AGR-6980.08 - OSTIONERIA BAHIA - SMALL BUSINESS ASSISTANCE GRANT; COVID-19 PANDEMICA,R-(`'80 S
CITY OF ORANGE
SMALL BUSINESS
ASSISTANCE PROGRAM GRANT AGREEMENT
This SMALL BUSINESS ASSISTANCE PROGRAM GRA iNT AGREEMENT
Grant Agreement") is made and entered into as of the 1$day of eCe er,-2020 ("Effective
Date") by and between the CITY OF ORANGE, a municipal corporation ("City"), and
OSTIONERIA BAHIA ("Recipient"), a sole proprietorship,with reference to the following:
RECITALS
WHEREAS, the novel coronavirus (COVID-19) has become a world-wide pandemic, in
which the federal, state, county and city governments, including the City of Orange, have all
declared a state of emergency; and
WHEREAS, the efforts to minimize.the spread of COVID-19 have, among other things,
created for many Orange businesses the loss of income as a result of a significant reduction of
hours and operations,hindering the ability to keep up with payrolls, rents, mortgages,utility bills,
business operations and other related expenses; and
WHEREAS, the City has determined that encouraging and promoting stability among
commercial businesses and their employees is conducive to the public health and welfare of the
City; and
WHEREAS, the Community Development Block Grant program has made available to
the City,funds to be used for certain specific purposes related to small businesses and the retention
of their low- and moderate-income employees; and
WHEREAS, the City wishes to grant to Recipient, and Recipient wishes to receive said
grant funds.
NOW, THEREFORE, both the City and Recipient, in consideration of the mutual
promises, covenants and conditions contained herein and tlie substantial public benefits to be
derived therefrom, do hereby agree as follows:
AGREEMENT
1. Purpose of Grant. This Small Business Assistance Program Grant ("Grant") is
awarded by the City to Recipient for the sole purpose of retaining low- and moderate-income
employees, defined as employees earning < 80% of the HUD Area Median Income during the
economic emergency caused by the COVID-19 pandemic.
2. Total Amount of Grant. The Grant awarded to Recipient shall be in the amount
of TWENTY THOUSAND DOLLARS and 00/100 ($20,000.00), payable in one lump sum, and
subject to the terms and conditions contained herein.
3. Reciuient Obligations.
A. Recipient acknowledges the certifications and promises contained in the
Small Business Assistance Program Participant Certification, attached as Exhibit "A" and
incorporated herein, including acknowledgement of the federal prohibition on the receipt of
benefits, including insurance payments, totaling more than the documented losses for the
applicable period of time and the promise to repay any such excess assistance, and agrees to abide
by them during the term of this Grant Agreement.
B. Recipient shall retain those employees designated in the Grant Application
approval as low- and moderate-income for a period not less than ninety(90) days after receipt of
the Grant at the same or better rate of pay and with the same or better benefits as those existing as
of the date of this Grant Agreement.
C. Recipient shall maintain payroll records showing the date, designated
employee's name, rate of pay, and benefits during the term of this Grant Agreement. At the
expiration of ninety (90) days after receipt of the Grant, Recipient shall submit to the City the
Certification of Compliance letter that is attached hereto as Exhibit "B" and provide the required
payroll records and any additional documentation requested by the City. City shall review said
records for compliance with the terms and conditions of this Grant Agreement.
4. Review of Pavroll Records bv City. After review of the Certification of
Compliance letter, the payroll records and any other documentation submitted by Recipient, City
will either:
A. Approve said records, in which case Recipient will not incur any obligation
to repay the Grant and this Grant Agreement will terminate; or
B. Disapprove said records, in which case Recipient will be obligated to repay
to City those amounts determined by City to have been not used for the intended purpose of this
Grant Agreement.
5. Repayment of Grant. If Recipient is required to repay all or part of the Grant,
said repayment to City shall be made according to a schedule as determined by the City.
6. Governing Law and Venue. This Grant Agreement shall be construed in
accordance with and governed by the laws of the State of California and Recipient agrees to submit
to the jurisdiction of California courts. Venue for any dispute arising under this Grant Agreement
shall be in Orange County, California.
7. Inte ration. This Grant Agreement constitutes the entire agreement of the parties.
No other agreement, oral or written, pertaining to the duties and obligations of each party under
this Grant Agreement shall be of any force or effect unless it is in writing and signed by both
parties.
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8. Notic,e,. Except as otherwise provided herein,all notices required under this Grant
Agreement shall be in writing and delivered personally, by e-mail, or by first class U,S. mail,
postage prepaid, to each party at the address listed below. Either party may change the notice
address by notifying the other party in writing. Notices shall be deemed received upon receipt of
same or within three(3)days of deposit in the U.S.Mail,whichever is earlier. Notices sent by e-
rnail shall be deemed received on the date of the e-mail transmission.
RECIPIENT" CITY"
Qstioneria Bahia City of Orange
4429 E.Chapman Ave. 300 E. Chapman Avenue
Orange,CA 92869 Orange, CA 92866-1591
Attn.: Roberto O. Ceja Altn.:Aaron Schulze
Telephone: 949-939-6424 Telephone: 714-744-2202
E-Mail:bahia4429@gmail.com E-Mail: aschulze@cityoforange.org
9. Counteroarts. This Grant Agreement may be executed in one or more
counterparts,each of which shall be deemed an original,but all of which together shall constitute
one and the same instrument. Signatures transmitted via facsimile and electronic mail shall have
the same effect as original signatures.
IN WITNESS of this Grant Agreement,the parties have entered into this Grant Agreement
as of the year and day first above written.
RECIPIENT" CITY"
OSTIONERIA BAHIA, CITY OF ORANGE, a municipal corporation
a sole proprietorship
gy;Roberto O.Ceja 0 y;
Printed Name:Roberto O. Ceja ick OtEo,City Manager
Title: Owner
gy; APPROVED AS T0,FORM:
Printed Name:
Title:
Mary E.Bi 'ng
Senior Assi tant City Attorn
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EXHIBIT "A"
CITY OF ORANGE
SMALL BUSINESS ASSISTANCE PROGRAM
PARTICIPANT CERTIFICATION
Beneath this sheet]
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Ci y c
Cit of ran eY9
Srnall Business
Assistance Program
APPLtCATION PACKET `
Applic tior s accepted beginning May 26, 2020
The purpose of this grant program is to assist small business owners in Orange that have been adversely
affected by COVID-19 to retain jobs that are held by their low and moderate-income workers. Funds will
be provided to assist with payroll costs for qualified small businesses that pledge to keep their low and
moderate-income employees employed for three months after receiving the grant.
Who can qualify?
1. l'he business is physically located in Orange, has been in the City for a minimum of one year and
is not a franchise or part of a chain of more than three locations.
2. The business is a for profit business.with at least 2, but:not more than 50 employees.
3. The business has grass annual revenues of at least$100,000, but no more than $5 million.
4. The business has experienced at least a 25% reduction in revenue due to COVID-19 and is
able to provide documentation showing the loss in revenue.
5. 50% of employees of the business meet low- and moderate-income requirement of <_8Q% of the
HUD Area Median Income.
6. The business continues to operate legally during the COVID-19 crisis and the designated
employees are actively working at the business.
7. The business has not received full coverage of emplo.yee payroll from an insurance provider or
any other entity.
8. The business has had no major code violations in the last twelve months.
9. Adult businesses, massage parlors, and largely cash-based businesses are not eligible.
10. Individuals that own or have interest in more than one business may be limited to one grant total
i.e., if a person has ownership interest in three businesses, only one of those businesses may
receive a grant under this program}.
How much is the grant?
The grant is to be used for payroll costs for your low- and moderate-incvme employees for three months
up to a maximum of$20,000.
How do I apply'
Complete the Grant Application online at www.citvofaranae.ora and attach all the required information
on the Document Checklist. You will receive an email advising you that your application has been
received. An incomplete application will delay the review of your application. Listed documentation is a
minimum requirement and staff may request additional documentation to determine eligibility.
If you have any questions, please email Aaron Schulze, Senior Administrative Analyst at
aschulzeC citvaforange.orq, or call (714) 744-2202. Funding is limited and will be disbursed on a first
come, first served basis.
Small Business Assistance Program Application
BUSINESS INFORMATION
Name of Business
Ostioneria Bahia
Type of Business(e.g.,LLC,corporation,sole proprietorship)
estaurant
Address of Business
429 E. Chapman Ave, Orange, CA, 92869
Business Employer ldentification Number(EIN)Years in Business
29
of Employees of Employees Meeting Low/Mod Income City Business License Number
1
Requirement
11 68675
OWNER
INFORMATION
OWNER ___..____._.____ CO-OWNER.
Name Name
Roberto O. Ceja
Social Security Number Contact Phone(area code) Social Security Number Contact Phone(area code)
49-939-6424
Present Address(sVeet,city,state,zip)Present Address(street,city,state,zip)
18995 State St, Corona, Ca, 92881
Email Address Email Address
bahia4429@gmail.com
INC,OME
REQUIREMENTS'
T..____.___--- -..._----____-----.__..--_
See Income Verification Form for,details.on income requirements for eligible employees.
BU$INESS INCOME INFORMATIO-N
2019 INCOME. 2020 INCOME(USE THE SAME MONTHS QS 2019)
Month#1 Gross Sales 72,886.0o Month#1 Gross Sales 43,570.00
Month of March Month ofMarch
Month#2 Gross Sales s1,322.0o Month#2 Gross Sales 24,2s8.00
Month of April Month of April
Please provide a brief explanation of the adverse economic effects COVID=19_has had on your business:
Due to Covid-19 we have experienced larger expenses on items that during the pandemic are more expensive such
as the basics like rice, beans, sanitizer, toilet paper, Beef and paper goods. Our clients have dropped tremendously du
to the lockdowns, restrictions and being scared of getting Covid-19.
REQUIRED DQCUMENTS—SEE DOCUMENT CHECKLIST FOR DOCUMENTS ACCEPTED FOR VERIFlCATION
1. Revenue statements for 2 months in 2U2Q verifying 25% less revenue than the same months in 2019
2. Revenue statements for the same two months in 2019
2. Annual revenue statement for 2019
3. Payroll records for each qualifying employee
4. Documentation for any other CARES Act funds that you have received (PPP, EIDL...etc.)
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Small Business Assistance Program Application
ACKNbWLEDGMENT•AND'CERTIFICATION
Acknowledgement: I/We understand that this grant is being provided by the Ciry of Orange based solely upon
the information that I/we have provided in this application. I/We also cert'rfy that there are no outstanding tax
liens or legal judgements against the business.
Certification: I/We certify that the information provided in this application is true and complete to the best of
my/our knowledge as of the date set forth opposite my/our signature(s) in this application and acknowledge
my/our understanding that any intentional or negligent misrepresentation(s) of the information contained in this
application may result in civil liability and/or criminal penalties.
By signing below, I/we certify that the above statements are true and correct to the best of my/our knowledge.
I/We understand that a false statement may disqualify me/us from benefits.
Owner y•^w,^,_,.<-- Date Co-Owner Sig nature Date
pht 12/01/2020Kny:..VaJleccdVJl a6Mo:t'Yr6R aI I OAo-'
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City of Orange
Small Business Assistance Program
Owner Participant Certification
Business Name ostioneria bahia
BuSiness AddreSS 4429 E. Chapman Ave, Orange, CA. 92869
In order to participate in the City of Orange Small Business Assistance Program ("Program")
and receive a grant, the City of Orange ("City") requires that you ("Recipient") and your staff,
if applicable, certify the following:
You own a small business that employs between 2 and 50 employees.
Your business is operating during the COVID-19 crisis and your qualified employees are
working at the business.
50% of your employees who are holding the jobs retained, make less than the low- and
moderate-income requirement of <80% of the H U D Area Median Income (see Income
Verification Form for details).
Your business has been in operation in Orange for at least one year.
Your business has experienced a revenue decrease of at least 25% compared to 2019,
because of the impact of COVID-19.
Your business is not a franchise and is not a chain of four or more locations.
You commit to continue operating and keep your low and moderate-income
employees employed at your business for a minimum of three months after receipt
of the grant funds.
Notwithstanding any other rights of the City under other Sections of this Certification or applicable
law, if the Recipient violates any of the terms, covenants or provisions of the Certification, or if
any representation or warranty made by the Recipient in this Certification or in any document
or application submitted in connection with this Certification or the Program shall prove false or
misleading, or if, in the sole judgment of the City, the conduct of the Recipient is such that the
interests of the City have been or are likely to be impaired or prejudiced, the City shall thereupon
have the right to terminate any grant or withhold payments due under the Program and/or demand
and obtain the return of payments already made which are equal to the damages the City may
have already suffered due to a breach by the Recipient. Any such action by the City shall not give
rise to any cause of action for damages against the City.
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CERTIFICATIONS
1) I certify that my business has been in operation for at least one year in the City of
Orange.
2) I certify that I currentiy employ a total of 11 employees.
3) I certify that at least 50% of my current employees make less than the low- and
moderate-income requirement of <_80% of the HUD Area Median Income.
4) I certify that as a result of COVID-19, my business experienced at least a 25%
decrease in revenue for two consecutive months after January 1 st, 2020, compared
to the average revenue for the same two-month period in calendar year 2019 (or
average monthly revenue based on total 2019 sales).
5) I certify that my business did not receive full coverage of employee payroll from an
insurance provide or any other entity.
6) I certify that the total CARES Act assistance (PPP, EIDL...etc.) that my business has
received is $$4s,z6.00
7) I certify that my business is continuing to operate during the COVID-19 crisis.
8) I certify that my business will retain and pay the listed employees their salary
for a three-month period commencing on the date of receiving their
reimbursement and the employee is working at the business.
9) I certify that my business will comply with all laws and rules applicable to the
program, including City, state and federal laws.
10) I certify that I have not misrepresented the eligibility of my business for the Program.
By signing below, I certify.that the above statements are true and correct to the best of
my knowledge and belief. I understand that willful or fraudulent submission of a materially
false statement in connection with fhis certification may disqualify my business from
eligibility for the Program benefits and may subject my business or myself to criminal
charges.
This certification shall be deemed executed in the City of Orange and State of California
and shall be governed and construed in accordance with the laws of the State of
California and the laws of the United States.
o;,a aa.,-.m„ne:..m_.
C° 12/01/2020
AaT:'Ea.T.x:_YG]a0 3h sNMt l?+o
Business 4wner Signature) Date)
Business wner Signature) Date)
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City of Orange
Small Business Assistance Program—Document Checklist
Document Wliy we need this Documerits accepted
Signed participation Verification that the business employs between 2 and
certification 50 employees,has experienced a foss af revenue,has
a commitment to retain employees by participating in
this program, employees meet income qualifications
and has not already been fully reimbursed by
insurance for wages..
Revenue statements for pocumentation of revenue following COVID-19 impact One or more of the following for the entire impacted period:point-of-
two consecutive months in sales reports,sales reports(demonstrating fees collected or earned
2020 incomej, bank statements, quarterly sales tax filings, or CPA-
certified profit&loss statements for two consecutive months in 2020
Revenue statements for Comparison of typical operating revenue to verify One or. more of the following for the same two months in 2019:
the same two consecutive loss of revenue as a result of COVID-19 point-of-sales reports,sales reports(demonstrating fees collected
months in 2019 or earned income),bank statements,quarterly sales tax filings,or
CPA-certified profit&loss statements for two consecutive months
in 2019
Annual revenue statements Comparison of typical operating revenue to verify One or more of the following for total 2019 sales:point-of-sales
for 2019 loss of revenue as a result of COVID-19 reports,sales reports (demonstrating fees collected or earned
income), bank statements,quarterly sales tax filings, 2019 tax
returns, CPA-certified profit & loss statements, 2019 Tax
Returns(all pages),or Federal 990
Income verification forms To determine if your employees meet the income
filled out and signed by each requirements for the program C lick Here for Income Verification Form
employee)
Payroll records for each To verify employment Payrolf records or cancelled checks to each employee
employee
Proof of Orange location To verify that the business is located in the City City of Orange business license number on application,signed
federal tax forms;signed copy of lease agreement,or 3 months
of operational bills
If you do not have a Clty business license you will be requlred to obtain
one prlor to fund dlstribution
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EXHIBIT "B"
CERTIFICATION OF COMPLIANCE
Beneath this sheet]
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Date:
Lisa Tamburelli
Community Services Department
City of Orange
300 East Chapman Avenue
Orange, California 92866
Re: Certification of Compliance Pursuant to City of Orange Small Business
Assistance Program Grant Agreement
Dear Ms. Tamburelli:
This Certification is submitted to the City of Orange in accordance with the Small
Business Assistance Program Grant Agreement ("Agreement"), and constitutes the Final
Compliance Report. The undersigned authorized representative(s) of OSTIONERIA
BAHIA, hereby certifies(y) each of the following statements:
1.The 90-day compliance period for this Agreement began on December 9, 2020,
and ended on March 9, 2021.
2. During the compliance period, the business continued to operate legally.
3. During the compliance period, the business continued to employ all of its Low-and
Moderate-Income (LMI) employees.
4. Both prior to and during the compliance period, the business did not receive
federal, state or local assistance or insurance payments totaling more than the
documented losses for the applicable period of time.
5: The enclosed payroll documentation is accurate and reflects the continued
employment of the LMI employees.
Dated:
Signature:
By: Roberto O. Ceia
Title: Owner