AG 20-846 - West Campus Sports & OrthoRETURN TO: Tim Johnson EXT: 2412
CITY OF FEDERAL WAY LAW DEPARTMENT ROUTING FORM
1. ORIGINATING ET. IV: ECONOMIC DEVELOPMENT
2. ORIGINATING STAFF PERSON: TIM JOHNSON EXT: 2412 3. DATE REQ.BY: ASAP
4. TYPE OF DOCUMENT (CHECK ONE):
El CONTRACTOR SELECTION DOCUMENT (E.G., RFB, RFP, R-FQ)
0 PUBLIC WORKS CONTRACT 0 SMALL OR L]MITED PUBLIC WORKS CONTRACT
11 PROFESSIONAL SERVICE AGREEMENT 0 MAINTENANCE AGREEMENT
El GOODS AND SERVICE AGREEMENT 11 HUMAN SERVICES/ CG
El REAL ESTATE DOCUMENT 0 SECURITY DOCUMENT (E.G. BOND RELATED DOCUMENTS)
El ORDINANCE 0 RESOLUTION
El CONTRACT AMENDMENT (AG#): DINTERLOCAL
X OTHER CARES
g ACT FUNDS_BUS INESS SUPPORT GRANT AGREEMENT
5. PROJECT NAME:- CARESACTGRANT—ROuND2
6. NAME OF CONTRACTOR: WESTC S SPORTS& ORTHOPEDIC PHYSICAL THERAPY, PS, INC
ADDRESS: 505 S 336TH ST # 140, FEDERAL WAY WA 98003-5946 TELEPHONE: (253) 874-6620
E-MAIL: FRONTDESK@WESTC AMPUSPT.COM
SIGNATURENAME: CHERYL AYRES TITLE: SEE ATTACHED
7. EXHIBITS AND ATTACHMENTS: El SCOPE, WORK OR SERVICES 11 COMPENSATION 0 INSURANCE REQUIREMENTS/CERTIFICATE 11 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) TWO THOUSAND AND N01100 ($2,000.00)
(IF CALCULATED ON HOURLY LABOR CHARGE - ATTACH SCHEDULES OF EMPLOYEES TITLES AND HOLIDAY RATES)
REIMBURSABLE EXPENSE: 0 YES X NO IF YES, MAXWUM DOLLAR AMOUNT:
IS SALES TAX OWED El YES X NO IF YES,$ PAID BY: 0 CONTRACTOR El CITY
RETAINAGE: RETAINAGE AMOUNT: 11 RETAINAGE AGREEMENT (SEE CONTRACT) OR El RETAINAGE BOND
El PURCHASING: PLEASE CHARGE TO: 001-1800-990-518-10-490 Rrod L C r3 #267662-25060
10. DOCUMENT/CONTRACT REVIEW INITIAL / DATE REVIEWED INITIAL / DATE APPROVED
El PROJECT MANAGER
5-DIkECTOR
El RISK MANAGEMENT (IF APPLICABLE)
1:1 LAW
11. COUNCIL APPROVAL (IF APPLICABLE) SCHEDULED CONMTTEE DATE: CoNmTrEE APPRovAL DATE:
SCHEDULED COUNCIL DATE: CouNcm APPRovAL DATE:
12. CONTRACT SIGNATURE ROUTING
E3 SENT TO VENDOR/CONTRACTOR DATE SENT: DATE C'D:
El ATTACH: SIGNATURE AUTHORITY, INSURANCE CERTIFICATE, LICENSES, EXHIBITS
El CREATE ELECTRONIC REMINDER/NOTIFICATION FOR I 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
El LAW DEPARTMENT N
P.�NATORY (MAYOR OR DIRECTOR)mm
El CITY CLERK
El ASSIGNED AG# A # 20-846
11M
4 f"., 11 y
V�aY
'eral W
111 MI.
� y
HAILL
33325 80h Aovenue South
Q53) 835-7000
AGX!U� EMENT
WITH
'WEST CAMPUS SPORTS P.S. INC
This Grant Agreement ("Agreemenf') is made between the City of Federal Way, a Washington municipal
corporation ("City"), and West Campus Sports & Ortho., P.SJnc, a professional limited liability company
("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:
.. . ........
WEST CAMPUS SPORTS & ORTHO. P.S., INC: CITY OF FEDERAL WAY:
CHERYL AYRES Ade Ariwoola
505 S 336th St # 140 33325 8th Ave. S.
FEDERAL WAY, WA 98003-5946
Federal Way, WA 98003-6325
(253) 835-2414 (telephone)
(253) 874-6620 (telephone) (253) 835-2509 (facsimile)
tontd
'r
-------- oni ade.ariwoola(a-),cityoffcdqFowTycom
- ----------- - . .......
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 Ci
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 thmis
agreement
d) Grantee's business employs no more than the equivalent of ten (10) full-time employe
(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 Reven
Service I
g) Due to COVID- 19, Grantee business (check all that apply):
D NVas required by state or local order to close
ffV " Was forced to I'ay off cmployees due to reduced patronage
1II Incurred over $ 1,000 in COVID-1 9 related expenses
Exr Experieneecl 10-5Mii lost revenue
Experienced over 50% lost revenue
2.2 Use of Funds: Grantee affirms that grant:ftmds will be used for the following purposes:
a) Mortgage or Rent
b) Personal Protection Equipment
CARES ACT BUSINESS GRANT AGREEMENT
7/2020
CITY OF
tet, a
upon request.
ptk ��997 idariqlas
I - It ago's El RV., may.) v its I aagmul
C1,11"N' HALL
33325 Sth Avenue South
Federal'vA , WA 980,,,",',,,3-6325
w'VvWf,-:4
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 pandemic, the City shall provide a grant to the Grantee in an amount
not to exceed Two Thousand and00 Dollars ($2,000.00).
T-31,71 �111_ I
I if 11 Y10 lif I I , I
5.1 L4 . 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
gerformance of this Aereement, exceit for that iortion of the claims caused b; the Ck's iole whience. Should
liabty for damages arising out of bodily injury to persons or damages to property caused by or resulting from
the concurrent neml6gence of the Yg4 T �N)60&61
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.
11W®R 1,1MIMW I
130,
Trunrl"Cuff"41 F -i
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 -2-
7/2020
deral VNA
UT')` HALL
33325 8thA,4enue Sotilh
FederW `,A,`a,!,i,,VA!A 9800,',3-t3,,325,
(253) 835-7000
5.3 Ci N, Ifideinhil,
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.
6. (1ENERAL PROVISIONS.
6.1 ir
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,
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 mgy be de
j2osited in the United States mail. postage prepaid. to the address set fbtLk above-4-tv:totice
i7M =-7 If U-14 -1= wo 0 WIN=
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 shAl.-cot be co-,f.stwied to be a
wim-- w
F? X
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 ng suit under the
venue, rules and jurisdiction of the King County Superior Court, King County, Washington, unless the parties
ree in writing to an alternative Drocess. If the Ki-vq
-CowiV Suamk�wt dpy�—yi#1jAa-yQJ isdiciijai over Ruck
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.
CARES ACT BUSINESS GRANT AGREEMENT -3-
7/2020
coly OF
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HALL
33325 8!h o-
Fede,�rafl lv`,,,%;,ary,�
8335-7000
it, 1*117111 a single
instrument comprised of all pages of this Agreement and a complete set of all signature and acknowledgment
[fages. The date upon which the last of all of r have executed a counterpart of this Agreement shall be
the "date of mutual execution" hereof.
rN WITNESS, the Parties execute this Agreement below, effective the last date written below.
Jim Fei or
DATE: a>
�P 1�p4z;� �--
By:
z.
Printed Name:( --
Title:
DATE:
CARES ACT BUSINESS GRANT AGREEMENT -4-
7/2020
10/13/2020 Washington State Department of Revenue
< Business Lookup
License Information:
Entity name:
WEST CAMPUS SPORTS AND ORTHOPEDIC PHYSICAL THERAPY, P.S.JNC.
Business name:
WEST CAMPUS SPORT & ORTHOPEDIC PHYSICAL THERAPY P.S., INC,
Entity type:
Professional Service Corporation
UBI #:
601-177-364
Business ID:
001
Location ID:
0001
Location:
Active
Location address: 505 S 336TH ST
STE 140
FEDERAL WAY WA 98003-5946
Mailing address: 505 S 336TH ST
STE 140
FEDERAL WAY WA 98003-5946
Excise tax and reseller permit status: Click here
Secretary of State status, Click here
Endorsements
Endorsements held at this location Licensed Count Details Status
Federal Way General Business 87 -000007 -00 -BL Active
Governing People My Ind.* gq—tg pmple mv with Se—tnr.fstft
Governing people Title
AYRES, CHERYL
New search Back to results
Expiration date First issuance dal
May -31-2021 Jan -08-2000
The Business Lookup information is updated nightly. Search date and time: 10/13/202010:20:33 AM
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