AG 20-816 - TDSA Architecture LLCRETURN TO: Tim Jo son 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. Y. ASAP
4. TYPE OF DOCUMENT (CHECK ONE):
El CONTRACTOR SELECTION DOCUMENT (E.G., RFB, RFP, RFQ)
El PUBLIC WORKS CONTRACT El SMALL OR LIA41TED PUBLIC WORKS CONTRACT
El PROFESSIONAL SERVICE AGREEMENT 0 M[AINTENANCE AGREEMENT
El GOODS AND SERVICE AGREEMENT 0 HUMAN SERVICES/ CDBG
11 REAL ESTATE DOCUMENT 0 SECURITY DOCUMENT (E.G. BOND RELATED DOCUMENTS)
El ORDINANCE El RESOLUTION
I El CONTRACTA T (AG#):,,_ El INTERLOCAL
X OTHER- CARES ACT FUNDS BUSINESS SUPPORT GRANT AGREEMENT
5. PROJECT NAME:_ CARJS1'NACF ARAN f" ROUND 2mm
'� I ----
6. NAME OF CONTRACTOR: TDSA ARCHITECTURE LLC
ADDRESS: 29607 4TH AVE S, FEDERAL WAY WA 98003-3668 T ELEPHONE: (253) 740-6742
E-MAIL: TSMITH@TDSAARCI-HTCT LJRE.CO
M
SIGNATURENAME: TERRY SMITH TITLE: SEE ATTACHED
7. EXHIBITS AND ATTACHMENTS: 0 SCOPE, WORK OR SERVICES El COMPENSATION 0 INSURANCE REQUIREMENTS/CERTIFICATE El ALL
OTHER REFERENCED EXH113ITS 0 PROOF OF AUTHORITY TO SIGN El REQUIRED LICENSES El PRIOR CONTRACT/AMENDMENTS
9. TOTAL COMPENSATION$ (INCLUDE EXPENSES AND SALES TAX, IF ANY) ONE THOUSAND AND N01I 00 $uouo)
"' '0"'�
(IF CALCULATED ON HOURLY LABOR CHARGE -ATTACH SCHEDULES OF EMPLOYEES TITLES AND IIOI,t[D�AYR 178)
REIMBURSABLE EXPENSE: El YES XNO IF YES, MAXIMUM DOLLAR AMOUNT:$
IS SALES TAX OWED El YES X NO IF YES,$ PAID BY: El CONTRACTOR El CITY
RETAINAGE: RETAiNAGE AMOUNT: El RETAINAGE AGREEMENT (SEE CONTRACT) OR 0 RETAINAGE BOND
PROVIDED
de, ii267662 5060 m
.............. 7.
10. DOCUMENT/CONTRACT REVIEW INITLAL / DATE REVIEWED INITIAL DATE APPROVED
0 PRXECT MANAGER
CjIRECTOR
0 RISK MANAGEMENT (IF APPLICABLE)
El LAW
11. COUNCIL APPROVAL (IF APPLICABLE) SCHEDULED CONMUTTEE DATE: COMVHTTEE APPROVAL DATE:
SCHEDULED CouNciL DATE: CouNciL APPRovAL DATE:
12. CONTRACT SIGNATURE ROUTING
El SENT TO VENDOR/CONTRACTOR DATE SENT: DATE C'D:
11 ATTACH: SIGNATURE AUTHORITY, INSURANCE CERTIFICATE, LICENSES, EXHIBITS
El 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
0 LAW DEPARTMENT /A
9,�oWGNATO RY (MAYOR OR DIRECTOR)
ElCITY CLERK
Io (A
0 ASSIGN -ED AG # AGS
COMMENTS:
ICITY OF
Federal Wa. y
CITY HALL
33325 8th Avenue South
Federal Way, WA 98003-b325
(253) 835-7000
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CARES ACT FUNDS BUSINESS SUPPORT GRANT AGREEMENT
WITH
TDSAARCIUTECTURE LLC
This Grant, Agreement C'Agreementl') is made between the City of Federal Way, a Washington muni zeal
corporation ("City"), and TDSA Architectare 11C, a limited liability company ("Grantee"). The City and Grantee
(together "Parties") are located and do business at the below addresses whidh shall be valid for any notice required
tinder this Agreement:
TDSA
TERRY SMITH
29607 4th Ave S
FEDERAL WAY,
WA 98003-3668
(253) 740-6742 (telephone)
The Parties agree as follows:
1. TERM. This agreement contemplates a one-time grant of funds to the Grantee under the conditions
describ;d—h—erein.
2. CONDITIONS OF GRANT
2.1 l'aa nn
fiets
.. The Grantee warrants the following, which are pre -requisites for grant, eligibility:
a) Grantee operates a business physically ;lo cated within the political boundaries of the City
of Federal Way;
b) Grantee maintains a ca City of Federal Way business license;
c) Grantee has paid all taxes and govomment fees due up to the date of execution of this r
2.2 Us-ofF ds Grantee affirms that grant funds will be used for the following purposes:
4ortgage. or Rent
b) Personal Protection Equipment
CARE S ACT BUSTNESS GRANT AGREEMENT
7/2020
aTV OF
Federal Way
' Insurance
d) Utilities
Maar aero
1 Payroll
CrrY HALL
33335 Sth Avenue South
Federal Way, WA 98003-6325
( a:3) 835-7000
www cityOffoderatwayco
Grantee agrees to retain ra l is documenting use of grant fimds and will provide therm to the City or its designee
cera request.
3. E Tall l ' Should any of the conditions described in section 2®1, above, not be met the City may
r cover all dib tenninate thisagreement.
4. GRANT
.1 Amount., In order to promote healthy no activity in the City and in response to the lasses
Grantee s incurred dare to the - 19 pandemic, the, Clty shall provide a grant to the in an aniount
not to exceed One Thousand and 11 1 :Doll ($1,000.00).
CARES ACT BUSINESS GRANT AGREEMENT -2-
7/2020
-7/2020
4, OF CITY HALL
33325 8th Avenue South
Federal Way Federal Way, WA 98003-6325
(253) 835-7000
con]
5A Svd. The provisions of this Section shaH survive the expiration or termination of this
Agreement mdth respect to any event occurring prior to such expiration or termination.
& GENERAL PROVIS'lONS.
CARES ACT BUSINESS GRANT AGREEMENT -3-
7/2020
c:f ry or, CITY HALL
33325 8th Avenue South
a Fedmy Federal Way, WA 98003-6325 erc I Wa
(253) 835-7000
6.3 Execution. Each individual executing this Agreement on behalf of the City and Grantee represents
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MM 51717LIES ITEFULUMM, Niguel U11; MA IiiA . I'M 51101 WTULUI�jr,411K SUM M C011SLTUCU Wgf:1101 MU ZS -111
constitute one instrunient, but in making proof hereof it shall only be necessary to produce one such counterparL
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 ofall 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.
1 1111!11 i 11 11111 l i
Md - - - - I , I � �� � i MITIMIT-3 M#
CITY OF FEDERAL WAY:
Jim , 01, M yapr
DATE:
1113MAMIX1011-1111 MaRIM]"
B
Printed Name:
q y7
DATE:!
CARES ACT BUSINESS GRANT AGREEMENT -4-
7/2020
< Business Lookup
License Information:
Entity name:
TDSA ARCHITECTURE, LLC
Business name:
TDSA ARCHITECTURE LLC
Entity type:
Limited Liabilitt, Company
UBI #
603-483-522
Business ID:
001
Location 11D.
0001
Location:
Active
Location address- 29607 4TH AVE S
FEDERAL WAY WA 98003-3668
Mailing address- 29607 4TH AVE S
FEDERAL WAY WA 98003-3668
Excise tax and reseller permit status:
Secretary of State status:
Endorsements
Endorsements held at this location License # Count
Architect Firm
Federal Way Home Occupation
Busirress
Governing PeopleM., idu& gw"LW p�a* -E Vat..d ft S. -,My Ofswt.
Governing people
SMITH, TERRY
Registered Trade Names
Registered trade names Status
TDSA ARCHITECTURE LLC Active
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Expiration date
First issuance date
Mar -31-2021
Mar -17-2016
Aug -31-2021
Aug -14-2020
First issued
Jan -27-2016