AG 20-822 - The Center for Family and Lifespan DevelopmentMT. J
CITY OF FEDERAL a DEPARTMENT ROUTING r'
ORIGINATING DEPT./D ECONOMIC DEVELOPMENT
4. TYPE OF DOCUMENT (CHECK ONE):
❑ CONTRACTOR SELECTION DOCUMENT (E.G., RFB, RFP, RFQ)
❑ PUBLIC WORKS CONTRACT ❑ SMALL OR LIMITED PUBLIC WORKS CONTRACT
❑ PROFESSIONAL SERVICE AGREEMENT ❑ MAINTENANCE AGREEMENT
❑ GOODS AND SERVICE AGREEMENT ❑ HUMAN SERVICES/ CG
❑ REAL ESTATE DOCUMENT ❑ SECURITY DOCUMENT (E.G. BOND RELATED DOCUMENTS)
❑ ORDINANCE ❑ RESOLUTION
❑ CONTRACT AMENDMENT (AG): ❑ INTERLOCAL
X OTHER CARES ACT FUNDS BUSINESS SUPPORT GRANT AGREEMENT
5. PROJECT E: CARES ACT GRANT— ROUND 2
6. NAME OF CONTRACTOR: THE CENTER FOR FAMILY AND LIFESPAN DEVELOPMENT, LLC
ADDRESS: .0/ S 336TH01 FEDERAL WAY WA 9810ELEPHONE: (253) 235-5956
DR.APRILWALTER@CENTERPSYCHHEALTH.COM
SIGNATURE NAME: APRIL •ATTACHED
•
COMPENSATIONt. TERM: COMMENCEMENT DATE: SEE ATTACHED AGREEMENT COMPLETION DAT2M
TOTAL r . r AND 00 ($2,000.00)
CALCULATED ON HOURLY:r` CHARGE - ATTACH SCHEDULES OF EMPLOYEES TITLES AND HOLIDAY
REIMBURSABLE EXPENSE: 11 YES X NO IF YES, MAXIMUM DOLLAR AMOUNT: $___
IS SALES TAX OWED ■ YES X NO IF YES,$ PAID B ■ CONTRACTOR■ CITY
RETAINAGE: RETAINAGE AMOUNT: ■ r OR ■ RETAINAGE BOND
r�iY+�rr��►
❑ PURCHASING: PLEASE CHARGE TO: 001-1800-990-518-10-490 Project Code #267662-25060
10. DOCUMENT/CONTRACT V INITI /DATE REVIEWED INITIAL / DATE APPROVED
❑ PROJECT MANAGER
❑ RISKMANAGEMENT (IF APPLICABLE) F"
❑ LAW
11. COUNCIL APPROVAL (IF APPLICABLE) SCHEDULED COMMITTEE DATE: COMMITTEE APPROVAL DATE:
SCHEDULED COUNCIL DATE: COUNCIL APPROVAL DATE:
I I PA wo R3 9 VI if 1-1011 RK" NA I us
1
❑ SENT TO VENDOR/CONTRACTOR DATE SENT: DATE C'
❑ ATTACH: SIGNATURE AUTHORITY, INSURANCE CERTIFICATE, LICENSES, EXHIBITS
❑ CREATE ELECTRONIC REMINDERJNOTIFICATION FOR 1 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
❑ LAW DEPARTMENT
P,916NATORY (MAYOR OR DIRECTOR) "w
❑ CITY CLERK
❑ ASSIGNED AG# AG
Oct 13 20, 09;13p The Center 2532355957 p2
CjTY HALL
tf-fy OF
a., WOY�
CARES ACT FUNDS BUSINESS SUPPORT GRANT AGREEMENT
WITH
CyMLLjjFj1a FOR FAMILY AND LIFESPAN DEVELOPMENT,
r
..
CITY OF F1
f 1'
APRILWALTER
909 S 336th!0
FEDERAL98003-7394
Ade Ariwoola
33325 8th Ave. S -
Federal Way, WA 98003-6325
835-2414 (telephone)
835-2509
lk �' . This a ee ent conte plates one- ' e t o s to e r tee der the conditions
described herein.
2. CONDITIONS T-
2.1 _Warranties: Te Grantee warrants the following, which are pre -requisites for grant eligibility:
a) Grantee operates a business physically located within the political boundaries D he City
of Federal ay;
Grantee maintains a current City of Federal Way business license;
c) Grantee has paid all taxesand govenunent fees due up to the date of execution of this
grant agreement,
tees business employs n ore the equivalent of t (10) -tune e lt�yees
(20,900 rnan-hours, total for all employees per year);
e tees net Cevennes do not exceed o 1 5 million, per year,
fj Grantee does not operate as a tax-exempt busin s defined a internal Revenue
Service;
) Due to C -i9, Grantee business Check all that >al`):
Was required by state or local order to close
Was forced to lay off employees due to reduced patronage
Incurred over $1,000 i CG 19 related expenses
Experienced ced 10-50% lost revenue
Experienced over 50% lost revenue
CARES ACT BUSINESS GRANT AGREEMENT -1 - 7/2020
10MERMIX1116ARrom I
OTV OF
-----------
2532355957 p.3
CITY HALL
33325 8th Avenue South
Federal Way, WA 98003-6325
(253) 835-7000
tmew cilyoffederchw-V Com
2.2 Use of F-unds- Grantee affinns that grant funds will be used for the following puTposes:
a) Mortgage or Rent
T) Personal Protection Equipment
eInsurance
d) Utilities
6) Marketing
(�j)Payroll
Grantee agrees to retain receipts documenting use of grant funds and will provide them to the City Or its
designee upon request.
3® . 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.
4.1 AM99R� 1h Ordbt to promote healthy econotr� ad in the City and in iesponst to 1110 losses
; Movide a g0iit to the GrAIAW in an am�
................. ..
CARES ACT BUSWESal GRANT AGREEMENT -2- 7/2020
Oct 13 20, 09:13p The Center 2532355957 P,5
CaY HALL
ath A�mnue South
FiN WITNESS, the Parties execute this Agreement below, effective the last date written below.
By:
print Name-.
Title: L
DATE:
CARES ACT BUSINESS GRANT AGREEMENT - 4 - 7/2020
9/29/2020 Washington State Department of Revenue
`.N',sh,ngton Stale Department of Reven�_Ie
< Business Lookup
Entity name:
THE CENTER FOR FAMILY & LIFESPAN DEVELOPMENT, LLC
Business name:
THE CENTER
Entity type:
Limited Liability
Company
UBI #:
602-996-983
Business ID:
001
Location ID:
0001
Location:
Active
Location address:
909 S 336TH ST
STE 200
FEDERAL WAY WA 98003-7394
Mailing address;
909 S 336TH ST
STE 200
FEDERAL WAY WA 98003-7394
Excise tax and reseller permit status: Click here
Secretary of State status, Click here
Endorsements
Endorsements held at this location Ucense # Count Details
Federal Way General Business 11 -104605 -00 -BL
Governing VeopleN, imiude qar big pmple wt rghtarW wfth S—Wary OfStaft
Governing people Title
WALTER, APRIL
Registered Trade Names
Registered trade names Status
CFLD Active
THE CENTER Active
THE CENTER FOR FAMILY & LIFESPAN DEVELOPMENT Active
11 qj�
https:Hsecure.dor.wa.gov/gteunauth/—/#55
New search Back to results
Status Expirafion date First issumice dal
Active Mar -31-2021 Nov -22-2011
First issued
Mar -04-2010
Mar -04-2010
Mar -04-2010
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