AG 20-877 - Lloyd Jones CorpRETURN TO: Tim Johnson EXT: 2412
CITY OF FEDERAL WAY LAW DEPARTMENT ROUTING FORM
1. ORIGINATING T. I: _—ECONOMIC DEVELOP MENT'll-11,111------------,------
2. ORIGINATING STAFF PERSON: - TIM JOHNSON EXT: -- 2412 _ 3. DATE REQ. BY- ASAP
4. TYPE OF DOCUMENT (CHECK ONE):
0 CONTRACTOR SELECTION DOCUMENT (E.G., RFB, RFP, RFQ)
El PUBLIC WORKS CONTRACT 11 SMALL OR LIMITED PUBLIC WORKS CONTRACT
El PROFESSIONAL SERVICE AGREEMENT C1 MAINTENANCE AGREEMENT
El GOODS AND SERVICE AGREEMENT El HUMAN SERVICES / CDG
13 REAL ESTATE DOCUMENT 0 SECURITY DOCUMENT (E.G, BOND RELATED DOCUMENTS)
11 ORDINANCE El RESOLUTION
El CONTRACT AMENDMENT (AG#):__-- DINTERLOCAL
X OTHER CARES ACT FUNDS BUSINESS SUPPORT GRANT AGREEMENT
5. PROJECT NAME: CARESACTGRL�h[LL1�RQ
_132
6. NANMOFCONTRACTO R: LLOYDJONES CORP. (ee Wld&
Fol AWOetALZ424 -) 7�4-1�7
ADDRESS: 33507 9T11 AVE S 4E, FEDERAL WAY, WA 98003 TELEPHONE: (253) 941-8000
E-MAIL: DESPINA—JONES@MSN.COM
SIGNATURE NAME: DUANE JONES TITLE: SEE ATTACHED
7. EXH113ITS AND ATTACHMENTS: 0 SCOPE, WORK OR SERVICES 0 COMPENSATION 0 INSURANCE REQUIREMENTS/CERTIFICATE El ALL
OTHER REFERENCED EXHIBITS El PROOF OF AUTHORITY TO SIGN 0 REQUIRED LICENSES El PRIOR CONTRACT/AMENDMENTS
I Ir I I 1 r= r.- . 1 6
9. TOTAL COMPENSATION $ (INCLUDE EXPENSES AND SALES TAX, IF ANY) Two THOUSAND ANDNol 00 $2 000.0
(IF CALCULATED ON HOURLY LABOR CHARGE - ATTACH SCHEDULES OF EMPLOYEES TITLES ANDMOUra
REIMBURSABLE EXPENSE: 0 YES XNO IF YES, MAXIMUM DOLLAR AMOUNT: $
IS SALES TAX OWED El YES X NO IF YES,$ PAID BY: 0 CONTRACTOR 0 CITY
RETAINAGE: RETAINAGE AMOUNT: -.0 RETuNAGE AGREEMENT (SEE CONTRACT) OR 0 RETAiNAGE BOND
PROVIDED
El PURCHASING: PLEASE CHARGE TO: 001-1800-990-518-10-490 Project Code #267662-25060
10. DOCUMENT/CONTRACT REVIEW INITIAL / DATE REVIEWED INITIAL DATE APPROVED
VrJ ROJECT MANAGER
DIRECTOR
El RISK MANAGEMENT (IF APPLICABLE)
0 LAW
11. COUNCIL APPROVAL (IF APPLICABLE) SCHEDULED CoNmTTEE DATE: COEE APPRovAL DATE:
SCHEDULED Co CIL DATE: COUNCIL APPRovAL DATE:
12. CONTRACT SIGNATURE ROUTING
El SENT TO VENDOR/CONTRACTOR. DATESENT: DATEREC'D:—
F-1 ATTACH: SIGNATURE AUTHORITY, INSURANCE CERTIFICATE, LICENSES, EXHIBITS
11 CREATE ELECTRONIC REMINDERINOTIFICATION 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 /A
q'11'GN ATORY (MAYOR OR DIRECTOR)
• CITY CLERK smumc)
• ASSIGNED AG# AG#
OMS ENT
I
1/2020
COY OF
410, Federal Way
CITY HALL
33325 8th Avenue South
Federal Wey,VVA 98003-6325
(253) 835-7000
www o1yoffederalway coo
CARES ACT FUNDS BUSINESS SUPPORT GRANT AGREEMENT
WITH
LLOYD JONES CORP.
`Mis Grant Agreement ("Agreement") is made between the City of Federal Way, a Washington municipal
corporation ("City"), and Lloyd Jones Corp., a Washingyton corporation ("Grantee'). The City and Grar[tee
(together "Parties') are located and do business at the b6low addresses which shall be valid for artynotice required
under this Agreement:
JONES CORP.: CITY OF FEDERAL WAY:
Duane Jones Ade Ariwoola
33507 9a' Ave S #E, Federal Way, WA 33325 8th Ave. S.
Mailing address- Federal Way, WA 98003-6325
233 SW 186"' St, Normandy Park, WA 98166 (253) 835-2414 (telephone)
253-941-8000 (telephone) (253) 835-2509 (facsimile)
ade.ariwoola@cityoffederalway,com
The Parties agree as follows:
1® TERiM. This agreement contemplates a one-time grant of funds to the Grantee under the conditions
described herein.
2. L-ONDITIONS OF GlUkNT
2.1 MLaEanties, 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
agreement',
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 rnillion per year;
f) Grantee does not operate as a tax-exempt business as defined by the Internal Revenue
Service;
g) Due to COVID-1 , Grantee business (check all that apply)
Was required by state or local order to close
Was forced to IaY off employces due to reduced patronage
tneurred over $ 1,000 in COVID- 19 related expenses
Experienced 10-50% lost revenue
Experienced over 50% lost revenue
CARES ACT BUSINESS GRANT AGREEMENT
7/2020
OTY 01t
CITY HALL
AZ'44 k
e fe iva
33325 8th Avenue SouUi
Federal %Nay, WA 98003-FS325
(253) 835,7000
2.2 Use of Funds: Grantee affirnis that grant funds will be used for the following
pinposes:
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 ftinds and will provide the to the City or its designee
upon request.
3. TERAHNATION. 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. 99ANT ANIQUYL
4.1 Amount, In order to promote healthy economic activity in the City and in rusponse to the, losses
Grantee has incurred due to the COVID-1 9 pandernic, the City shall provide a grant to tile Grantee in an antount
not to exceed Two Thousand and NO/I 00 Dollars ($2,000.00).
4.2NN21L-��Rl_ionof Flin—Cs. 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.
5. JNDEM:Nff,1CATJON.
5.1 C—Minee Inki-1-111ir1q.1—t4m. The Grantee agrees to release indemnify, defend, and hold the City— its
elected officials, officers, employees, agents, representatives, insurers, attorney-,, and volunteers harmless ftom
my and all clairns, demands, actions, suits, causes of action, arbitrations, mediations, proceedings, judgments,
awards, injuries, damages, liabilities, truxes, losses, fines,,,fees, penalties expemes, attorney's fees, costs, andlor
litigation expenses to or ky my and all persons or entities, including, without limitation, their respective agents,
licensees,
or representatives, ansing ftom, restilting ftorn, or in connection with this Agreentent or live
performance of this Agreement, except for that portion of the cWrns caused by the City's sole negligence, Should
a court o`co pettent j urisdiction determine that this Agi,eement is subject to R. 4.24.115, then, in the event of
liability for damages arising out of bodily injury to persons or dr ages to property caused by or resulting kurn
the concurrent negligence of the, Grantee and the City, the Grantee's liability hereunder shall be only to the extern
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, attoracys, and vol untecrs to the
e\tent 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 or 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 lanitunhy that may be granted to it Linder the Washington State industrial iris urance act"Fitle 51 R,CW,
solely for the purposes of this indemnification. Grantee's indentnification shall not be limited in,any way by any
limitation on the amount of darnages, compensation or benefits payable to or by any third party under workers'
CARES ACT BUSINESS GRANT AGREEMENT -2-
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compensation acts, disability benefit acts or tiny other benefits acts or programs. The Parties er acknowledge
that they have mutually negotiated this "giver...
53 ON latdenarriticaatiori. 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 allclaims, demands, actions„ waits, causes of action,' arbitrations, mediations, proceed ngs, judgments,
awards, injuries, damages, liabilities, losses, fines, fees penalties: expenses, ado ms fees, costs and/err litigation
expenses to or by any mid all persons or entities, including without limitation, [tacit respes tiv agents lac risees
or representatives, arising ITom, resulting from, or connected with this Agreement, to the extent solely cause d«bye
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 prier to such expiration or termination.
6, GEN E,,R&L PR0VJ,%J0jS®
6.1 Itat r° m r taati rag ar al l It cli ll a is �r a s g e Brat ct�zrtal all of the agreements of the Parties with
respect to anymatter co oretl car rra rrtioxc rl ° tlxis Agree Brat zro prier statements or agreements, whether
coral or written, shall be effective for arty parrpose, pro�gisiost ail" this Agreement that is declared invalid,
inoperative, tau acrd v oidart illegal shall in Sita tory aalTeot or inralidat any other provision �ea�e��f and slr otherpa rvisioras shall rer'raitr irr farll frrrcc aarad effe ! provision oftlris - greement, including this provision, rrray be
fended waived, or ; modified except by written agreement signed by dray authorized representatives of the
Parties.
6.2 E"a `ormntent. 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 he deposited in the United States triad.. postage prepaid, to the, address set forth above. Any notice
sag posted in the United States mail shall be deemed received throe fat days after the date of mailing, Any remedies
provided herr under the teens of this Agreement are not intended to be exclusive,, but shall be cumulative with all
other remedies available to the City at lav, in equity or by statute. The failure of the city to insist capon strict
perfrr [agnea Of anY Of the covenants snd agre rrx rrt, untainted in this Agrcenic t, or to exercise any €apnon
conferred by this Agreement in one or more issuances shall not be constrrrcd`to be a waiver or relinquishment of`
those covenants. agreements or options, acrd the same shall be and remain in fall force and effect„ Failure;or delay
of the City to deel e any breach or default inunediately'upon occurrenceshall snotwive, such breach or default.
Failure Of the City to declare one breach or default. does -rot act as a waiver of the City's right to declare oth
er
breach or default. This Agreement shall be made in, governe=d by, and interpreted in accordance with the laves of
the State of Waslrirtgtost, if the parties
'ire unable to settle any dispute, difference or ciairn arising f�orrr tlals
AgTee ent, the exclusive means of resolving that dispute, diff renlec4 or claire, shall be by tyfing snit under the
Venue, niles d jurisdiction of the Ki
Venue, Superior Contra, King County, Washington, runless the parties
agree irr i itirag to an alta ativo process. If the King County ty Superior Cogan does not have jurisdiction over such
ar spit, there suit may be filed in any colter alapr•oprulte court in King County, Washington, ;Each party consents to
the persona jurisdiction of the, state and federarl courts in King County, Washingion and waives any objection
that such courts are in, inconvenient foratr . If either Party brings any clahn or lawsuit arising from this Agreement,
each Darty shall'pay all its legal costs and attorney's fees and expemes incurred in defending or bringing Stich
claim or lawsuit, including all appeals, in addition to any other recovery or aaro provided by:law; provided,
CARES ACT BUSINESS GRANT AGREEMENT 437/2020
CITY OF
Federal
Way
CITY HALL
33325 8th Avenue South
Federal Way, WA 98003-6325
(253) 835-7000
VVWW. 01yoffederalway. com
hOvvtVel� nothing in this Paragraph shall be construed to limit the Parties' rights to indemncation under Section
5 ofo* Agreement.
63 E-Secutin.leach individual executing this Agreement on behalf of the City and Grantee represents
and urarrants, that such individual is duly authorized toexecart e and deliver this Agreement. This'Agreement may
be executed in anY number of cotuiterpart s, each (if which shall be deemed an original and xvith the same effeet,
as if all Parties hereto had signed the same document All such counterparts shall be construed tagethe rand shall
constitute one instrument, but in making proof hereof it shall only be necessary to produce one such counteTpart.
The signature and acknowledgment pages from such countexpaits may be assembled together to fonn a single
instrument comprised of all pages of this Agreement and a complete set of all signature and aclinowledgment
pages. alae date upon which the last ofall of the Parties have executed a counterpart of this Agreernent shall be
the "date or mutual execution" hereof.
CITY OF FEDERAL WAY:
DATE:
LLOYD JONES CORP.:
BY: I el
Printed Name-
Title-.- OGUvlar
DATE: IV 115, 1 xv,.zo
Walawl -
Washington State Department of Revenue
Business Lookup
License Information: New search Rack to results
Entity name. LLOYD JONES CORP
Business name: CENTER FOR ADVANCED DENTAL MEDICINE
Entity type: Profit Corporation
LIBI #: 603-552-808
Business ID. 001
Location ID: 0001
Location- Active
Location address: 33507 9TH AVE S STE E
FEDERAL WAY WA 98003-6397
Mailing address: 233 SW 186TH ST
NORMANDY PARK WA 98166-3957
Excise tax and reseller permit status: Click here
Secretary af State status: Click here
Endorsements
Endorsements held at this location License # Count Details Status Expiration date First issuance date
Federal Way General Business Active Aug -31-2021 Sep -04-2020
Governing People
Governing people Title
JONES, DUANE
Registered Trade Names
Registered trade names Status Firstissued
CENTER FOR ADVANCED DENTAL MEDICINE Active Oct -27-2015
The Business Lookup information is updated nightly. Search date and time: 10/15/2020 10:56:27 AM
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