AG 20-799 - Julee Ann BrogergOF FEDERAL WAY LAW DEPARTMENT ROUTING FORM
1. ORIGINATING ET. IV: ECONOMIC DEVELOPMENT
2. ORIGINATING STAFF PERSON: TIM JOHNSON4 DATEREQBN� ASAP
4. TYPE OF DOCUMENT (CH
El CONTRACTOR SELECTION DOCUMENT (E.G., RFB, RFP, RFQ)
El PUTLICWOW�C-�MACT El SMALL OR LIMITED PUBLIC WORKS CONTV-4,CT
PROFESSIONAL SERVICE AGREEMENT ■ MAINTENANCE AGREEMENT
E3 GOODS AND SERVICEAGREEMENT ■CDBG
0 REAL ESTATE DOCUMENT 0 SECURITY DOCUMENT (E.G. BOND RELATED DOCUMENTS)
❑ ORDINANCE ❑ RESOLUTION
❑ CONTRACT ANT (AG#): DINTERLOCAL
X OTHER —CARES ACT FUNDS BUSINESS SPORT GRANT AGREEMENT
6. NAME OF CONTRACTOR: JULEE ANN BROBERG
ADDRESS: 1500 S 336T T 17, EDE AY A 98003 T ELEPIIOP9E: 253) 878-4343
E-MAIL: E EROEERGCOMCAST.NET
SIGNAT A E BROBERG TITLE: SEE ATTACHED
Eti•111�.7TI�K� �l��l � fiTil���i��l�iit� r . � � 1 � iIi]►��i1 I�Ci�i7�111�
9. TOTAL COMPENSATION$ (INCLUDE EXPENSES AND SALES TAX, IF ANY) ONE THOUSANDMI)MV100 (§ 1,00000)
CALCULATED ON HOURLY:r• r 1.
REIMBURSABLE • ■ YES XNO IF YES, MAXIMUMr a
IS SALES TAX OWED ■ YES X NO IFPAID . ■ CONTRACTOR
1 rl• r . ;, Ir
❑ PURCHASING: PLEASE C G T : u 001-1800-990-518-10-490 Project {:ode #267662-75060
10. DOCUMENT/CONTRACT REVIEW INITl ATE REVIEWED INITIAL t DATE APPROVED
Z
r'1RECTOR
1JECT NAGE
❑ RISK MANAGEMENT (IF APPLICABLE) ,
❑ LA
11. COUNCIL APPROVAL(IF APPLICABLE) SCHEDULED CONMGTTEE DATE:
SCHEDULED C®UNCTL DATE:CouNcm
.SI DATE:
APPRovAL DATE:
❑ ATTACH: SIGNATURE AUTHORITY, NCE CERTIFICATE, LICENSES, EXHIBITS
❑ CREATE ELECTRONIC REMINDER/NOTIFICATION FOR 1 MONTH PRIOR TO EXPIRATION DATE
(Include dept. support staff if necessary d feel free to set notification more than a month in advance if council approval is needed.)
ITI / DATE SIGNED
❑ LAW DEPARTMENT F
1!!19 AT Y (MAYOR ORD CTO)
❑ CITY CLE u1'e
❑ ASSIGNED AG AG# 20-799
COMMENTS:
This Grant Agreement ("Agreemenf') is made between the City of Federal Way, a Washington municipal
corporation ("City"), and Jul ee Ann Broberg, 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:
JULEE ANN CITY OF FEDERAL WAY:
JULEE BROBERG Ade Ariwoola
1500 S 336th St # 17 33325 8th Ave. S.
FEDERAL WAY, WA 98003 Federal Way, WA 98003-6325
(253) 835-2414 (telephone)
(253) 878-4343 (telephone) (253) 835-2509 (facsimile)
bradbro .1
c�omc ast�.net adeariwoola@_� yqf� A�eralw4 In
The Parties agree as follows:
1. TVRNC This agreement contemplates a one-time grant of funds to the Grantee under the conditions
fescribed herei-ft.
U1111r 1111019 41"INIT5,319
2.1 M�qa� The Grantee warrants the following, which are r; r- 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 governinent 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
of 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) DuetoCO
or l6eal order to d1b8p
E] Was forced to lay off employees due to reduced patronage
VEI Incurred over $1,000 in COVID-19 related expenses
Experienced 10-50% lost revenue
Experienced over 50% lost revenue
2.2 Use ofEqn& Grantee affirms that grant funds will be used for the following purposes:
a) M044e or Rent
b) Personal Protection Equipment
CARES ACT BUSINESS GRANT AGREEMENT
7/2020
CITY or
4**
00 Federal Way
c) Insurance
d) Utilities
e) Marketing
f) Payroll
Q,w1A=-2p=94_i�
upon request
I C.M41Y.) AK 1 out; M oil I CTIMR-1111rallealwoRr.
CITY HALL
33325 8th Avenue South
Federal Way, WA 98003-6325
(253) 835-7000
www o1yoffederalway coin
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 pandernic, the City shall provide a grant to the Grantee in an amount
not to exceed One Thousand and NO/100 Dollars ($1,000.00).
4.2 &�priation of Funds. If sufficient funds are not appropriated or allocated for payment
under this Aqreement for af v fiscal n I kkkk J ( "' . t P. r I i I
5.1 CGrantee Indej . 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
erformance of this a-..1 `f' except for that portion of the claims caused bv the Cjjy's so ce. Skiould
(Oe
a �L y o W15" nt
01 Ult; k JrMEee=ff6Z7,,_He GranTeFTfifacilify nereunder sh I
of the Grantee's negligence. tee 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 Us 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.
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 Federal Way, WA 98003-6325
00 4�10 (253) 835-7000
wwweilly1flederalway, coin
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 eff-ect
as if all Parties hereto had signed the same document. All such counterparts shall be construed together and shall
Y -W -A -M., 4111-61
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 11M 1'
111111111111 J1111IIIII1111 lill lill Jill lill
Eli I awsymy-ayu 111
DATE: --l-PI-15110
EKY:m* r
•
Y.-
inted Name: C)\:)
Title:
DATE: L 31
CARES ACT BUSINESS GRANT AGREEMENT -4-
7/2020
Washington State Department of Revenue
< Business Lookup
License Information:
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Entity name: BROBERG, JULEE ANN
Business name: SHEAR MAGIC HAIR DESIGN
Entity type: Sole Proprietor
UBI #: 600-551-782
Business ID: 001
Location ID: 0002
Location: Active
Location address- 1500 S 336TH * 17
FEDERAL WAY WA 98003
Mailing address: 1500 S 336TH ST # 17
FEDERAL WAY WA 98003
Excise tax and reseller permit status, Click here,
Endorsements
Endorsements held at this location License # Count Details Status
Expiration date First issuance date
Federal Way General Business 06 -100942 -00 -BL Active
Feb -28-2021 May -19-2006
Governing People May kidude go"inika, payihnnot Mitiftod fth S ... ftny.fnaft
Governing people Title
BROBERG, JULEE ANN
Registered Trade Names
Registered trade names Status
First issued
SHEAR MAGIC HAIR DESIGN Active
Nov -20-2005
The Business Lookup information is updated nightly. Search date and time: 10/12/2020 3:56.41 PM
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