AG 20-878 - MaxaxRETURN 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.13Y: ASAP
4. TYPE OF DOCUMENT (CHECK ONE):
El CONTRACTOR SELECTION DOCUMENT (E.G., RFB, RFP, RFQ)
13 PUBLIC WORKS CONTRACT 0 SMALL OR LIMITED PUBLIC WORKS CONTRACT
El PROFESSIONAL SERVICE AGREEMENT El MAINTENANCE AGREEMENT
El GOODS AND SERVICE AGREEMENT El HUMAN SERVICES/ CG
11 REAL ESTATE DOCUMENT El SECURITY DOCUMENT (E.G. BOND RELATED DOCUMENTS)
El ORDINANCE 0 RESOLUTION
* CONTRACTA NT (AG#):_ DINTERLOCAL
* OTHER CARES ACT FUNDS BUSINESS SUPPORT GRANT AGREEMENTI______,,
5. PROJECT NAME: __11111 _CARES ACT GRANT —ROUND 2
6. NAME OF CONTRACTOR: MAXAX, LLC
ADDRESS: 3341123RD AVE SW, FEDERAL WAY, WA 98023 TELEPHONE: (206) 889-0500
E-MAIL: mAxiN4ov24@GMAIL.COM
SIGNATURE NAME: ALE MAXIN40V TITLE: SEE ATTACHED
7. EXHIBITS AND ATTACHMENTS: 0 SCOPE, WORK OR SERVICES 11 COMPENSATION El INSURANCE REQUIREMENTS/CERTIFICATF El Ai
OTHER REFERENCED EXHIBITS El PROOF OF AUTHORITY TO SIGN 0 REQUIRED LICENSES 0 PRIOR CONTRACT/AMENDMENTS
9. 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: 0 YES X NO IF YES, MAXIMUM DOLLAR AMOUNT: $
IS SALES TAX OWED 11 YES X NO IF YES, $ m ee PAID BY: El CONTRACTOR 0 CITY
RETAINAGE: RETAINAGE AMOUNT: El RETAINAGE AGREEMENT (SEE CONTRACT) OR 0 RETAINAGE BOND
PROVIDED
I 11-1-M-11 11,101, q ' !i"
10. DOCUMENT/CONTRACT REVIEW INITIAL /DATE REVIEWED INITIAL / DATC APPROVED
El PROJECT MANAGER
• RISKMANAGEMENT (IFAPPLICABLE)
• LAW
11. COUNCIL APPROVAL (IF APPLICABLE) SCHEDULED CONMHTTEE DATE: CommiTTEE APPROVAL DATE:
SCHEDULED CouNcrL DATE: CouNciL APPRovAL DATE:
12. CONTRACT SIGNATURE ROUTING
0 SENT TO CONT CTO DATE SENT: DATE REC'D:
El ATTACH: SIGNATURE AUT TY; INSURANCE CERTIFICATE, LICENSES, EXHIBITS
0 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
�D
LA; 'DEPNRTMENT
1(3WATORY (MAYOR OR DIRECTOR) ble 'r) -
El CITY CLERK
El ASSIGNED AG#
COMMENTS:
1/2020
OTT OF
4ih� F�dertl Vfty
CrTY HALL
33325 Sth Avenue South
0
F*deral Way. WA 18010�j
0
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MAXAX, LLC
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this Agreement:
I AlexandrMaximov
33411 23rd Ave SW
Federal Way, WA 9 8
023
(206) 889-0500 (telephone)
The Parties agree as follows:
�� CITY OF FEDERAL WAY:
Ade Ariwoola
33325 8di Ave. S.
Federal Way, WA 98003-6325
-2414 (telephone)
(253)835
(253) 835-2509 (facsimile)
ade.ariwoola cit3roffederalway.com
1. TERM. This agreement contemplates a one-time grant of funds to the Grantee under the conditions
described herein.
I 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
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;
1) Grantee's business employs no more than the equivalent of ten (10) full-time emplo,
(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 ev
Service; I
g) Due to COVID- 19, Grantee business (check all that apply):
C] Was required by state or local order to close
C] Was forced to lay off employees due to reduced patronage
M Incurred over $ 1,000 in COVID-I 9 related expenses
Experienced 10-50% lost revenue
Experienced over 50% lost revenue
2.2 Use of Funds: Grantee affmns that grant furids will be used for the following purpos
a) Mortgage or Rent
b) Personal Protection Equipment
CARES ACT BUSINESS GRANT AGREEMENT
7/2020
3. HNATION. 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. _GRANTAMOUNT-
4.1 -Amount. In order to promote healthy economic activity in the City and in response to the loss
not to exceed One Thousand and NO/I 00 Dollars ($ 1,000.00).
101MMIItJ= Ot M-1 - ofriTiRT-1,
100OUNIOL I
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licensees, or representatives, arising from, resulting from, or in connection with this Agreement or
,r= ugmt-cmacatft
r_ =AzLmAon of tYe claiws caused b% the 9 -by sq. sole -re
Los'
51 IMO -06 IMORTII 0
119M4 W111 IN
City, its elected officials, officers, employees, agents, representatives, insurers, attorneys, and volunteers to t1a
a'TA,it
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tIi t they have mutually negotiated this waiver.
CARES ACT BUSINESS GRANT AGREEMENT -2-
7/2020
CITY HAU
33325 Wh Avemn South
Federal Way F**" Way WA WW3-6325
(253)
WWW.=aAmycom
Mina
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cWo n 1i inOut-ra-ent-Imtim MUTIZ -WL UMem wif it shall 1:Tr1v ti, 1)T p p rV-1j1-fW -
J!,q
the "date of mutual executiorf' hereof.
IN WTINESS, the Parties execute this Agreement below, effective the last date written below.
CrrY9F-FEDERAL WAY:
I
DATE:
OV
By:
PrintedName: &�CvLjr MAX1140V
Title:a-
CARES ACT BUSINESS GRANT AGREEMENT -4-
7/2020
6"roy-TITIT-770=
Washington State Department of Revenue
< Business Lookup
License Information:
Entity name:
MAXAX LLC
Business name:
MAXAX LLC
Entity type:
Limited Liability Company
UBI #:
604-319-551
Business ID:
001
Location ID:
0001
Location:
Active
Location address:
33411 23RD AVE SW
FEDERAL WAY WA 98023-2807
Mailing address:
Excise tax and reseller permit status:
Secretary of State status:
Endorsements
Endorsements held at this location License
Federal Way Home Occupadon
Business
33411 23RD AVE SW
FEDERAL WAY WA 98023-2807
Click here
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Count Details
Governing PeopleNer -qm—iv smWY.r5Wt.
Governing people
MAXIMOV, ALEXANDR
URM
New search Back to resuRs
Status Expiration date First issuance date
Active Aug -31-2021 Sep -03-2020
The Business Lookup information is updated nightly. Search date and time: 10/15/2020 2:35:50 PM
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