered trade names
RAPHA HEALTH
Status
Active
The Business Lookup information is updated nightly. Search date and time: 10/12/2020 1:56:39 PM
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rlewseamh Bach l'.omsuks
Expiration date First issuance date
Apr -30-2021 May -22-2017
Fimt isesed
Apr -26-2017