The URL can be used to link to this page

Home My WebLink AboutAG 20-191 - Cornerstone Multicultural Medical ServicesRETURN TO: TIMJOHNSON EXT: 2412 CITY OF FEDERAL WAY LAW DEPARTMENT ROUTING FORM ORIGINATING DEPT./DIV: ECONOMIC DEVELOPMENT ORIGINATING STAFF PERSON: I TIM JOHNSON EXT::. 2412. -- 3. DATE Q. BY ASAP El PUBLIC WORKS CONTRACT El SMALL OR LIMITED PUBLIC WORKS CONTRACT El PROFESSIONAL SERVICE AGREEMENT El MAINTENANCE AGREEMENT 0 GOODS AND SERVICE AGREEMENT 0 HUMAN SERVICES/ CDBG El REAL ESTATE DOCUMENT El SECURITY DOCUMENT (E.G. BOND RELATED DOCUMENTS) El ORDINANCE El RESOLUTION El CONTRACT AMENDMENT (AG#):_ DINTERLOCAL X OTHER ___gARES ACT FUNDS BUSINESS SUPPORT GRANT AGREEMENT NAME OF CONTRACTOR: CORNERSTONE MULTICULTURAL MEDICAL SERVICES ADDRESS: 32123 1 STAVES, #AI, FEDERAL WAY, WA, 98003 TELEPHONE: (360) 689-6268 E-MAIL: uscis693@GMAIL.COM SIGNATURE NAME: BYEON BPEON TITLE: ,SEE ACHED EXHIBITS AND ATTACHMENTS: El SCOPE, WORK OR SERVICES El COMPENSATION El INSURANCE REQUIREMENTS/CERTIFICATE El ALL OTHER REFERENCED EXHIBITS 0 PROOF OF AUTHORITY TO SIGN El REQUIRED LICENSES E] PRIOR CONTRACT/AMENDMENTS TERM: COMMENCEMENT DATE: SEE ATTACHED AGREEMENT COMPLETIONDATE: TOTAL COMPENSATION$ (INCLUDE EXPENSES AND SALES TAX, IF ANY) ONE THOUSAND AND NO11 00 ($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, $_ PAID BY: 0 CONTRACTOR 0 CITY RETAINAGE: RETAINAGEAmoUNT: µ ORETArNAGE AGREEMENT (SEE CONTRACT) OR EIRETAINAGE BOND PROVIDE 11 PURCHASING: PLEASE CHARGE TO� 001-1800-990-518-10-490 Project Code #267662-25060,.___ 0. DOCUMENT/CONTRACT REVIEW 11 PROJECT MANAGER El DIRECTOR El SIS AGE (IF APPLICABLE) 0 LAW 1. COUNCIL APPROVAL (IF APPLICABLE) SCHEDULED COMMITTEE DATE: COMMITTEE APPROVAL DATE: SCHEDULED COUNCIL DATE: COUNCIL APPROVAL DATE: El SENT TO VENDOR/CONTRACTOR DATE SENT: DATE R -ECD: --,,- 0 ATTACH: SIGNATURE AUTHORITY, INSURANCE CERTIFICATE, LICENSES, EXHIBITS 11 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 11 LAW DEPARTMENT SIGNED BYLAW 07-28-20 El SIGNATORY (MAYOR OR DIRECTOR) F-1 CITY CLERK 0 ASSIGNED AG# AG AH KNITSFUTrd'"Ta 1/2020 a CITY OF ift 0s�Federal Way �4 UTY HALL 33325 8th Avenue South Federal Wa)k, WA 98003-6325 (253) 835-7000 wwwolyoffederalvmycom L�X,14-4XAUI-VJIT JoKWINVAYSYKJ -itre, WITH CORNERSTONE MULTICULTURAL MEDICAL SERVICES This Grant Agreement ("Agreement") is made between the City of Federal Way, a Washington municipal corporation ("City"), and Cornerstone Multicultural Medical Services, 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: ..... ... . . CORNERSTONE MULTICULTURAL MEDICAL SERVICES: Jai Jun Byeon 33325 8th Ave. S. 32123 IST AVE S, #Al, FEDERAL WAY, WA Federal Way, WA 98003-6325 Mailing address: 16243 SE 326t' St, Auburn, WA 98092 (253) 835-2520 (telephone) (253) 835-2509 (facsimile) (360) 689-6268 (telephone) ade.ariwoola@cityoffederalway.com uscis693a,izmail.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 agreement d) Grantee is not the recipient of other state or federal Rinding made available as a response to the COVID- 19 pandernic e) Grantee's business employees no more than the equivalent of ten (10) full-time employees (20,800 man-hours total for all employees per year). f) Grantee's net revenues do not exceed more than $1.5 million per year g) Grantee does not operate as a tax-exempt business as defined by the Internal Revenue Service h) Due to COVID-19, Grantee business (check all that apply): Was required by state or local order to close Was forced to lay off employees due to reduced patronage --,Inc ed over $1,000 in COVID-19 related expenses Experienced 10-50% lost revenue Experienced over 50% lost revenue 2.2 Use of Funds: Grantee affirms that grant finids will be used for the following purposes: CARES ACT BUSINESS GRANT AGREEMENT C#TY OF CITY HALL 33325 8th Avenue South Federal Way Federal Way, WA 98003-6325 (253) 835-7000 wvwv cityoffederalway coo a) Mortgage or Rent b) Personal Protection Equipment c) Insurance d) Utilities e) Marketing F) Payroll Grantee agrees to retain receipts documenting use of grant fiinds and will provide them to the City or its designee upon request. 3. TERMINAIM. Should any of the conditions described in section 2.1, above, not be met, the City may recover all disbursed grant funds and terminate this agreement. 4.1 Amount. In order to promote healthy economic activity in the City and in response to the losses Grantee has incurred due to the COVID- 19 pandemic, the City shall provide a grant to the Grantee in an amount not to exceed One Thousand and NO/I 00 Dollars ($ 1,000.00). 4.2 NOntAmrolMon 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. 5. INDEMNIFICATION. 5.1 Grantee The Grantee agrees to release indemnify, defend, and hold the City, i elected officials, officers, employees, agents, representatives, insurers, attorneys, and volunteers harmless fto any and all claims, demands, actions, suits, causes of action, arbitrations, mediations, proceedings, judgment awards, injuries, damages, liabilities, taxes, losses, fines, fees, penalties expenses, attorney's fees, costs, and/ litigation expenses to or by any and all persons or entities, including, without limitation, their respective agent licensees, or representatives, arising from, resulting from, or in connection with this Agreement or t performance of this Agreement, except for that portion of the claims caused by the City's sole negligenc Should a court of competent jurisdiction determine that this Agreement is subject to RCW 4.24.115, then, in t event of liability for damages arising out of bodily injury to persons or damages to property caused by resulting from the concurrent negligence of the Grantee and the City, the Grantee's liability hereunder shall b - only to the extent of the Grantee's negligence. Grantee shall ensure that each sub -Grantee shall agree to defe and indemnify the City, its elected officials, officers, employees, agents, representatives, insurers, attorneys, an volunteers to the extent and on the same terms and conditions as the Grantee pursuant to this paragraph. T City's inspection or acceptance of any of Grantee's work when completed shall not be grounds to avoid any these covenants of indemnification. 5.2 Industrial Insurance Aq M�9�. 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. CARES ACT BUSINESS GRANT AGREEMENT -2- CITY OF 4Federal Way :�k� MWAM WX MA, (253) 835-7000 "VWW6WfAed6M4W*C0M Agreement may be executed in any number of counterparts, each of which shall be deemed an original and with 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 pages. The date upon which the last of all of the Parties have executed 2 counterpart of this Agreement shall be the "date of mutual execution" hereof. IN WITNESS, the Parties execute this Agreement below, effective the last date written below. a DATE: 2q2V-a -0 CARES ACT BUSINESS GRANT AGREEMENT -4- 7/25/2020 eServices Services Business Lookup CORNERSTONE MULTICULTURAL MEDICAL SERVICES License Information: Status Entity name: CORNERSTONE MULTICULTURAL MEDICAL SERVICES, PLLC. Business name: CORNERSTONE MULTICULTURAL MEDICAL SERVICES Entity type: Professional Limited Liability Company UBI #: 604-381-480 Business ID: 001 Location ID: 0001 Location: Active Location address: 32123 1 STAVE S ST E Al FEDERAL WAY WA 98003-5720 Mailing address: 16243 BE 326TH ST AUBURN WA 98092-5907 Excise tax and reseller permit status: Click here Secretary of State status: Click here New search Back to results Endorsements Endorsements held at this location License # Count Details Status Expiration date First issuance Federal Way General Business 19 -100853 -00 -BL Active Feb -28-2021 Feb -26-2019 Governing People May Include governing people not registered with Secretary of State Governing people Title BYEON, JAI JUN Registered Trade Names Registered trade names Status First issued CORNERSTONE MEDICAL SIRVICES Active Apr -16-2019 CORNERSTONE MULTICULTURAL SERVICES Active Apr -16-2019 KEYSTONE MEDICAL SERVICES Active Dec -03-2019 https://secure.dor.wa.gov/gteunauth/—,/#36