Rucker Avenue Chiropractic Center P.S. 1/18/2022

CITY OF EVERETT CORONAVIRUS LOCAL FISCAL RECOVERY FUND EVERETT FORWARD Grant Program Beneficiary Agreement Grantee Rucker Avenue Chiropractic Center P.S. Program title Everett Forward Grant Grant amount$ 20,000 Agreement period From: 11/30/2021 To 12/31/2022 DUNS No.(If applicable) SAM No.(if applicable) This Agreement is made by and between the City of Everett,a municipal corporation("the City")and Grantee to set forth the terms and conditions under which the City will provide a grant to Grantee under the Program to be used for costs incurred during the Agreement Period. 1. Scope of Eligible Expenditures. Grant funds may only be used to pay or reimburse eligible expenditures as described in the"Federal Terms"(Exhibit 1),and as detailed in the"Scope of Work"(Exhibit 2). No grant funds may be used to pay or reimburse expenditures for which Grantee has received any other funding,whether state, federal or private in nature,for that same expense. 2. Grantee Responsibilities.Grantee understands and agrees that funds provided under this Agreement may only be used in compliance with section 603(c)of the Social Security Act("the Act"),as added by section 9901 of the American Rescue Plan Act("ARPA"),the U.S.Department of Treasury's("Treasury's")regulations implementing that section,guidance issued by Treasury regarding the foregoing,and any other applicable federal provisions,including those described in the"Federal Terms"(Exhibit 1). 3. Grantee Certifications.Prior to any disbursement of funds authorized by this Agreement,Grantee shall provide the City with: Civil Rights Certification Form (Exhibit 4), the Lobbying Certification Form (Exhibit 5) and, if applicable,the Lobbying Disclosure Form(Exhibit 6). 4. Request for Payment. Grantee shall submit a properly executed Payment Request Form (Exhibit 7), Cost Certification(Exhibit 3)and supporting documentation for the expenses therein as frequently as desired,but at a minimum no later than fifteen(15)working days after the close of each calendar quarter throughout the term of the Agreement. Funds shall only be disbursed after all documentation has been submitted. 5. Maintenance of and Access to Records. Grantee shall maintain all records and accounts with respect to all matters covered by this Agreement, including personnel, property, financial, and programmatic records and documents sufficient to evidence compliance with section 603(c) of the Act, Treasury's regulations implementing that section, and guidance issued by Treasury regarding the foregoing. These records shall be maintained for a period of six(6)years after all funds have been expended or returned to the City, whichever is later, to ensure proper accounting for all funds and compliance with the Agreement. The City, the Treasury Office of Inspector General,and the Government Accountability Office,or their authorized representatives,shall have the right of access to records (electronic and otherwise) of Grantee in order to conduct audits or other investigations.Grantee acknowledges that records may be subject to disclosure under the Public Records Act, Ch.42.56 RCW. 6. Publications.Any publications produced with funds from this Agreement must display the following language: "This project [is being][was] supported, in whole or in part, by federal award number SLFRP0152 awarded to City of Everett,Washington by the U.S. Department of the Treasury." EVERETT Everett Forward Grant Program Agreement Page 1 MINI WASHINGTON