Cory Michaelis DBA Everett Comedy Night 10/1/2023

Everett Forward Grant Program | Agreement | Page 1 CITY OF EVERETT CORONAVIRUS LOCAL FISCAL RECOVERY FUND Beneficiary Agreement Grantee Program title Grant amount $ Agreement period From: To UEI No. City of Evt Business License No. 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 mitigate financial hardship experienced by Grantee as a result of the COVID-19 pandemic and its economic impacts. Grant funds must be used for costs incurred during the Agreement Period. 1.Grantee’s Financial Hardship. Grantee attests that it has experienced financial hardship as a result of the COVID- 19 pandemic and its economic impacts, such as lost revenue or increased costs, challenges covering payroll, rent or mortgage, or other operating costs, the capacity of a small business to weather financial hardships, and/or general financial insecurity resulting from the public health emergency. Grantee further attests that the amount of this grant is proportional to (or less than) this financial hardship, taking into account any funding, whether local, state, federal, or private, that Grantee has received for the same purpose and for the same time period. Grantee has provided the City with true and correct records documenting this financial hardship, as well as all other funding Grantee has received for the same purpose and the same time period. 2.Scope of Eligible Costs. Grant funds may only be used to pay or reimburse eligible costs 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 costs for which Grantee has received any other funding, whether local, state, federal or private in nature, for that same cost. 3.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). 4.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). 5.Request for Payment. Grantee shall submit a properly executed Payment Request Form (Exhibit 6), Cost Certification (Exhibit 3) and supporting documentation for the costs 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. 6.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 Round 2 Cory Michaelis DBA Everett Comedy Night EFG2 15,000 1/1/2023 12/31/2024