AG 20-747 - Louis Michael GoodRETURN TO: Tim Johnson EXT: 2412
CITY OF FEDERAL WAY LAW DEPARTMENT ROUTING FORM
1. ORIGINATING DEPT./DIV' —ECONOMIC DEVELOPMENT
2. ORIGINATING STAFF PERSON: TIMJOUINSON EXT: 2.4 12 3. DATE Q. BY ASAP
4. TYPE OF DOCUMENT (CHECK ONE):
0 CONTRACTOR SELECTION DOCUMENT (E.G., RIB, RFP, RFQ)
El PUBLIC WORKS CONTRACT 11 SMALL OR LIMITED PUBLIC WORKS CONTRACT
0 PROFESSIONAL SERVICE AGREEMENT El MAINTENANCE AGREEMENT
El GOODS AND SERVICE AGREEMENT El HUMAN SERVICES/ CG
0 REAL ESTATE DOCUMENT 0 SECURITY DOCUMENT (E.G. BOND RELATED DOCUMENTS)
El ORDINANCE El RESOLUTION
* CONTRACT AMENDMF-NT(AG#):_ El INTERLOCAL
* OTHER. CARES ACT rUNDS BUSINESS SUPPORT GRANT AGREEMENT
5. PROJECT NAME:-F� RO U =ND
CARESACTGRANI 2
6. NAME OF CONTRACTOR: LOUIS MICHAEL GOOD LO V Is 6 00P
ADDRESS: 1500S336THST#18,FEDERALWAY WA98003 T ELEPHONE: (206) 304-6371
E-MAIL: LOUIS. GOOD@GOODSATA.COM
SIGNATURE NAME: LOUIS GOOD TITLE: SEE ATTACHED
7. EXHIBITS AND ATTACHMENTS: 0 SCOPE, WORK OR SERVICES 0 COMPENSATION El INSURANCE REQUIREMENTS/CERTIFICATE El ALL
OTHER REFERENCED EXHIBITS El PROOF OF AUTHORITY TO SIGN El REQUIRED LICENSES El PRIOR CONTRACT/ATMENDMENTS
8. TERM: COMMENCEMENT DATE: SEE ATTACHED AGREEMENT COMPLETION DATE:,
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 _RATE9_;
REIMBURSABLE EXPENSE: 0 YES X NO IF YES, MAXIMUM DOLLAR AMOUNT: $
IS SALES TAX OWED 0 YES X NO IF YES, PAID BY: 0 CONTRACTOR El CITY
RETAINAGE: RETAINAGE AMOUNT: __.._E1 RETAINAGE AGREEMENT (SEE CONTRACT) OR El RETAINAGE BOND
PROVIDED
El PURCHASING: PLEASE CHARGETO: 001-1800-990-518-10-490 P iect Code #267662-25060
10. DOCUMENT/CONTRACT REVIEW INITIAL' QA
El PR CT MANAGER ffE REVIEWED IN] 11-
-AL I" DATEAEPROVED
S --E RETOR r
rA_Z�3
E3 RISK MANAGEMENT (IFAPPLICABLE)
El LAW
11. COUNCIL APPROVAL (IF APPLICABLE) SCHEDULED CONIMITTEE DATE: COMMITTEE APPROVAL DATE:
SCHEDULED COUNCIL DATE: COUNCIL APPROVAL DATE:
12. CONTRACT SIGNATURE ROUTING
1:1 SENT TO VENDOR/CONTRACTOR DATE SENT: -DATE REC'D:----
0 ATTACH: SIGNATURE AUTHORITY, INSURANCE CERTIFICATE, LICENSES, EXHIBITS
11 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
D LAW DEPARTMENT N/
4-1A<NATORY (MAYOR OR DIRECTOR)
El CITY CLERK
0 ASSIGNED AG# AGm.#
COMMENTS:
1/2020
This Grant Agreement ("Agreemenf ') is made between the City of Federal Way, a Washington municipal
corporation ("Cityand Louis Good, 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:
.I-
IU1111IMMODIC MI
Ade Ariwoola
33325 8th Ave. S.
Federal Way, WA 98003-6325
(253) 835-2414 (telephone)
(253) 835-2509 (facsimile)
1. TERM. This agreement contemplates a one-time grant of funds to the Grantee under the conditions
described herein.
2. CONDITIONS OF GRANT
2.1 Warranties. The Grantee warrants the following, which are pre -requisites for grant eligibility: I
a) Grantee operates a business physically located within the political boundaries of the Cil
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 tote 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);
c) 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 C,OV'ID- 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 $1,100 in COVID- 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
b) Personal Protection Equipment
4 CITY Of
40*
Federal Way
c) Insurance
d) Utilities
e) Marketing
f) Payroll
CITY' HALL
33325 Sth Avenue South
Federal Way, WA 96003-6325
(253) 835-7000
4i,i,il�v.citvoffekler4it�vE�y.coir�
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® GRANT AMOUNT.
611110 MORONI
JU
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.
I I 91019119--1 4
5.1 dkititee indeinnifhuftion, 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
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 Citv Indmnifigation. 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 CITY HALL
33325 8th Avenue South
Federal Way Federal Way, WA 98003-6325
(253) 835-7000
�_ .wc,Ilv,trf;�r"Lk.,,I,t,,,s",'IY rom
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
041111MMUTS"D
By:
Printed Name: J�77i—OL&JL,5- -6c"
Title:,
M
ATTENTIO;This service will be unavailable from Saturday, Sept, 12 at 8.00 arra. to Tuesday, Sept. 15 at 8:00 a,m. PT as we make improvements,
Was,hdngtori Statt',-', D,,,',�pw trnew OF R ,.,,enue
Services Business Lookup LOWS WCHAEL GOOD
License Information:
Entity name:
GOOD, LOUIS MICHAEL
Business name:
LOUIS MICHAEL GOOD
Entity type:
Sole Proprietor
UBI #:
602-768-776
Business ID:
001
Location ID:
0001
Location:
Active
Location address:
1500 SOUTH 336TH STREET
# 18
FEDERAL WAY WA 98003
Mailing address:
1500 SOUTH 336TH STREET
# 18
FEDERAL WAY WA 98003
Excise tax and reseller permit status: Click here
Endorsements
Endorsements held at this location License # Count
Federal Way General Business
Governing People May Include governing people not registered with Secretary of State
Governing people
GOOD, LOUIS MICHAEL
Registered Trade Names
Registered trade names Status
GOOD'S ATA BLACK BELT ACCADEMY Active
New search Back to results
Details Status Expiration date
Active Aug -31-2021
fim-
5- 1 1 1 1 . . L
https://secure.dor.wa.gov/gteunauth/,/#25 111