AG 20-864 - Alpha II Adult Family HomeRETURN TO: Tim Johnson EXT: 2412
CITY OF FEDERAL WAY LAW DEPARTMENT ROUTING FORM
1. ORIGINATING DEPT./DIV.' ECONOMIC DEVELOPMENT
2. ORIGINATING STAFF PERSON: TIMJOHNSON - EXT: 2412 3.DATEREQ.BY ASAP
4. TYPE OF DOCUMENT (CHECK ONE):
1:1 CONTRACTOR SELECTION DOCUMENT (E.G., RFB, RFP, RFQ)
El PUBLIC WORKS CONTRACT 0 SMALL OR LIMITED PUBLIC WORKS CONTRACT
El PROFESSIONAL SERVICE AGREEMENT 0 MAINTENANCE AGREEMENT
El GOODS AND SERVICE AGREEMENT 11 HUMAN SERVICES / CDG
11 REAL ESTATE DOCUMENT El SECURITY DOCUMENT (E.G. BOND RELATED DOCUMENTS)
0 ORDINANCE I-] RESOLUTION
El CONTRACT AMENDMENT (AG#)--- DINTERLOCAL
X OTHER CARES ACT FUNDS BUSINESS SUPPORTGRANT AGREEMENT
5. PROJECT NAME: — CARES ACT GRANT — ROUND 2
6. NAME OF CONTRACTOR: ALPHA 11 ADULT FAMILY HOME
ADDRESS: 30026 13111 AVE S, FEDERAL WAY, WA 98003 T ELEPHONE: (206) 271-6252
E-MAIL: JOSEPBKARANJAK@MSN.COM
SIGNATURE NAME: FRANCISCA W. KARANJA TITLE: SEE ATTACHED
7. EXHIBITS AND ATTACHMENTS: 0 SCOPE, WORK OR SERVICES El COMPENSATION El INSURANCE REQUIREMENTS/CERTIFICATE 11 ALL
OTHER REFERENCED EX ITS 1:1 PROOF OF AUTHORITY TO SIGN 0 REQUIRED LICENSES 0 PRIOR CONTRACT/AMENDMENTS
9. TOTAL COMPENSATION $ (INCLUDE EXPENSES AND SALES TAX, IF ANY) Two THOUSAND AND NO1100q-211-0�0"o
(IF CALCULATED ON HOURLY LABOR CHARGE - ATTACH SCHEDULES OF EMPLOYEES TITLES AND HOLIDAY RATES)
REIMBURSABLE EXPENSE: 0 YES X NO IF YES, MAXIMUM DOLLAR AMOUNT: $
IS SALES TAX OWED El YES X NO IF YES, S - PAID BY'D CONTRACTOR El CITY
RETAINAGE: RETAINAGE AMOUNT: El RETAINAGE AGREEMENT (SEE CONTRACT) OR 0 RETAINAGE BOND
PROVIDED
Ei PURCHASING: PLEASE CHARGE TO: 00 1-1800-990-518-10-490 Prniprt "rjpk "- -7 -62-2-5060
10. DOCUMENT/CONTRACT REVIEW INITIAL / DATE REVIEWED INITIAL / DATE APPROVED
1:1 PROJECT MANAGER
15�ECTOR t�>- 13 V 7 A) ; �2c
0 RISKMANAGEMENT (IF APPLICABLE) I- VIC
El LAW
11. COUNCIL APPROVAL (IF APPLICABLE) SCHEDULED COMNUTTEE DATE: CoNmTTEE APPRovAL DATE:
SCHEDULED COUNCIL DATE: CoTiNciL APPRovAL DATE:
0 SENT TO CONT CTO DATE SENT: DATE C'D:
El ATTACH: SIGNATURE AUTHORITY, INSURANCE CERTIFICATE, LICENSES, EXH113ITS
• CREATE ELECTRONIC REMINDER/NOTIFICATION FOR 1 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 SIGNED
• LAW DEPARTMENT
q,*ONATO RY (MAYOR OR DIRECTOR)
1:1 CITY CLERK
A
11 ASSIGNED AG# AG#
S ff.
COMMENT& Ir
on
�k'l CITY OF
h
31.1, Federal Way
10;ttt-
U, �rW; S—A—C
WITH
4,LP
CITY ALL
33325 8th Avenue South
Federal Way, WA 98003-6325
(253) 835-7000
wwwcivA,iffederalwaycorn
This Grant Agreement ("Agreement') is made between the City of Federal Way, a Washington municipal
corporation ("Cityand Alpha 11 Adult Family Home, 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 notic4
required under this Agreement:
FRANCISCA KARANJA
30026 13th Ave S, Federal Way, WA 98003-4130
Mailing address:
2622 S 296h III,
FEDERAL WAY, WA 98003-3787
Ade Ariwoola
33325 8th
Federal Way, WA 98003-6325
(253) 835-2414 (telephone)
(253) 835-2509 (facsimile)
. . . . . . . . . . Mik"MA
1. TERM. This agreement contemplates a one-time grant of fimds to the Grantee under the condition.,,
described herein.
2. CONDITIONS OF GRANT
2.1 Warranties. The Grantee warrants the following, which are pre -requisites 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 govermnent fees due up to the date of execution of this
to ee t;
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 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 COVID- 19, Grantee business (ch�eck- all �that �a:)]
Was required by state or local order to close
Was forced to lay off employees due to reduced patronage
fN Incurred over $1,000 in COVID-19 related expenses
E] Experienced 10-50% lost revenue
& Experienced over 50% lost revenue
14F. -MM �,, NUMBIRMIN
F-D-lowl
Grantee agrees to retain receipts docurnenting 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.
not to exceed Two Thousand and NO/ 100 Dollars ($2,000. 00).
4.2 Non-ApproRriation 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.
in 11 No la I al ff,3LLIM,
5.1 tee 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 sub ect 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 indemnifijalht—Cilp, its elected officials, officers_em osop=E... ..yxesentatives_ insurers, affornm 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 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.
CARES ACT BUSINESS GRANT AGREEMENT
CITY OF CITY HALL
33325 8th Avenue South
Federal Way FederW Way, WA 98003-6325
;o°;;(253) 835-7000
mmatyoffederahirayrorn
5.3 0!y ludownifitatiop. 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,
awards, injuries, damages, liabilities, 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 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.
MIMML#��-,Vgmt mmil
6.1 ljkMt&1k anA 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, inoperative, null and void, or illegal shall in no way affect or invalidate any other provision 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 posted in the United States mail shall be deemed received three (3) days 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, agreements or options,and the same shall be and remain in full force and
effect. Failure or delay of the City to declare any breach or default immediately upon occurrence shall not waive
such breach or default. Failure of the Citq- to declare one breach or default does not act as a waiver of the City's
right to declare another 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 process. If the King County Superior Court
does not have jurisdiction 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 Agreement, each Party shall pay all its legal costs and attorney's fees and
W�tr--tmw *ff
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.
�116, �-, I �-,M r� WD M#
CITY 01-0 CITY HALL
33325 8th Avenue South
4, Federal Way, WA 98003-6325
hhwtt
Federal Way
(253� 825-7000
iv COM
6.3 Execution. Each individual executing this Agreement on behalf of ther City and Grantee
represents and warrants that such individual is duly authorized to execute and deliver this Agreement. This
yn: i o --Tr-xkTKVL-
the same effect as if all Parties hereto had signed the same'iii ument. All such counterparts shall be construed
together and shall constitute one instrument, but in making proof hereof it shall only be necessary to produce
one such counterpart. The signature and acknowledgment pages from such counterpart& may be assembled
together to form a single instrument comprised of all pages of this Agreement and a OMP
c lete 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 execution7 hereof.
PIM
V
DATE:
11 r-UAIM=Illllllllllllll�illilli�ilI 111,111111,1111111111pi 1111 MEE=
By:
Printed Name: EOL \C,k SC -6 'WIC P-1
Title: AIA-14 (A G FR RQVi DEP,
DATE:-A2Lo7
CARES ACT BUSINESS GRANT AGREEMENT -4- 7/2020
Washington State Department of Revenue
< Business Lookup
License Information:
New search Back to resuks
Entity name: KARANJA, FRANCISCA W
Business name. ALPHA II ADULT FAMILY HOME
Entity type- Sole Proprietor
UBI # 602-036-765
Business ID: 002
Location ID: 0003
Location: Active
Location address: 3002613TH AVE 5
FEDERAL WAY WA 98003-4130
Mailing address: 2622 S 296TH PL
FEDERAL WAY WA 98003-3787
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 09 -103437 -00 -SL Active
Sep -30-2021 Sep -18-2009
Governing People
Governing people Title
KARANJA, FRANCISCA W
KURIA, JOSEPH KARANJA
Registered Trade Names
Registered trade names Status
First issued
ALPHA 2 ADULT FAMILY HOME Active
Aug -05-2020
ALPHA 3 ADULT FAMILY HOME Active
Aug -18-2015
ALPHA 11 ADULT FAMILY HOME Active
Sep -17-2014
View Additional Locations
The Business Lookup information is updated nightly. Search date and time. 10/13/2020 3:55:34 PM
Contact us
01