AG 20-870 - Alpha 3 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.DATE REQ.BY- ASAP
4. TYPE OF DOCUMENT (CHECK ONE):
11 CONTRACTOR SELECTION DOCUMENT (E.G., RFB, RFP, RFQ)
El PUBLIC WORKS CONTRACT El SMALL OR LIMITED PUBLIC WORKS CONTRACT
El PROFESSIONAL SERVICE AGREEMENT El MAINTENANCE AGREEMENT
El GOODS AND SERVICE AGREEMENT 0 HUMAN SERVICES / CDBG
11 REAL ESTATE DOCUMENT El SECURITY DOCUMENT (E.G. BOND RELATED DOCUMENTS)
* ORDINANCE 0 RESOLUTION
* CONTRACTA T (AG#): DINTERLOCAL
* OTHER CARES ACT FUNDS BUSINESSS PORT GRANT AGREEMENT
5. PROJECT NAME:_ CARES ACT GRANT ROUND2
6. NAME OF CONTRACTOR: ALPHA 3 ADULT FAMILY HOME
ADDRESS: 2032 S 3331 ST, FEDERAL WAY, WA 98003 TELEPHONE: (206) 271-6252
E-MAIL: JOSEPHKARANJAK@MSN.COM
SIGNATURE NAME: FRANcISCA KARANJA TITLE: SEE ATTACHED
7. EXHIBITS AND ATTACHMENTS: El SCOPE, WORK OR SERVICES D COMPENSATION El INSURANCE REQUIREMENTS/CERTIFICATE 0 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 NO/1:00 ($2,000.00)
(IF CALCULATED ON HOURLY LABOR CHARGE - ATTACH SCHEDULES OF EMPLOYEES TITLES AND HOLlb��
REIMBURSABLE EXPENSE: 0 YES X NO IF YES, MAXIMUM DOLLAR AMOUNT: $
IS SALES TAX OWED El YES X NO IF YES,$ PAM B11CONTRACTOR 11 CITY
RETAINAGE: RETAINAGE AMOUNT: J] RETAINAGE AGREEMENT (SEE CONTRACT) OR 0 RETAINAGE BOND
PROVIDED
0 PURCHASING: PLEASE CHARGE TO: 001-1800-990-518-10-490
10. DOCUMENT/CONTRACT REVIEW INITIAL / DATE REVIEWED INITIAL / DATE APPROVED
El PROJECT MANAGER - I
ECTOR q::.z6' —Zee
0 RISK MANAGEMENT (IF APPLICABLE)
El LAW
11. COUNCIL APPROVAL (IF APPLICABLE) SCHEDULED CommiTTEE DATE: Co =E APPRovAL DATE:
SCHEDULED CO CIL DATE: CouNaL APPRovAL DATE:
12. CONTRACT SIGNATURE ROUTING
0 SENT TO VENDOR/CONTRACTOR, DATE SENT: DATE REC'D:
0 ATTACH: SIGNATURE AUTHORITY, INSURANCE CERTIFICATE, LICENSES, EXHIBITS
0 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
VA115N' Kr CRY (MAYOR OR DIRECTOR)
El CITY CLERK
El ASSIGNED AG# AG#X_rV_
COMMENTS:
CITY OF
Federal Way
CITY HALL
33325 8th Avenue Soutl
Federal Way, WA 98003-6325
(253) 835-7000
wivivc4k,iffederalway coo
CARES ACT FUNDS BUSINESS SUPPORT GRANT AGREEMENT
WITH
ALPHA 3 ADULT FAMILY HOME
This Grant Agreement ("Agreement' ') is made between the City of Federal Way, a Washington municipal
corporation ("City"), and Alpha 3 Adult Family Home, a sole proprietor ("Grantee"). The City and Grantee
(together "Parties") are located and do business at the to addresses which shall be valid for any notice
required under this Agreement:
FRANCISCA KARANJA Ade Ariwoola
2032 S 333" St, Federal Way, WA 98003-4130 33325 8th Ave. S.
Mailing address: Federal Way, WA 98003-6325
2622 S 296th 111, (253) 835-2414 (telephone)
FEDERAL WAY, WA 98003-3787 (253) 835-2509 (facsimile)
ade.ariwoola@cityoffederalway.com
(2 6) 271-6252 (telephone)
1. TERM. This agreement contemplates a one-time grant of funds to the Grantee under the conditions
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 government fees due up tote date of execution of this
grant agreement;
d)
Grantee's business employs no more than the equivalent of to (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 check all thgLUply)::
Was required by state or local order to close
E] Was forced to lay off employees due to reduced patronage
Incurred over $1,000 in COVID-19 related expenses
Experienced 10-50% lost revenue
E] Experienced over 50% lost revenue
2.2 Use of Funds: Grantee affirms that grant fimds will be used for the following purposes:
a)
Mortgage or Rent
b)
Personal Protection Equipment
CARES ACT BUSINESS GRANT AGREEMENT7/20A
CITY OF CITY HALL
4 33325 8th Avenue South
Federal Way Federal Way, WA 98003-6325
(253) 835-7000
minv o4eorfederalmty Con?
b) Personal Protection Equipment
c) Insurance
d) Utilities
e) Marketing
f) Payroll
Grantee agrees to retain receipts documenting use of grant Rinds 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
Grantee has incurred due to the COVID- 19 pandemic, the City shall provide a grant to the Grantee in an arnoutit
not to exceed Two Thousand and NO/I 00 Dollars ($2,000.00). 1
4.2 Non -A icient funds are not appropriated or allocated for payment
— ppropriation of Funds. If suJY
under this Agreement for any fiscal period, the City will not be obligated to make payments under this
agreement.
auTJu, �ul ym to)
5.1 .0mitee lhilenmifieati6n. 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
resulfing 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 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.
E
CITY OF
Federal Way
CITY HALL
33325 84h Avenue South
Federai Way, WA 98003-6325
(253) 835-7000
vac m a1yoffedpralway com
5.3 City Indbimi&atibb. 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.
6.1 lut6rpretation 404 �NQificatibri. 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. inoGterative- null and void. or—illegal shall in no wa��L����-LD&er_,#xovision 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 reli Quis 3 ffill C 5. rd i i n t&Y46rec—aiiIi
accordamnice t t e aws o 'tate o as - ngton.
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
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- 7/9K#
im ISO #1.it ormfoggs,
VILIA11-1/V �--,
By:
Printed Name:
Title:
dvjine
DATE:
CARES ACT BUSINESS GRANT AGREEMENT -4- 7/202f
Washington State Department of Revenue
Business Lookup
Entity name.
RANA FRANCISCA W
Business name:
ALPHA 3 ADULT FAMILY HOME
Entity type'.
Sole Proprietor
U81 #.
602-036-765
Business ID.
002
Location 1EX
0004
Location:
Active
Location address: 2032 S 333RD ST
FEDERAL WAY WA 98003-6829
Mailing address: 2622 S 296TH PL
FEDERAL WAY WA 98003-3787
Excise tax and reseller permit sUtus'
Endorsements
Endorsements held at this location License #
Count
Federal Way General Business 16-103814-00-3L
Governing People ftso Unfine q.—&oPesW,..t infern!
Me, sowsrcit."
Governing people
KARANJA, FRANCISCA W
KURIA, JOSEPH KAEANJA
Registered Trade Names
Registered trade names
Status
ALPHA 2 ADULT FAMILY HOME
Active
ALPHA 3 ADULT FAMILY HOME
Active
ALPHA 11 ADULT FAMILY HOME
Active
New search Back to msults
Dotails Statts; Expiration date First issuance date
Activp Sep -30-2021 Aug -26-2016
Title
View Additional Locations
The Business Lookup information is updated nightly. Search date and time: 10/14/2020 10r42A1 AM
First issued
Aug -05-2020
Aug -18-2015
Sep -17-2014