AG 20-396 - Northwest School of MassageCITY OF FEDERAL WAY LAW DEPARTMENT ROUTING FORM I
ORIGINATING STAFF PERSON: TIM JOHNSON EXT: — 2412 3. DATE REQ BY.- ASAP
TYPE OF DOCUMENT (CHECK ONE):
0 CONTRACTOR SELECTION DOCUMENT (E.G., R -FB, RFP, RFQ)
E] PUBLIC WORKS CONTRACT El SMALL OR LIMITED PUBLIC WORKS CONTRACT
El PROFESSIONAL SERVICE AGREEMENT El MAINTENANCE AGREEMENT
El GOODS AND SERVICE AGREEMENT El HUMAN SERVICES / CDBG
E] REAL ESTATE DOCUMENT 0 SECURITY DOCUMENT (E.G. BOND RELATED DOCUMENTS)
El ORDINANCE El RESOLUTION
El CON 'IRACTA MENDMENT(AG#):_ 11 INTERLOCAL
X OTHER CARES ACT FUNDS BUSINESS SUPPORT GRANT AGREEMENT
PROJECT NAME: CARES ACT GRANT — ROUND 2
NAME OF CONTRACTOR: NORTHWEST SCHOOL OF MASSAGE
ADDRESS: 33440 IST WAYS, #8, FEDERAL WAY, WA, 98003 TELEPHONE: (206)'730-0155
E-MAIL: MASSAGESCHOOL@COMCAST.NET
SIGNATURE NAME: KELLY ANisSIPOUR TITLE: SEE ATTACHED
EXHIBITS AND ATTACHMENTS: 11 SCOPE, WORK OR SERVICES El COMPENSATION El INSURANCE REQUIREMENTS/CERTIFICATE El ALL
OTHER REFERENCED EXHIBITS El PROOF OF AUTHORITY TO SIGN 0 REQUIRED LICENSES El PRIOR CONTRACT/AMENDMENTS
COMMENCEMENT DATE: SEE ATTACHED AGREEMENT COMPLETIONDATIl
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 RATES)
REIMBURSABLE EXPENSE: El 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: RETAINAGE AGREEMENT (SEE CONTRACT) OR 0❑RETAINAGE BOND
ROVIDED
0 PURCHASING: PLEASE CHARGE TO: 001-1800-990-518-10-490 Wbje&tCd&w267fi62-23060
V. DOCUMENT/CONTRACT REVIETV
11 PROJECT MANAGER
M-DMCTOR
El RISKMANAGEMENT (IFAPPLICABLE)
11 LAW
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.1 r r itV 10 -
INITIAL/ DATE APPROVED
COMMITTEE APPROVAL DATE:
COUNCIL APPROVAL DATE:
El SENT TO VENDOR/CONTRACTOR DATE SENT: DATE RECID:—
El ATTACH: SIGNATURE AUTHORITY, INSURANCE CERTIFICATE, LICENSES, EXHIBITS
* 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
* WIA DEPARTMENT
GN
GNAYORY (MAYOR OR DIRECTOR)
* CITY CLERK
* ASSIGNED AG# AG -396
1/2020
This Grant Agreement ("Agreement") is made between the City of Federal Way, a Washington municipal
corporation ("City"), and Northwest School ofMassage, 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:
Kelly A!111nissipour
33440 1 ST WAY S, #8
FEDERAL WAY, WA 98003
Mailing Address:
PO BOX 24924
FEDERAL WAY, WA 98093-1924
(206) 730-0155 (telephone)
massaL-eschoola.comcast.net
Ade Ariwoola
33325 8th Ave. S.
Federal Way, WA 98003-6325
(253) 835-2520 (telephone)
(253) 835-2509 (facsimile)
ade.ariwoola@cityoffederalway.com
1. TERM. This agreement contemplates a one-time grant of funds to the Grantee under the conditions
described herein.
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 government fees due up to the date of execution of this
grant agreemen;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)Dueto2 VID,-19, Grantee business (check all that apply):
Was required by state or local order to close
E] Was forced to lay off employees due to reduced patronage
Ej Incurred over $1,000 in COVID-19 related expenses
Experienced 10-50% lost revenue
E] Experienced over 50% lost revenue
Eel
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CITY OF CITY HALL
33325 5th Avenue South
Federal Way Federal Way WA 98003-6325
(253) 835-7000
mvw cityoffederalway com
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
c) Insurance
d) Utilities
e) Marketing
f) Payroll
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.
4.1 Amount. In order to promote healthy economic activity in the City and in response to the losses
r, to the COVID- 19 i%andemic ' the Citp shall Gwrovide a !want to the Grantee in an amoui#
not to exceed One Thousand and NO/I 00 Dollars ($100.00).
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.
, IM
5.1 Grantee Ifideninificatio . 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
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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
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.
IVEX .164 MYN41 8 -SIM
CITY OF
Federal Way
C11TY HALL
33325 8th Avenue South
Federad Way, WA 98003 6325
(253) 835-7000
VAM UtYOffP, der�.VKDY COM
5.3 City The City agrees to release, indemnify, defend and hold the Grantee, its
officers, directors, shareholders, -partners, employees, agents, representatives, and sub -contractors 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
6.1 Interpretation and Modification. This Apareement 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 fall 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 fall force and
IiNALMIC ".* rij- - f the Citri to declare an—w breach or default immediatelig uxon occurrence shall not waive
such breach or default. Failure of the City to declare one breach or default does not act as a waiver of the Citys
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 foram. 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
expenses incurred in defending or bringing such claim or lawsuit, including all appeals, in addition to any other
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.
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
AN:
Federal Way
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the same effect as if all Parties hereto had signed the same document. 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 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 pa�es. The date upon which the lau of all of the Parties have rxecutt-d Q
LUUMCIPalt 01 LniS Agreement shall be the "date of mutual execution" hereof
IN WITNESS, the Parties execute this Agreement below, effective the last date written below.
I=
ATE: z� lep-
NORTHWEST SCHOOL OF MASSAGE:
By.
Printed Name:
Title:
DATE:
10/16/2020 Washington State Department of Revenue
Washington State Departi-nient of Revenue
< Business Lookup
IRTT���
Entity name:
ANISSIPOUR, KELLY DAWN
Business name-
NORTHWEST -SCHOOL -OF MASSAGE
Entity type:
Sole Proprietor
UBI #:
604-17S-346
Business ID-.
001
Location ID-
0001
Location:
Active
Location address:
33440 FIRST WAY S. #8
FEDERAL WAY WA 98003
Mailing address: PO BOX 24924
FEDERAL WAY WA 98093-1924
Excise tax and reseller permit status:
Endorsements
Endorsements held at this location License # Count
Federal Way General Business
Governing People may Include gomminy people nat registered with secretary cfState
Governing people
ANISSIPOUR, KELLY DAWN
Registered trade names
Status
NORTHWEST SCHOOL OF MASSAGE
Active
NORTHWEST SCHOOL OF MASSAGE AND ENERGETIC HEALING
Active
NORTHWEST SCHOOL OF MASSAGE AND NATURAL HEALING
Active
NW SCHOOL OF MASSAGE
Active
NW SCHOOL OF MASSAGE AND ENERGETIC HEALING
Active
NW SCHOOL OF MASSAGE AND NATURAL HEALING
Active
Click here
PT -MLI
0101
Status
Active
New search Back to results
Expiration date First issuance dat
Mar -31-2021 Mar -16-2020
The Business Lookup information is updated nightly. Search date and time: 10/16/2020 9:54:52 AM
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