HomeMy WebLinkAboutCMB Economic Development Agreement with Liliana Montoya, INC. Small Business Grant ProgramDocusgn Envelope ID: 1A85M91-065A4702-98AF-EC83FC3F8623
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2024-33179
CITY OF MIAMI BEACH ECONOMIC DEVELOPMENT DEPARTMENT
AGREEMENT
SMALL BUSINESS GRANT PROGRAM
This Agreement V 'Agreements for o2G Small Business Grant Program (the 'Program') Is
entered into this _ day of MA cM 2 , 2025, by and between the CRY of Miami Beach,
Florida, a municipal corporation organized and existing under the laws of the State of Florida,
having its principal offices at 1700 Convention Center Drive, Miami Beach, Florida, 33139
(hereinafter the 'City ), and LILIANA MONTOYA INC., a Florida corporation whose principal
business address is 1113 Lincoln Roadsters, Siva #6, Miami, Florida 33139 (hereinafter the
"Applicant' or -Participari
Article I I Program Summary
Applicant/Participant.
LILIANA MONTOYA INC.
Applicant/Participant Contact:
LILIANA MONTOYA
Local Business Address:
1113 LINCOLN ROAD, STORE #5
City, Slate, Zip:
MIAMI BEACH, FL 33139
Phone, fax, a -mail:
786-343-3400, LM@LILIANAMONTOYA.COM
Grant AmountlFiscai Impact:
Not to exceed$5,000.
Term:
October 1, 2025 — September 30, 2026
Program Guidelines:
See Exhibit 1, attached hereto and incorporated
herein.
Disbursement Ciaim Deadline:
All reimbursement requests must be submitted on a
before
September 30. 2025.
Article 111 General Conditions
1. BACKGROUND AND PURPOSE
The City of Miami Beach is committed to economic resilience through diversification and targeted
support for small businesses. In the wake of challenges posed by shins In tourism Vend aril rising
commercial rents, small businesses have shown remarkable adaptability but continue to face
pressures from increasing costs and summer slowdowns. To address these challenges, the City
has introduced the Program and offered grants of up to $5,000 to [wanly (20) eligible small
businesses. The Program aims to provide resources to businesses with a physical presence
within the City to help enhance operations, sustain jobs, and support summer success. Aligned
with the City's dedication to innovation and economic vitality, funding for the Program will be
considered as part of the fiscal year 2025 budget process.
2. ELIGIBILITY REQUIREMENTS FOR REIMBURSEMENT'
Application will be evaluated on attains approved by the City Commission as determined by the
Administration, including but not limited to:
• located in Miami Beach, and in operation with a Business Tax Receipt (BTR) for at
least two (2) years;
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registered as an active eolity with the Florida Division of Corpmationw
no atiliation with 9 national chain business or franchise:
in "goad standing" with the City of Miami Beach and Miami -Dade County;
act" City of Miami Beach Business Tax Receipt (BTR) and Mlsmf-Dade County and
Local Business Tex Receipt; and
the City Commission, at As discretion, may consider any other cdtarW at the roquost
and isrxvnmandallon of the City Manager.
3, 66n[1:INT OEIRANT AND PAYMENT SCHEDULE:
The total amount of the grant Is set forth in Article 1, subject to the restrictions set forth herein. In
awarding this grant, the City assumes no obligation to provide financial support of any type
whatsoever in excess of the total Grant Amount. Grant funds will be remitted to Participant as
more particularly set forth in Exhibit 110 this Agreement.
4. REPORTS:
This grant has teen awarded with the understanding that the activities and services contemplated
herein will mutually contribute to the enhancement of services available to City residents.
businesses and visitors. As a condition of disbursements of grant funds, and to demonstrate that
the grant is fulfilling, or has fulfilled its purpose, the Participant must submit a final report, as more
particularly set forth in Exhibit 1 to this Agreement, on or before October 30, 2025.
The City may withhold any future payment of this grant, or the award of any subsequent grant, if it
has not received this final report required to be submitted by Participant, or t such report does not
meet the City's reporting requirements. Any reports may be disseminated by the City without the
prior written consent of Participant.
5. REIMBURSEMENT REQUE51
Participant may submit one reimbursement request to the City following the conclusion of the Term.
This request must be submitted together with the ParticipanCs final report. All expenditures must
have occurred during the Tenn and be directly related to grant -funded activities taking place within
the 2024-2025 fiscal year. The reimbursement request most be submitted as detailed in Exhibit 1
to this Agreement, and must include copies of all receipts, invoices, and cancelled checks
(including copies of both front and back), along with proof of payment. All documentation must be
categorized according to the budget categories set forth in Exhibit 1. The deadline to submit the
reimbursement request is October 31, 2025.
6. GRANT RESTRICTIONS:
Grant funds awarded pursuant to this Agreement may not bra used for the following expenditures
remuneration of City employees for services rendered as part of a proje t funded by this grant
debt reduction, social and/or fundraising events; cash prizes; lobbying or propaganda materials;
charitable contributions; or events not open to the public.
7. ACCOUNTING AND FINANCIAL REVIEW:
Fundd ty$ fiscal year
or which
e grant is
approved (llOctobervities by1 thisSeptember 30), Pagrant must take rticipant shall keeace during the p accurate ndfthcompl complete books and
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records of all receipts and expenditures of grant funds, In conformance with reasonable accounting
standards. These books and records, as well as all documents pertaining to payments received
and made in conjunction with this grant, Including, without limitation, vouchers, bills, Invoices,
receipts and canceled checks, shall be dated within the fiscal year for which they are approved
and retained In Miami -Dade County In a secure place and In an orderly fashion by Participant for
at least three (3) years after the end of the Term. These books, records, and documents may be
examined by the City, and/or its authorized representatives, at Participant's offices during regular
business hours and upon reasonable notice. Furthermore. the City may, at Its expense, audit or
have audited, all the financial records of Participant, whether or not purported to be related to this
grant.
d. NO GUARANTEE OF FUNDING:
Participant acknowledges that the receipt of this grant does not imply a commitment on behaff of
the City to continue or provide funding beyond the leans specified in this Agreement-
9 DEFAULT/TERMINATION PROVISIONS:
A. In the event Applicant shall fall to comply with any of the covenants. terms of
provisions of this Agreement including, without limitation. Applicant's failure to: (i)
comply with the Program Guidelines. as set forth in Exhibit 1 to this Agreement
(it) timely submit any reports or documentation. when due, es required under this
Agreement; a (ill) comply with any other lens or condition of this Agreement, the
City Manager or the City Managers designee shall Issue whiten notice to the
Participant and provide Participant with thirty (30) days to cure the default. If, at
the City Managers sole discretion, the breach is cured within that period.
continued participation in the Program may be allowed. If, however, the
Participant (ails to cure the breach, or again breaches this Agreement during the
Performance Period, no further cure period shall be allowed and the City Manager
may terminate this Agreement with written notice to the Participant, thereby
relieving the City of any further obligation to Participant under this Agreement.
B. Where a Participant is delinquent In paying its lazes, fines, ar any other fees due
to the City In Its governmental capacity, or in connecion with any other
agreements between the City and Applicant, the City shall withhold funds until the
Participant Is current Where a Participant Is more than one (1) year delinquent,
the Participant's award shall be canceled, and the Participant shall be disqualified
from participating in the Program, and the City shall have no further obligation to
the Applicant under this Agreement.
C. Tefminelion for Fraud or Material Maimpresentallons. Additionally, d the default
Is of a nature that cannot be cured. such as fraud or a meters] misrepresentation
In connection with Participant's performance under this Agreement, the
lernlnation shall be effective upon receipt of the termination notice and no cure
period shall apply.
D. Further, In the event that the City Manager, in his/her sole discration or the sole
discretion of his/her designee, finds that the funds were ineligible payments under
the terms of the Agreement, whether as a result of fraud, misrepresentation, or
negligence of Participant, Participant shall be required to repay to the City all or
any portion of the payments received by Applicant under this Agreement as of
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the date that
itten demand 15 received (-Demand
epl ru of w Recapture"), within
thirty 130)days fromI'll of the Demand for
:. Applicant further acknowledges and agrees that any default may, 81 the We
sole discretion, render Applicant ineligible for any future funds pursuant to this
Program or otherwise.
F. These provisions shall not waive or preclude the City from pursuing any and as
remedies at law and in equity.
G. Termination for Convenience. This Agreement may be terminated try the City, for
convenience and without cause, through the City Manager, upon 30 days prior
written nutice to Padicipaul, in the event of such termination for convenience, rho
City shall retain any Funds which were not disbursed to Participant before he
immediately le returning anof y unused articipant shall or napproved bFunds las rof thesidWee or
of
lamination. and shall also be solely responsible for submitting a final report. as
provided in Exhibit 1 to this Agreement, detailing all Program objectives, activities
and expenditures up to the ddng tive days date of
the effective daten Said final
Iterminatio Ii
be due within five (5) ng Y
Upon timely receipt of Participants final report, the City, at its sole discretion, shell
determine the amount (if any) of any additional portion of the Funds to be returned
to the City as a result of any unapproved or unused Funds, or incomplete Prograid
m
items, and shall provide Participant with written notice of any monies of such
additional monies shall be due and payable immediately upon
notice by Participant. Notwithstanding the preceding, the City reserves any and
all legal rights and remedies it may have with regard to recapture of all or any
portion of the Funds, or any assets acquired or improved in whole or in part with
said Funds.
Article III I Miscellaneous Provisions
1 INSPEj',Tg E L AUDIT RIGHTS:
A pursuant to Section 2-256 of the Code of the City of Miami Beach, the City has
random basis
established the i Officii, Of
and investigations ones General
wnuects, which may, on tin throughout the Perform
uato reviews,
said
audits,
comracls. This random audit is separate and distinct from any other audit performed Y w on
behalf of the City.
The OKice of the Inspector General is authorized to investigate City affairs and
B.
empowered to review past, presant and proposed City prognt -accounts, records, contracts
and transactions. require
addition, production off wltpector Cxnessea and moeneral has nitor City projecower to ts end program.
administer oaths. W r Include a report conceming whether the
Monitoring of an existing City project w program may
project Is on time, within budget and in conformance with tho contact documents and applicable
tor, Oversee, insPed
law. The Inspector General shall have the pie er t pe coremenl procele s
s eludi^9 but not Invited
and review operations, activities, Pe
to project design, bid specifications. (bidlproposap submittals, activities of Participant, its Officers.
hthe
agents and Officals 10
compliance
contract documeints and detecoyees, lobbyists .t fraud and corrruptiity staff and on, Pursuant tonSection 2 378 of the City
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Code, the aty Is allocating a percentage of Its overall annual contract expenditures to fund the
activities and operations of the Office of Inspector General.
C. Upon ten (10) days written notice to Participant, Participant shall make all
requested records and documents available to the Inspector General for Inspection and copying.
The inspedor General is empowered to retain the services of Independent private sector auditors
to audit, Investigate, monitor, oversee, inspect and review operations activities, performance and
procurement process including but not limited to project design, bid specifications, (bid/proposal)
submittals, activities of Participant, his officers, agents and employees, lobbyists, City staff and
elected officials to ensure compliance with the contract documents and to detect fraud and
corruption.
D. The Inspector Generel shall have the right to inspect and copy all documents and
records in Participant's possession, custody or control which in the Inspector General's sole
judgment, pertain to performance of the contract, including, but not limited to original estimate
files, change order estimate files, worksheets, proposals and agreements from and with
successful subcontractors and suppliers, all project elated correspondence, memoranda,
Instructions, financial documents, construction documents, (bid/proposel) and contract
documents, backchange documents, all documents and records which involve cash, trade or
volume discounts, insurance proceeds, rebates, or dividends received, payroll and personnel
records and supporting documentation for the aforesaid documents and records.
E. Participant shall make available at its office at all reasonable times the records,
materials, and other evidence regarding the acquisition (bid preparabon) and performance of this
Agreement, for examination, audit, or reproduction, until three (3) years after final payment under
this Agreement or for any longer period required by statute or by other clauses of this contract. in
addition:
If this Agreement is completely or partially terminated, Participant shall make
available records relating to the work terminated until three (3) years after any
resulting final termination settlement; and
11, Participant shall make available records relating to appeals or to litigation or the
settlement of claims arising under or relating to this Agreement until such
appeals, litigation, or claims are finally resolved.
F. The provisions in this section shall apply to Participant, Its officere, agents,
employees, subcontractors and suppliers. Participant shall incorporate the provisions in this
section in all subcontracts and all other agreements executed by Participant in connection with
the performance of this Agreement.
G. Nothing in this section shall impair any independent right to the City to conduct
audits or investigative activities. The provisions of this section are neither intended nor shall they
be construed to impose any liability on the City by Participant or third parties.
2. INDEMNIFICATION:
The Participant shall Indemnify and hold harmless the City, its officers, employees and agents,
from any and all claims, liability, losses and causes of action which may arise out of an act,
omission, negligence or misconduct on the part of the Participant, or any of its agents, officers,
servants, employees, contractors, patrons, guests, clients, licensees, Invitees, or any persons
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acting under thin direction, control, or supervision of Participant, pursuant to this Agreement anther
the Program. The Participant shell pay ail claims and losses of arty nature whatsoever in
connection therewith and shell defend
all suits In the name of the City. and shall pay all costs
(including attomey's fees) and judgements which may Issue thereon. This indemnification shall
survive the termination and/or expiration of this Agreement.
3. S�SIC-NMf.KT�
Participant shall not assign or subcontract, in whole or in part, this Agreement without the prior
written consent of the City Manager, which consent, if given at all, shall be at tits City Manager's
sole discretion and judgment. Any purported assignment or subcontract of this Agreement In
violation of the foregoing will be void, and shall be treated as an event of default pursuant to this
Agreement.
4, COMPLIANCE WITH LAWS'
Participant agrees ide by
lawsincluding butt not blimited and be governed by l
to Miami -Dade County's applicable Federal Conflict ofIn erest and Code of Ethics
Ordinance, as amended, which is incorporated herein by reference as 0 fully set forth herein, and
Chapter 2, Article VII of the City Code, as amended, which is incorporated herein by reference as
if fully set forth herein.
5. FLORIDA PUBLIC RECORDS LAW'
A. Participants shall comply with Flodda Public Records law undo( Chapter 119,
Florida Statutes, as may be amended from time to it".
B. The term 'public records' Shall have the meaning set forth in Section 119.011(12).
which means all documents, papers, letters, maps, books, tapes, photographs, films, sound
recordings, data processing software, or other material, regardless of the physical form,
characteristics, or means of tiansnission, made ul �"c AvW putsuunt to law or ordinance or in
connection with the transaction of official business of the City.
C. Pursuant to Section 119.0701 of the Florida Statutes, if Participant meets the
definition of'Contractor as defined in Section 119.0701(l)(a), Participant shall:
Keep and maintain public records required by the City to perform the service
li. Upon request from the D ly's custodian of public records, provide the City with a
copy of the requested records or allow the records to be inspected or copled
within a reasonable time at a cost that does rot exceed the coat provided in
Chapter 119, Florida Statutes or as otherwise provided by law;
ni. Ensure that public records that are exempt or confidential and exempt from
public records disclosure requirements are tot disclosed. except as authorized
by law, for the duration of the contract ten and following completion of this
Agreement if Participant does not transfer the records to the City;
D. Upon completion of the Agreement, transfer, at no cost to the City, all public records
in possession of Participant or keep and maintain public records required by the City to Perform
the service. If Participant transfer$ all public records to the City upon completion of this Agreement,
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Participant shall destroy any duplicate public records the( are exempt of confidential and exempt
from pubk records disclosure requirements. If Participant keeps and maintains public records
upon completion of this Agreement, Participant shall meet all applicable requirements for retaining
public records. All records stored electronically must be provided to the City, upon request from
the Gty's custodian of public records, In a formal that Is compatible with the Information techrwbgy
systems of the City.
E. REQUEST FOR RECORDS; NONCOMPLIANCE
I. A request to Inspect or copy public records relating to the Gty's contract for
services, must be made directly to the City. If the City does not possess the
requested records, the City shall Immediately notify Participant of the request, and
Participant must provide the records to the City or allow the records to be
inspected or copied within a reasonable time.
ii. Participant's failure to comply with the Cites request for records shall constitute a
breach of this Agreement, and the City, at its sole discretion, may: (1) unilaterally
terminate this Agreement; (2) avail itself of the remedies set forth under this
Agreement; and/or (3) avail itself of any available remedies at law or in equity.
iii. If Participant fails to provide the public records to the City within a reasonable time
may be subject to penalties under s. 119.10.
R CIVIL ACTION
I. If a civil action is filed against Participant to compel production of public records
relating to the City's contract for services, the court shall assess and award
against Participant the reasonable costs of enforcement, including reasonable
attorneys' fees, if:
ii. The court determines that Participant unlawfully refused to comply with the public
records request within a reasonable time; and
iii. At ]east 8 business days before filing the action, the plaintiff provided written
notice of the public records request, including a statement that Participant has not
complied with the request, to the City and to Participant.
iv. A notice compiles with subparagraph (iXb) if it is sent to the City's custodian of
public records and to Participant at Participant's address listed on its agreement
with the City or to Participant's registered agent. Such notices must be sent by
common carrier delivery service or by registered, Global Express Guaranteed, or
certified mall, with postage or shipping paid by the sender and with evidence of
delivery, which may be in an electronic format.
v. If Participant complies With a public records request within 8 business days after
the notice is sent is not liable for the reasonable costs of enforcement.
IF PARTICIPANT HAS QUESTIONS REGARDING THE APPLICATION OF
CHAPTER 119, FLORIDA STATUTES, TO PARTICIPANT'S DUTY TO
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PROVIDE PUBLIC RECORDS RELATING TO THIS AGREEMENT,
CONTACT THE CUSTODIAN OF PUBLIC RECORDS AT:
CITY OF MIAMI BEACH
ATTENTION: RAFAEL E. GRANADO, CITY CLERK
1700 CONVENTION CENTER DRIVE
MIAMI BEACH, FLORIDA 33139
EMAIL: RAFAELGRANADOQMIAMIBEACHFL.GOV
PHONE: 306-673-7411
Any notices required under this Agreement will be effective when delivered to the City In wilting
and addressed to the City Manager's designee:
City of Miami Beach
Economic Development Department
Alto Director
1755 Mardian Avenue, Suite 200
Miami Beach, FL 33139
Tel: 305-673-7572
Email: mbb z®miamibeac-hA2Dv
Any notices required under this Agreement to Participant shall be delivered In wilting to
Participant's contact.
7 NO DISCRIMINATION:
Participant also accepts and agrees to comply with the following special conditions
A. Participant hereby agrees that it will comply with Title VII of the Gvil Rights Act of
1964 (Pub. L. 86-352) (Title VII), as amended, as it appears In volume 42 of the United States
Code, beginning at Section 2000e, prohibiting employment discrimination based on race, color,
religion, sex and national origin.
B. The Participant hereby agrees that it will comply with City of Miami Beach Human
Rights Ordinance as codified in Chapter 62 of the City Code, as may be amended from time to
time, prohibiting discrimination in employment (including independent contractors), housing and
pudic accommodations, public services and in connection with its membership or policies on
account of actual or perceived we, color, national origin, religion, sex, imersexuality, gentler
identity, sexual orientation, mantal and familial status, age, disability, ancestry, height, weight,
hair texture and/or hairstyle, domestir: partnar status, Iahor organization membership, familial
situation. or pofiho l affiliation
C The City endorses, and Participant shell comply with, the clear mandate of the
Americans with Disabilities Act of 1990 (ADA) to remove barriers, which prevents qualified
indiodusis with disabilities from enjoying the same employment opportunities that are available
to persons without disabilities.
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D. The City also endorses the mandate of the Rehabilitation Act of 1973 and Section
Wit and prohibits discrimination on the basis of disability and requires that Grant recipients
provide equal access and equal opportunity and services without discrimination on the basis of
any disability,
8. N0 WAIVIER
No waiver of any breach or failure to enforce any of the terms, covenants, conditions or other
provisions of this Agreement by either party at any time shall in any way affect, limit, modify or
waive either party's right thereafter to micros or compel strict compliance with every term,
covenant, condition Or other provision hereof.
9. GOVERNING LAW AND EXCLUSIVE VENUE AND ATTORNEY'$ FEE
This Agreement shall be governed by, and construed in accordance with, the laws of the State of
Florida, both substantive and remedial, without regard to principles of conflict of laws. The
exclusive venue for any litigation arising out of this Agreement shall be Miami -Dade County,
Florida, if in State court, and the U.S. District Court, Southern District of Florida, if In federal court.
BY ENTERING INTO THIS AGREEMENT, THE CITY AND PARTICIPANT EXPRESSLY WAIVE
ANY RIGHTS EITHER PARTY MAY HAVE TO A TRIAL BY JURY OF ANY CIVIL LITIGATION
RELATED TO, OR ARISING OUT OF, THIS AGREEMENT.
10. CONFLICT OF INTEREST
Applicant agrees to adhere to and be governed by all applicable State, County and City conflict
of interest laws including, without limitation, State of Florida Code of Ethics for Public Officers and
Employees, as set forth in Chapter 112, Florida Statutes, as may be amended from time to time;
Miami -Dade County Conflict of Interest and Code of Ethics Ordinance, as set forth in Section 2-
11.1 of the Miami-Datle County Code, as may be amended from time to time: and by Section 2-
446 at seq. of the City of Miami Beach Code of Ordinances regarding voting and conflicts and
disclosures of financial interests, as may be amended from time to time; all of which are
incorporated herein by reference as if fully set ford herein; and further acknowledges the
following:
A. No officer, director, employee, agent, or other consultant of the City or a member
of the immediate family or household of the aforesaid has directly or indirectly received Or been
promised arty form of benefit, payment w compensation, whether tangible or intangible, in
connection with the approval of this Program;
B. There are no undisclosed persons or entities interested with the Participant in this
Agreement. This Agreement Is entered into by Participant without any connection with any other
milty, or person making a request for funding in the same Program, and without collusion, fraud
or conflict of interest. No elected or appointed officer w official, director, employee, agent or other
consultant of the City, or of the State of Florida (included elected and appointed members of the
legislative and exaoufive branches of govemmenl), or a member of the immediate family w
household of any of the aforesaid:
i. is interested on behalf of or through the Applicant directly or indirectly in any mariner
whatsoever In the execution or the performance of this Agreement, or in the
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services, supplies or work, to which the Agreement relates or in any porikm of the
revenues. or
R. is 9n employee, agent, advisor, or comiultant to the Appllcanl of to the best of the
Applicant's knowledge any subcontractor or supplier to the Applicant.
C. Subject to the exceptions and provisions of (cX2) through (cX(h of Section 2-11.1
ot the Miami -Dade County Code, Comnlissloncm, autonomous personnel, quasi judicial
personnel, advisory personnel, department personnel, employees or member of his or her
immediate family (fill as defined In Section 2-11.1(b) of fhe Miami -Dade County Code) of the City
are prohibited from entering Into any contract or Imnsacling any business in which he of she or a
member of his a her immediate family has a Menial interest, direct or Indirect, with the Gly Of
any person or agency acting for the City, and any such contract, agreement or business
engagement entered in violation of this subsection shall render the transaction voidable.
D, Subject to the exceptions and provisions of (cX2) through (c)(6) of Section 2.11.1
of the Miami -Dade County Code, City Commissioners, autonomous personnel, quasi-judicial
personnel, advisory personnel, department personnel, employees or a member of the Immediate
tamily of the aforesaid is prohibited from entering into any comrecl or transacting any business
through a film, corporation, partnership or business entity in which the aforesaid or any member
of his or her immediate family has a controlling financial interest (as defined in Section 2-11, t(b)
of the Miami -Dade County Code), direct or Indirect, with the City or any person or agency acting
for the City, and any such contract, agreement or business engagement entered in violation of
this subsection shall render the transaction voidable.
E. Pursuant to Section 2-446 of the City's Code of Ordinances, it is the policy of the
City Commission that no officer or employee of the City, or any of its agencies or subdivisions,
and no member of the City Commission, shall have any interest, financial or otherwise, direct or
indirect, or engage In any business transaction, of professional activity, or incur any obligation of
any nature that is in substantial conflict with the proper discharge of his/her duties in the public
interest.
F. The provisions of this Section 3 are supplemental to, not in tieu of, all applicable
laws with respect to conflict of interest. In the event there is a difference between the standards
applicable under this Section and those provided by statute, the stricter standard shall apply.
G. In the event Applicant has no prior knowledge of a conflict of interest as set forth
above and acquires information which may indicate that there may be an actual or apparent
violation of any of the above, Applicant shall promptly bring such information to the attention of
the City's representative. Applicant shall thereafter cooperate with the City's review and
investigation of such information and comply with the instructions Applicant receives from the
City's representative regarding remedying the situation.
11. PROHIBITION ON CONTRACTING WITH AN INDIVIDUAL OR ENTITY WHICH HAS
PERFORMED SERVICES FOR COMPENSATION TO A CANDIDATE FOR CITY
ELECTED OFFICE:
Participant warrants and represents that, within two (2) years prior to the Effective Dale,
Participant has not received compensation for services performed fare candidate for City elected
office, as contemplated by the prohibitions and exceptions of Section 2-379 of the City Code.
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For the avoidance of doubt, the restrictions on contracting with the City pursuant to Section 2-
379 of the CRY Code shelf nol apply to the following:
A. Any Individual or entity that provides goods to a candidate for office.
B. Any Individual or entity that provides services to a candidate to office if those same
services are regularly performed by the individual or amity In the ordinary course of business for
dients or customers other than candidates for office. This Includes, without limitation, banks,
telephone or internal service providers, printing companies, event venues, restaurants, caterers,
transportation providers, and office supply vendors.
C. Any individual or entity which performs licensed professional services (Including
for example, legal or accounting services).
12. PARTICIPANTS COMPLu1NCE WITH ANTI -HUMAN TRAFFICKING LAWS:
Participant agrees to comply with Section 787.06, Florida Statutes, as may be amended from time
to time, and has executed the Anti -Human Trafficking Affidavit, containing the certification of
compliance with anti-humen trafficking laws, as required by Section 787.06(13), Florida Statutes,
a copy of which is attached hereto as Exhibit 2 and incorporated herein.
13. PROHIBITION ON CONTRACTING WITH A BUSINESS ENGAGING IN A BOYCOTT:
Participant warrants and represents that it Is not currently engaged in, and will not engage in, a
boycott, as defined in Section 2-375 of the City Coda In accordance with Section 2-375.1(2)(a)
of the City Code, Partidpant hereby cerfifies that Participant is not currently engaged in, and for
the duration of the Agreement, will not engage in a boycott of Israel.
14, PROHIBITIGNAGAINST CONTRACTING WITH FOREIGN COUNTRIES OF CONCERN
1 EN AN INDIVIDUALS PERSONAL IDENTIFYING INFORMATION MAY BE
ACCESSED:
Participant hereby agrees to wmply with Section 287.138, Florida Statutes, as may be amended
from Ume to time. which stales that as of January 1, 2024, a governmental entity may not accept
a bid on, a proposal for, or a reply to, or enter into, a contract with an entity which would grant the
entity access to an individual's personal identifying Information (Pit), unless the entity provides
the governmental entity with an affidavit signed by an officer or representative of the entity undo
penalty of perjury attesting that the entity does not meet any of the criteria in Paragraphs 2(a)-(c)
of Section 287.138, Florida Statutes: (a) the entity is owned by a government of a foreign country
of concem; (b) the government of a foreign country of concern has a controlling interest in the
entity; or (c) the entity is organized under the laws of or has its principal place of business in a
foreign country of concern (each a *Prohibited Entity). A foreign country of concern is defined in
Section 287.138 (1 xc), Florida Statutes, as may be amended from time to time, as the People's
Republic of China, the Russian Federation, the Islamic Republic of Iran, the Democratic Peoples
Republic of Korea, the Republic of Cuba, the Venezuelan regime of Nicolas Maduro, or the Syrian
Arab Republic, Including any agency of or any other entity of significant control of such foreign
country of concern. Additionally, beginning July 1, 2025, a governmental entity may not extend or
renew a contract with a Prohibited Entity. Participant warrants and represents that it does not fall
within the definition of a Prohibited Entity, and as such, has caused an authorized representative
Page 11 of 19
Dowsign Envelops 10: 1Aa58391-045A41102-NW-EC83FC3Fa623
Dmusign Envelope 10: O3C2E926-2E]D-4005-BOCA-A33)2WE536F
of pedidpani to execute the'prohWltion Against Contracting with Entitles of Foreign CouMrbs of
Concern Affidavit', Incoqwrated herein by reference and attached hereto AS Exhibit 3,
15. S&M-45St$E0 N-11J1g A4..flE.€MENY
Caplxms, as used In this Agreement, are for convenience of reference only and should not be
deemed or construed as in anyway Lmting or "tending the language or provisions to which Such
captlonn may mfor.
• • 'ISCHiL��i�`II
This contract, including its special conditions and exhibits, represents the whole and total
agreement of the parties. No representations, except those contained within this Agreement and
its attachments, ere to be considered in construing Its terms. No modifications or amendments
may be made M this Agreement unless made In writing signed by both parties. The City Manager,
on behalf of the City, shall be authorized to execute amendments to this Agreement; however,
any changes to the Gram Amount shall require approval by the Mayor and City Commission.
[THE REMAINDER OF THIS PAGE IS INTENTIONALLY LEFT BLANK]
Page 12 of 19
Docusign Envaope ID: tA85B191-04 702-98AF-EC83FC3F8e23
Docusign Env ape ID: 03C2E928-2E7C-4D05-BOC A93720aE5WF
IN WITNESS WHEREOF, the parties hereto have caused this Agreement to be
,,,,kited by their duly authonzed officials on the day and dale first above indicated.
ATTEST:
" Ita a Erw'Je
Rafae dN➢ffClly Clerk
Date: 3/11/2026 1 2:43 PM EDT
ATTEST:
Print Name and Title
CITY OF MIAMI BEACH, FLORIDA
By:
E C T. Carpenter, uny Manager
LILIANA MONTOYA INC.
Date: adsm oi r�— '
rrswr
lip Attegdn9lmeaoMlwu eckopa6d9W Npiae mete
d11pmlcapyenaa( )mup naa+
tl9c Oat' a 7l 7o n�y-y ym.�
m4iq 1 y"Ofll
Typ of N Okstm OR
rive a ppkM1cabn INOOue10
APPROVED AS TO
FORM & LANGUAGE
//&�FFOR EXECUTION
City Attorney ti3e' Date
Page 13 of 19
D sign Envelope ID: 1A85B491-045A4702-98AF-EC83FMF8823
Docus nEnvelope113 O3C2E92&2E7C-4D05-BOCA-A33I2O8E5MF
Tl* City if and Puach is
Tlw City id Miami Busch is urnn1111ad to tnul1on11c reslllenca Itnuugh diversflicatbn and
targeted support for small businesses. In the wake of challenges posed by shifts In tourism
trend and rising convnemial rents, small businesses have shown famarkable adaptability
but continue to face pressures from increasing costs and summer slowdowns. To address
these challenges, the City has introduced the Small Business Grant Program (the
-Program'). offering grants of $5,000 to twenty (20) eligible small businesses. The
Program alms to provide resources to businesses with a physical presence within the City
to help enhance operations, sustain jobs, and support summer success. Aligned with the
Citys dedication to innovation and economic vitality, funding for the Program will be
considered as pan of the Fiscal Year 2025 Budget process.
2. Eliniblifty Reduiremants for Reimbursattlant
A. Application will be evaluated by the following coterie.
I. located in Miami Beach and in operation with a Business Tax Retelpt
(BTR) for at least two (2) years;
ii, registered as an active entity with the Florida Division of Corporations:
iii, no affiliation with a national chain business or franchise:
IV. in 'good standing" with the City of Miami Beach and Miami -Dade County
including, but not limited to, an active City of Miami Beach Business Tax
Receipt (BTR) and Miami -Dade County and local Business Tax Receipt
v. revenua/annual sales limit from under $7.5 million as evidenced by recent
tax filings. (Small Business Administration January 2025)
B. Potential Ineligible businesses may Include:
i.
Franchises and national chain businesses;
ii.
Health, medical, and social service businesses such as, but not limited
to, walk-in clinics, pain management clinics,
hospitals and all affiliated
services, chain pharmacies, detoxification
centers/clinics, residential
care facilities, and labs;
iii.
Agricultural service industries;
IV.
Not -For -Profs organizations;
v.
Tattoo parlors:
vi.
Body piercing or body ad shops:
vrr
Adult entertainment facilities;
vox.
Adult -oriented or adult-therrted businesses;
x.
Nightclubs. standalone bars, or taverns;
x.
Uquor stores;
xi.
Gun shops;
xii.
Pawn shops;
xiii.
Home -based businesses;
xiv.
Businesses that &all paraphernalia that
may be considered drug
paraphernalia; and
xv.
Vitamin shops.
3. GRANT AWARD
Page 14 of 19
Docusign Env ope ID: 1Aa58491-06 702-91W-ECa3FC3F9a23
Dwusign Emdo x ID: 03C2E928-2E7CJD0&eoCA-A337205E5MF
A. Eligible business will be provided a grant for the dollar amount up to $6,000.
Participants may only request the reimbursement of Qualified Expenses, as
defined below. Reimbursement payments are contingent upon annual
appropriation of Program funding by the City Commlasion and Padldpam's
conlinuous compliance with the requirements and obligations of the Participation
Agreement. Vedficsfon of expense eligibility Is sub*l to the sole and absolute
discretion of the City. Expenses may be deemed Inellgibla for reimbursement B
an executed lease agreement has not been provided to the City, or either the
tenant and/or property owner have an( obtained a Certificate of Use (CU) or
Business Tax Receipt (BTR).
B. Expenses qualified for reimbursement are costs incurred on or after the expense
eliglbifity date Identified In the Agreement, generally the Agreement effective
date, and which are documented as paid. The Program could be designed to
provide financial assistance for some or all the following expenses:
I. Monthly utility bills such as:
e Electricity
o Water
o Renters Insuranr (premiums of deductible)
it. Professional Services such as:
o Payroll
o Marketing/advertising
o Technology
o Rentriease/Mortgage expenses
o Miami Beach BTR Fees
o Real Estate Taxes (including assessments)
Ili. Hard costs such as:
o Repairs and/or replacement of equipment
4. APPLICATION PROCESS
A. Grant applications and awards will be evaluated and approved on a first -come,
first qualified, first -approved basis;
B. Applications will be received and evaluated by the administration via the
Economic Development Department;
C. Upon evaluation by the Administration, applicants will be informed of eligibility
status; and
D. The Administration will notify the selected applicant when the applicant is
scheduled for consideration at any public meeting;
5. APPLICATION INSTRUCTIONS
A. Carefully review program guidelines, application, and related materials.
B. Prior to submitting an application, contact the Miami Beach Economic
Development Department at mbbizOrniamibeachfi.00v or 305-673-7572 to
Page 15 of 19
Docusi9n Envelope 10: iA856491-005A3102-98AF-EC83FC3FW23
Oocu.,,n Envelope ID: O3C2E928-2EX 4DO5-6OCA-A337208E538F
discuss your application, business needs, and how the Program can be tailored
to maximize your business growth In Miami Beach. You may Oleo contacl the
department if you hays any questions about your application status, review, or
payment
C. Completed application morn be submitted through the online platform by the
business applying for the grant no later than the posted doodlino. No physical
applications will be actiapled or reviewed.
.-'-[..BOW t
A. Vendor Registration Requirement: Before submitting reimbursement
requests, participants must register as vendors with the City of Miami Beach. If
you've never done business with the City, create a new vendor profile on the
portal.
8. How to Register as a Vendor:
i. Visit the Vendor Portal: Go to the Clty's Vendor Self -Service (VSS)
portal at hit os 11wifservicemiamibeachfl (10111 Ajendorsldefeult asox.
ii. Upload Documents: Be ready to upload a anent W-9 form and any
other required documents.
W. Need Help? Contact the Procurement Department:
o Email: procurement@miamibeachfi.gov
o Phone: 305-673-7490
C. Frequency of Reimbursement. Participants may submit to the City (1) one
request for reimbursement of Qualified Expenses to receive a one -fine payment
of $5.000. Proof of Qualified Expenses must equal or exceed the award amount
and be submitted through the online portal prior to payment reimbursement by
the City
D. Supporting Documentation Required
i. Verify that current main contact, phone number, business address, and
email address within GoSmart are up to date for correspondence.
iL Executed Lease Agreement: Lease Term and quarterly coverage period
must overlap.
iii. W-9 Form: httosJ1wWW irito /oubfr6-001W9 od(
iv. Certificate of Use (CU) Number
v Miami Beach Business Tax Receipt Number (BTR)
vi. Miami Beach Vendor Number. Provided through the vendor portal for
payment distribution.
vii. Each reimbursement request must be submitted with comprehensive
documentation cleady verifying payment of Qualified Expenses. All
invoices, receipts, and proof of payments must fall within the fiscal year
Page 16 of 19
Daasign Envelope ID: 1M5M91- 5A4702-98AF-EC83FC3F8623
Dmwign Envelope ID'. 03C2E928-=C-400S110CA-A337266E536F
of the grant cycle awarded (Oct. 1 -• Sept, 30). Any Invoices, receipts, w
payments outside of the allocated fiscal year will not be accepted or
m1mbursed.
val. Detailed Paid Invoices: Must clearly show expense description, vendor
name, date, and payment status.
ix. Proof of payment: Such as canceled checks (fiont and back), bank
statements, or credit card statements clearly reflecting the corresponding
payments. For credit card or other non -check /ACH payments, you must
also Indude documentation showing the final payment of the credit card
or account balance that covers the reimbursable expense. Cash
payments without proper proof of contract and/Or receipt are not
acceptable or reimbursable.
X. Funding Details: Invoices and Proof of Payment of qualified expenses
must equal or exceed the full award amount issued to be reimbursed.
Invoices and Proof of Payment not equaling or exceeding the full award
amount will only be reimbursed for the total amount of qualified items.
E. Document Submission Instructions:
i. All documents must be submitted through the online platform, GOSmart.
Documents submitted via email or by mail will not be accepted or
reviewed.
ii. Ensure scans or digital copes are clear, legible, and complete. Document
uploads are accepted in POF, JPEG, JPG or PNG formats (other formats
listed within the online platform may be accepted).
iii. Include name of vendor, date of service, date of payment and upload
corresponding invoice/receipt, and proof of payment for the specific
reimbursement within the labeled spaces.
iv. Electronic signature though GOSmad is required by an authorized signer
for the business. All other signatures will not he accepted.
Authorized Representative Electronic Certification
By signing below, either electronically or by hand. I certify that all information and supporting
documents provided in this reimbursement request are true, accurate, and complete to the best
of my knowledge.
Printed Name and Tiob" ��—ytc o
Signature: 1 �-1 —
Date: M _ �" __
Page 17 of 19
Dowsgn Envelope ID: 1A B191-066A4702-96AF-ECa3FMFe623
Docusign Er a OW 10 03C2E929-2E7C4DD5-WCA-A337206E536F
EXHIBIT 22
ANTI -HUMAN TRAFFICKING AFFIDAVIT
In accordance with Section 787.0011U Fbdde Statutes, the undersigned, on behalf of Participant
hereby attests under penalty of perjury that Participant does not use coarrlon for labor or services
as defined In Section 787.06, Fbdde Statutes, entitled 'Human Trafficking'.
t underetend that I am swearing or affirming under oath to the truthfulness of the claims made in
this affidavit and that the punishment for knowingly making a false statement includes rims andfor
imprisonment.
The undersigned Is authorized to execute this affidavit on behalf of Participant.
PARTICIPANT:
LILIANA MONTOYA INC . a Florida Corporation .
3 L,INCOLN ROAD STORE #8 MIAMI BEACH FL 33139
Name/Title: _ (Address)
uu
State of
County of 01JnJ
The foregoing Instrument was acknowledged before me by means ofd physical presence or 0
online notarizabon, this 06 day of .-IO1-12fnhey 2025 by
�IlarI ?nG/I 1f�2 as L Q of
Gl 1Qytq //'OnfoWlX a �omP llwwn ome
to be the person dascdbed herein, or who produced Ti as
identificabon, and who did/did not take an oath.
NOTARY PUBLIC
(Signature),. -".'se
�,a,a,a„sastna2
1, 4ln9
' �,,,amws.ao2s
(Print Name)
My commission expires: rrryyy]],�O
Page 18 of 19
Docusign Enveb ID: 1A B,191-M4 4702-90AF-EC03FMF6623
Domsign Envelope In 03C2E920-2E7C4D05-90CA-A337206E536F
In accordance with Section 287.138, Florida Statutes, Incorporated herein by reference, the
undersigned, on behalfof Particlpant, bereby ettesta under penaltyof perjurythat ParBUparlt does
not meat any of the following onleris in Paragraphs 2(a}(c) of Seatlon 287.138, Florida Statutes:
(a) Participant is owned by a government of a foreign country of concem; (b) the government of
a foreign country of concern has a controlling interest in PaNcipant or (c) Participant is organized
under the laws of of has its principal place of business in a foreign country of concern.
I understand that I am swearing or affirming under oath, under penalties of perjury, to the
truthfulness of the claims made in this affidavit and that the punishment for knowingly making a
false statement includes fines and/or imprisonment.
The undersigned is authorized to execute this affidavit on behalf of Participant.
PARTICIPANT:
a Rodtla Corporation .
State of
The foregoing instrument was a ledgetl before me by means ot.�yhysical presence or ❑
NOW notarization, this day of YJD w/v1bLY 202n2" by
OngY7J4Yip �a( o E �, s of
Iit r o' _,a�7 known to me
to be the person de cdbed herein, or who produced �L,as
identification, and who didtdid not take an oath.
NOTARY PUBLIC
"oxN7u
(signature) a32
�J _pq�s. comNub^ s.xazs
�IQr7 JLJ)j EWro a+ut6
(Print Name)
My commission expires:
Page 19 of 19
0owsgn Envelope 10, 1M5B691-N5A4702-98AF-EC83FC3FM23
MI AMI BEACH Miami Beach Economic Development - Small Business
ECONOMIC DEVELOPMENT Grant 2025
LILIANA MONTOYA SWIM
Final Report #SBG25_0011
Name: LILIANAMONTOYA
Phone: (786)343-6400
Email: Im@lilianamontoya.com
Applicant Profile
Applicant Type
Name
Legal Name
Email
Primary Phone
Address
WaMite
501(c)(3) Incorporation Date
FEIN / Tax ID
Fiscal Year End Date
Unique Entity ID (UEQ
Organization
LILIANA MONTOYA
LILIANA MONTOYA SWIM
Im@lilianamontoya.com
(786) 343-6400
1113 LINCOLN ROAD
STORE #6
MIAMI BEACH, Florida 33139
UNITED STATES
httpsIANianamontoya.com
03/22/2011
45-1019213
03/22
Mission statement
Lilian Montoya Swim is a company dedicated to manufacturing high -quality resort and beachwear while
promoting sustainability. Our brand emphasizes retail sales at our boutique, located in the heart of Miami
Beach at 1113 Lincoln Road. Our goal is to provide an exceptional shopping experience for both locals and
tourists visiting Miami Beach, offering them the perfect selection of swimwear and beach essentials. Our
boutique's outstanding Google reviews are a testament to our dedication to customer satisfaction.
httpsJ/g.wlkgs/ZLS6Nr Beyond our own brand, we are proud to support local businesses and independent
designers. Our boutique not only showcases Liliana Montoya Swim but also features a curaled selection of
accessories, bags, sandals, and mare —creating a one -stop shop for a complete beach lifestyle.
Organization History
Founded in 2006, Liliana Montoya Swim officially established its presence in Miami in 2011. Over the years,
our products have been sold online and through wholesale distribution in various retail stores. However, after
the pandemic, sustaining the business solely online became increasingly challenging due to high inventory
demands. Against the odds and market predictions, we took a bold step and opened our retail store in Miami
Beach, aiming to create a more personal and human -centered shopping experience. Now entering our third
year at Lincoln Road, we continue to push forward despite economic challenges, inflation, and the current
decline in Miami Beach's retail foot traffic. Liliana Montoya, the designer and self-made entrepreneur behind
the brand, with no investors, just building the company step by step form more over 20 years , believes in
uplifting other businesses within the Miami community. Committed to a path of resilience, she actively
collaborates with local suppliers and vendors, ensuring that the boutique not only represents her brand but
#SBG25 0011 Page 1 of 10
Doouegn Envelope ID'. 1A05B491-0 5A4702-99AF-EC83F00F8620
MIAMIBEACH Miami Beach Economic Development - Small Business
ECONOMIC DEVELOPMENT Grant 2025
LILIANA MONTOYA SWIM
Final Report #SBG25_0011
Name: LILIANA MONTOYA
Phone: (766) 343-6400
Email: Im@lilianamontoya.com
also provides a platform for other brands that align with a stylish and sustainable beach lifestyle.
ffSEIG25 0011 Page 2 of 10
ti ms19n Envelope 10: 1A85a491-0s5A4702-98AF-EC83F03F8823
MIAMI BEACH Miami Beach Economic Development - Small Business
ECONOMIC DEVELOPMENT
Grant 2025
LILIANA MONTOYA SWIM
Final Report #SBG25_0011
Name: LILIANA MONTOYA
Phone: (786)343-6400
Email: Im@lilianamontoya.com
Agreement Details
Vendor Registration Requirement: Before submitting reimbursement requests, participants must
register as vendors with the City of Miami Beach. If you've never done business with the City,
create a new vendor profile un [tie purial.
A.
B. How to Register as a Vendor: at
i. Visit the Vendor Portal: Go to the City's Vendor Self -Service (VSS) portal
httpsi/seltse"ice.miamibeachfi.gov/vss/Vendorsidefault.wpx.
ii. Upload Documents: Be ready to upload a current W-9 form and any other required
documents.
iii. Need Help? Contact the Procurement Department:
o Email: procurement@miamibeachfl.gov
o Phone: 305-673-7490
C. Fr eaueny gi Reimb rtioln ` Participants may submit to the City (1) one request for
reimbursement ul Qualiliwl Expenses to receive a one-time payment of $5,000. Proof of
Qualified Expenses must equal or exceed the award amount and be submitted through the online
portal prior to payment reimbursement by the City.
D. Supporting Documentation Required
i. Verity that current main contact, phone number, business address, and email address
within GoSmart are up to date for correspondence.
ii. Executed Lease Agreement: Lease Term and quarterly coverage period must overlap.
iii. W-9 Form: hi psJ/www.irs.90v/Puo/'ra-Pdf/tw9'Pdf
iv. certificate of Use (CU) Number
v. Miami Beach Business Tax Receipt Number (BTR)
vi. Miami Beach Vendor Number: Provided through the vendor portal for payment distribution-
vii. Each reimbursement request must be submitted with comprehensive documentation clearly
verifying payment of Qualified Expenses. All invoices, receipts, and proof of payments must
fall within the fiscal year of the grant cycle awarded (Oct. 1 — Sept. 30). Any invoices,
receipts, or payments outside of the allocated fiscal year will not be accepted or
reimbursed.
viii. Detailed Paid invoices: Must clearly show expense description, vendor name, date, and
payment status.
Docusign Envelope ID'. 1085B491-G45 7M-WF-EC83FC3FM3
MIAMI BEACH Miami Beach Economic Development - Small Business
ECONOMIC DEVELOPMENT Grant2025
LILIANA MONTOYA SWIM
Final Report #SBG25_0011
Name: LILIANA MONTOYA
Phone: (786) 343-6400
Email: Im@lilianamontoya.com
ix. Proof of payment: Such as canceled checks (front and back), bank statements, or credit
card statements clearly reflecting the corresponding payments. For credit card or other non -
check /ACH payments, you must also include documentation showing the final payment of
the credit card or account balance that covers the reimbursable expense. Cash payments
without proper proof of contract and/or receipt are not acceptable or reimbursable.
x. Funding Details: Invoices and Proof of Payment of qualified expenses must equal or
exceed the full award amount issued to be reimbursed. Invoices and Proof of Payment not
equaling or exceeding the full award amount will only be reimbursed for the total amount of
qualified items.
E. Document Submission Instructions:
I. All documents must be submitted through the online platform, GoSmarl. Documents
submitted via email or by mail will not be accepted or reviewed.
it. Ensure scans or digital copies are clear, legible, and complete. Document uploads are
accepted in PDF, JPEG format.
ill. Include name of vendor, date of service, date of payment and upload corresponding
invoice/receipt, and proof of payment for the specific reimbursement within the labeled
spaces.
iv. Electronic signature though GoSmart is required by an authorized signer for the business.
All other signatures will not be accepted.
By checking off this box, I certify and agree to the terms listed above.
Agree
#SBG25 0011 Page 4 of 10
Docuslgn Envelope In tA85B491-045A4102-98AF-EC83FC3F8823
MIAMI BEACH Miami Beach Economic Development - Small Business
ECONOMIC DEVELOPMENT Grant 2025
LILIANA MONTOYA SWIM
Final Report #SBG25_0011
Name: LILIANA MONTOYA
Phone: (786) 343-6400
Email: lm@lllianamontoya.com
Supporting Documentation
Please provide the following details.
1. Verity that current main contact, phone number, business address, and email address within
GoSmart are up to date for correspondence.
All items are up to date.
2. Upload a file of your current lease agreement. Executed Lease Agreement: Lease Term and quarterly
coverage period must overlap.
Lilian Montoya - I I I I Lincoln Road License Agreement - Seventh Amendmentpdf
3. Upload a copy of the businesses W-9 Form. You may find this file on the IRS website
> https:/Aw .irs.gov/pub/irs-pdf/twg.pdf
W-9 Lilian Montoya Inc 2025.pdf
4. What is your businesses Certificate of Use (CU) Number?
CU22-2266
5. What is your Miami Beach Business Tax Receipt Number (BTR)?
BTRO12503-08-2022
6. What is your businesses Miami Beach Vendor Number?
6765.
#SBG25 0011 Page 5 of 10
Dxusign Envelope ID: 1A05a491-095A4102-98W-EC83FC3F8823
MIAMI BEACH Miami Beach Economic Development - Small Business
ECONOMIC DEVELOPMENT Grant 2025
LILIANA MONTOYA SWIM
Final Report #SBG25_0011
Name:
LILIANAMONTOYA
Phone:
(786) 343-6400
Email:
Im@lilianamontoya.c
Invoices and Receipt
Frecuencv of Reimbursement. Participants may submit to the City (1) one request for reimbursement of
Qualified Expenses to receive a one-time payment of $5,0D0. Proof of Qualified Expenses must equal or
exceed the award amount and be submitted through the online portal prior to payment reimbursement by the
city.
Each reimbursement request must be submitted with comprehensive documentation clearly verifying payment
of Qualified Expenses. All invoices, receipts, and proof of payments must fall within the fiscal year of the grant
cycle awarded (Oct. 1 — Sept. 30). Any invoices, receipts, or payments outside of the allocated fiscal year will
not be accepted or reimbursed.
Detailed Paid invoices: Must clearly show expense description, vendor name, date, and payment status.
Proof of payment: Such as canceled checks (front and back), bank statements, or credit card statements
clearly reflecting the corresponding payments. For credit card or other non -check /ACH payments, you must
also include documentation showing the final payment of the credit card or account balance that covers the
reimbursable expense. Cash payments without proper proof of contract and/or receipt are not acceptable or
reimbursable.
Funding Details: Invoices and Proof of Payment of qualified expenses must equal or exceed the full award
amount issued to be reimbursed. Invoices and Proof of Payment not equaling or exceeding the full award
amount will only be reimbursed for the total amount of qualified items.
All documents must be submitted through the online platform, GoSmart. Documents submitted via email or by
mail will not be accepted or reviewed.
Ensure scans or digital copies are clear, legible, and complete. Document uploads are accepted in PDF, JPEG,
JPG or PNG formats (other formats listed within the online platform may be accepted).
Include name of vendor, date of service, date of payment and upload corresponding invoice/receipt, and proof
of payment for the specific reimbursement within the labeled spaces.
Invoices and Receipt Response 1
1. What is the name of the Vendor used? Vendor name on invoice and proof of payment must match.
1111 lincoln road rd Ilc cbre global
2. What is the amount listed on the invoice of allowable expenses?
#SBG25 0011 Page 6 of 10
Cocusign Envelope In 1A85B491-045A4702-98AF-EC83FC3F8823
MIAMI BEACH Miami Beach Economic Development - Small Business
ECONOMIC DEVELOPMENT Grant 2025
LILIANA MONTOYA SWIM
Final Report #SBG25_0011
Name: LILIANA MONTOYA
Phone: (786) 343-6400
Email: m(dwianamontoya.com
(Revisit the agreement for a lull list of allowable expenses. )
$10,650
3. How was the vendor paid?
Check
4. Upload a copy of the vendor invoice, receipt, or lease agreement.
1111 Lincoln - Lilian Montoya - License Agreement - 07-18-22 copy.pdf
5. Upload proof of payment check to vendor. Attachment must include be the front and back of the
check.
(Revisit the agreement for a full list of allowable proof of payment options. )
Screenshot 2025-11-14 at 12.10.38 PM mpy.png
6. Upload credit card statment showing purchase with the vendor clearly listed AND bank statement
showing payment to the credit card for that month in at least the amount of the item being reimbursed.
Both documents should be included within one attachment.
(Revisit the agreement for a full list of allowable proof of payment options.)
No File Uploaded
7. Upload proof of payment in the form of a receipt or online transfer. For all payments, vendor
name/company name, date of purchase, and items/ services must be clearly visible.
(Revisit the agreement for a full list of allowable proof of payment options. )
No File Uploaded
Do you have an additional vendor payment to submit?
No
If you selected YES, then please click SAVE WORK and prompt a New Answer Set submission.
All Answer Sets can be reviewed by clicking the specific Answer Set at the top left of the page.
If you selected NO:
Have the information of your Last Answer Set visible, then click "SAVE AND NEXT' at the bottom of the
page to avoid saving a blank Answer Set.
(A blank Answer Set will give you a completion error at the end when submitting the Final Report)
All Answer Sets can be reviewed by clicking the specific Answer Set at the top left of the page.
uSBG25 0011 Page 7 of 10
Docusign Envelope ID: IA85B491-045A4702-98AF-EC83FC3F%23
Miami Beach Economic Development - Small Business
MIAMI BEACH
ECONOMIC DEVELOPMENT
Grant2025
LILIANA MONTOYA SWIM
Final Report #SBG25_0011
Name: LILIANA MONTOYA
Phone: (786)343-6400
Email: im@lilianamontoya.com
Invoices and Receipt Response 2
1. What is the name of the Vendor used? Vendor name on invoice and proof of payment must match.
1111 lincoln rd Ilc core glogals
2. What is the amount listed on the invoice of allowable expenses?
(Revisit the agreement for a full list of allowable expenses. )
9000
3. How was the vendor paid?
Check
4. Upload a copy of the vendor invoice, receipt, or lease agreement.
1111 Lincoln - Lilian Montoyaswim - First Amendment to License Agreement-2.pdf
5. Upload proof of payment check to vendor. Attachment must include be the front and back of the
check.
(Revisit the agreement for a full list of allowable proof of payment options. )
e5tmt 2025-02-28.pdf
6. Upload credit card slatment showing purchase with the vendor clearly listed AND bank statement
showing payment to the credit card for that month in at least the amount of the item being reimbursed.
Both documents should be included within one attachment.
(Revisit the agreement for a full list of allowable proof of payment options.)
No File Uploaded
7. Upload proof of payment in the form of a receipt or online transfer. For all payments, vendor
name/company name, date of purchase, and items/ services must be clearly visible.
(Revisit the agreement for a full list of allowable proof of payment options. )
No File Uploaded
Do you have an additional vendor payment to submit?
No
If you selected YES, then please click SAVE WORK and prompt a New Answer Set submission.
All Answer Sets can be reviewed by clicking the specific Answer Set at the top left of the page.
If you selected NO:
Have the information of your Last Answer Set visible, then click "SAVE AND NEXT' at the bottom of the
page to avoid saving a blank Answer Set.
#SBG25
Page 8 of 10
0011
0..,gn Envelope ID. 1M5B491-045A4702-98AF-EC83FC3FW23
MIAMI BEACH Miami Beach Economic Development - Small Business
ECONOMIC DEVELOPMENT Grant 2025
LILIANA MONTOYA SWIM
Final Report #SBG25_0011
Name: LILIANA MONTOYA
Phone: (786) 343-6400
Email: Im@Iilianamontoya.com
(A blank Answer Set will give you a camplMlon error at the end when submitting the Final Report)
All Answer Sets can be reviewed by clicking the spaclfic Answer Set at the top left of the page.
#SBG25 0011 Page 9 of 10
0musign Envelope ID: 1A85e691-005A4702-9W-EC93FC3F9623
MIAMI BEACH Miami Beach Economic Development - Small Business
ECONOMIC DEVELOPMENT Grant 2025
LILIANA MONTOYA SWIM
Final Report #SBG25_0011
Name:
LILIANA MONTOYA
Phone:
(786) 343-6400
Email:
Im@lil ianamontoya.c
Signature Validation
Electronic signature though GoSmart is required by an authorized signer for the business only. All other
signatures will not be accepted.
Enter your full name.
By providing your full name, you acknowledge this as your electronic signature.
(If you are completing this, then you must be an authorized signer for the business.
LILIANA MONTOYA
Today's Date
2025-11-14
#SBG25 0011 Page 10 of 10
Docasign Envelope ID: 1An5B491-045A4702-9W-EC83FC3F8623
LICENSE AGREEMENT II 5�-,
THIS LICENSE AGREEMENT ("Agreement'-) is dated as of JVL 2022 (the
"Commencement Date"). betxvecn 1111 LINCOLN, LLC. a Dcla,are limited liability company
("Licensor"), and LILIANA MONTOYA INC., a Florida corporation (`Licensee"). The following
capitalized and bold-faced terms, which have been placed at the beginning of this Agrwmcnt for
convenience (the "License Terms Summary"), shall have the meaning set forth below_
Premises:
That portion of the Project, containing approximately 2.200 rentable square
feet, as determined by Licensor, and as shown on h'xhibitA - Unit s6
Project:
The mixed -use development located at l l l l Lincoln !toad. Miami Reach.
Florida consisting of the retail, ojjce, parking, any other areas therein.
including common areas as designated by l.icenxorfrom time to time.
Permitted Use:
The retail sale of swimwear, active wear, lingerie, tanning body lotions, hats,
bags. accessories, jewelry and incidental uses related thereto, and for no
other purpose whatsoever, subject to and in compliance with all other
provisions ofthis Agreement.
Term:
Beginning an the Commencement Date and ending on the last day of the sixth
(61h) full calendar month thereafter (the "Expiration Date ), unless sooner
terminated or extended pursuant to the terms and provisions of this
Agreement. Notwithstanding the foregoing, following the Expiration Date, the
Term shall automatically be extended as a periodic tenancy on a month-m-
month basis upon the some terms and conditions (including, without
limitation, the Monthly License Fee amount), which may be terminated by
eitherporty upon thirty (30) days' written notice.
Rent Commencement
The earlier of (a) the date licensee occupies any portion of the Premises and
Date:
begins conducting business therein. and (b) the date that is fourteen (14) days
following the Commencement Date.
Monthly License Fee:
A sum equal to $10,000.00 per month, which does not include Rem .Sales Tax
(as such term is hereinafter defined), which shall be paid by licensee.'
Security Deposit:
$10,000,00, which shall be due on execution and delivery ofthis Agreement by
Licensee and shall be a condition of the effectiveness of this Agreement.
Prepaid Rent:
$10,000.00, which shall be due on execution and delivery of this Agreement by
Licensee and shall be a condition of the effectiveness ofthis Agreement.
Broker:
Colliers International Florida. LLC
Licensee's Notice
L'ltona Montoya Inc
1_ cT
Address:
_ W
I
Attention ILIMIq �'�pn�tL,,ci
.4 '4C
Telephone: V6.M.64i:
1 NTD: Rent Selo Tax is paid with the Monthly Limmae Fee on the 1"of the month Rent Sales Tax is cuvently
6 5%
13)19735ha
Docusign Envelope ID'. lAB5M91-MM4702-98AF-EC83FC3F8623
Licensor's Notice t If 1 Lincoln. LLC
Address: no CBRE Global Investors. 11C,
601 South Figueroa 31reet, 49" Floor
Los Angeles, CA 90017
Attn: Asset Manager
With a required copy to:
Troutman Pepper Hamilton Sanders LLP
301 S College Street. Suite 3400
Charlotte. NC 28202.
Am : Michael F Tomlinson, Esq
Rent Payment If by ACH Transfer / Checks.
Address:
Bank Name: JP Morgan Chase Bank
Bank Address: 201 N Cenral Ave.. Phoenix, AZ 85004
Bank ABA u: 071000013
Account Name: CBRE Global hoestors LLC AAF I l I I Lincoln
- Rental Account
Account Number: 9191-03338
Via Wire Transfer:
Bank Name: JP Morgan Chase Bank
Bank Address: 201 N. Central Ave.. Phoenix. AZ 85004
Bank ABA #: 021000021
Swift: CHASUS33
Account Name: CBRE Global lmiestors LLC AAF I I I I Lincoln
- Rental Account
Reference: 9191-03338
Via Lockbos:
JPMorgan Chase
CBRE GLAAF fill Lincoln -Rental Account Box 0102027
2710 Media Center Dr.
Building 46. Suite k 120
Los Angeles. CA 90065
Note: The lockbox name and number must also be included on the Fedlix or
UPS label. -
Addenda: Exhibit A - Premises
Exhibit B - List ol'Prohibited Uses
Exhibit C - Licensee's Pre -Approved Signage
Exhibit D - Rules and Regulations
1]'n9n159v4
Docusign Envelope ID: 1ASS6a91-015A-a➢02-99AF-ECa3FC3F8623
STANDARD TERMS AND CONDITIONS
For saluable consideration, whose receipt and sufficiency are hereby acknow[edged. Licensee
and Licensor hembv agree as follows.
I. License. Subject to the terms of this Agrccment, Licensor grants to Licensee the right and
license to occupy the Premises in the Project.
License Fee.
(a) Monthh License Fee Licensee shall timely pay to Licensor the Month], License
Fee on the fist day of each month during the Term (defined below) commencing on the Rent
Commencement Date. The Prepaid Rent shall be applied to the first installment of the Monthly Licensee
Fee due under this Agreement.
(b) Intentionally Deleted
(e) Rent Sales Tax. If there is presently in effect or hereafter adopted am nature of
sales tax or use tax or other tax on rents or other sums received by Licensor under this Agreement -
including, but not limited to, the Florida Rent Tax as set forth in Section 212 031 of the Florida Statutes.
as heretofore and hereafter amended (herein rcfemed to as' Rent Sala Tour), then, in addition to all Rent
and other payments to be made by License; as provided in this License, Licensee shall also pay to
Licensor a sum equal to the amount of such Rent Sales Tax. Rent Sales Tax shall be due and owing and
paid to Licensor at the same time that the Monthh, License Fee or other sums for which such Rent Sales
Tax is assessed becomes due and pavable.
(d) Pavment Address: Late Fee. 'Fhe Monthly License Fee shall be paid to Licensor
at the address listed in the License Terms Summary, or to such other person and/or address as Licensor
may designate in writing, without any prior notice or demand therefor and without deduction or setoff or
counterclaim and without relief from any valuation or appraisement laws. In the event Licensee fails to
pay any amounts due under this Agreement within five (5) days after the due date of said amount
Licensee shall pay to Licensor a late charge of ten percent (I(P/) on the amount overdue. Any amount
not paid when due shall also bear interest until paid at the rate of eighteen percent (180/6) per anuum, or
the highest rate permitted by applicable law- whichever shag be less.
intentionally Deleted.
J. Term. The Term shall be the period set forth in the License Terms Summary. Within a
reasonable time after the Rent Commencement Date is determined. Licensor will deliver to Licensee a
Rent Commencement Date Confirmation. substantially in the form attached hereto as Exhibit E ('-Rent
Commencement Date Confirmation"), with all blanks relating to the Rent Commencement Date
completed. Licensee- within ten (10) days after receipt thereof from Licensor, will execute and deliver to
Licensor the Rent Commencement Date Confirmation. Licensees failure to execute and deliver to
Licensor the Rent Commencement Date Confirmation will not affect any obligation of Licensee under
this Agreement. If Licensee does not timely execute and deliver to Licensor the Rent Commencement
Date Confirmation. Licensor and any prospective purchaser or encumbrancer may conclusively rch on
the information contained in the unexecuted Rent Commencement Date Confirmation that Licensor
delivered to Licensee.
5. Security Detaosil. Contemporaneously with the execution of this Agreement. Licensee
shall pay to Licensor the Security Deposit, which shall be held by Licensor to secure Licensee s
rnow•a:
Dowsign Envelope ID: 1A856491-0 5A4102-98AF-EC83FC3F8a23
performance of its obligations under this Agreement. The Security Deposit is not an advance payment of
the Monthly License Fee or a measure or limit of Licensor's damages upon Licensee's default of its
obligations under this Agreement. Licensor may, from time to time following Licensee's default of its
obligations under this Agreement and without prejudice to any other remedy, use all or a pun of the
Security Deposit to perform any obligation Licensee fails to perform hereunder. Following any such
application of the Security Deposit, Licensee shall pay to Licensor on demand the amount so applied in
order to restom the Security Deposit to its original amount. Provided that Licensee has performed all of its
obligations hereunder, Licensor shall, within 30 days after the Term ends, return to Licensee the portion
of the Security Deposit which was not applied to satisfy Licensees obligations. The Security% Deposit ma}
be commingled with other funds, and no interest shall be paid thereon. If Licensor transfers its interest in
the Premises and the transferee assumes Licensors obligations under this Agreement, then Licensor max
assign the Security Deposit to the transferce and Licensor thereafter shall have no further liability for the
return of the Security Deposit, and Licensee agrees to look solely to such transferee for such application
or return.
6. Permitted Use. Licensee shall occupy and use the Premises only for the Permitted Use,
and for no other purpose whatsoever, and shall comply with the requirements of all applicable
gocmmenml laws, rules and regulations, including the Projeci s Rules and Regulations attached as
Exhibit D hereto, relating to the use, condition, access to and occupancy of the Premises: provided,
however, that neither Licensor nor Licensee shall be required to make any improvements or alterations to
the Premises or Project in connection therewith. In the event that a governmental authority shall require
that such alterations or improvements be made for Licensee's continued use and occupancy of the
Premises, Licensor and Licensee shall each have the right to terminate this Agreement and thereupon this
Agreement shall terminate and be of no further force or effect except for the provisions of this Agreement
which survive ternamation or expiration of this Agreement. Furthermore, notwithstanding anything herein
to the contrary, the Premises may not be used in any manner that would violate any exclusive use
covenant or use restriction then in effect for the benefit of any Licensee of the Project or violate any
restrictive covenants or other covenants and restrictions then affecting the Project, including those listed
in Exhibit B attached hereto. If Licensor, in its sole but reasonable discretion, incurs any expense in
connection with a Licensee Parry's violation of this Section, Licensee shall immediately reimburse
Licensor all of Licenser's expenses therefor. The Premises shall not be used for any use which is
disreputable, creates extraordinary fire hands, or results in an increased rate of insurance on the Project
or its contents, or for the storage of any hazardous materials or substances. If, because of an act of
Licensee, its agents, contractors, employees or invitees (each, including Licensee, a "Licensee Past}'').
the rate of insurance on the Project or its contents increases, then such acts shall be a default hereunder.
Licensee shall pay to Licensor the amount of such increase on demand. and acceptance of such payment
shall not waive any of Licensors other rights. Licensee shall conduct its business and control each other
Licensee Party so as not to create any nuisance or unreasonably interfere with other licensees or
Licensees, or Licensor in its management of the Project. Licensee shall not: (i) permit anyone other than a
Licensee Party to use or have access to the Premises; or (it) cause or permit the creation of any lien
against the Project or any portion thereof for any cause or reason whatsoever including labor, or materials
famished, or services rendered at the request of Licensee.
Licensee shall take good core of the Premises and shall keep the Premises clean, safe and free from
deterioration and waste, and shall maintain the Premises, and conduct all business therein, in accordance
with this Agreement and all applicable laws and lawful directions of proper police omeial& Addilionalh.
Licensee shall keep the Premises and sidewalks, service ways and loading areas adjacent to the Premises
neat, clean and tree from dirt, rubbish, insects and pests at all times. Receiving and delivery of goods and
merchandise and removal of garbage and trash shall be made only in the manner and areas from ume to
time prescribed by Licensor. Licensee shall maintain all display windows in a neat, attractive condition
L'I'Mi7r3
Oocusign Envelope 10: 1AMM91-09SA4702-9aAF-EMFC3F8e23
(as determined M Licensor to its sole but reasonable discretion) and shall keep all displm wmdwrs
lighted from dusk until 10.unpin every day. including Sundays and holidays
(a) Continuous. First -Class Operations. Licensee shall not at any time leave the
Premises vacant, but shall in good faith continuously throughout the Tenn conduct and enrry on in the
entire Premises the type of business for which the Premises are licensed, operating its business with
attractive displays, and in an efficient and reputable manner so as to produce the maximum amount of
Gross Sales ). Licensee shall keep the Premiscs open to the public for business with personnel in
attendance on all days and during all established operational hours.
(b) Hours of Operation; Permitted Closures. As a minimum. Licensee agrees to
maintain the hours of operation from 10.00 a.m. to 6 00 p.m. Monday through Saturday and 12.00 p.m. to
6.00 p.m on Sundays except New Years Dm-. Memorial Day, Independence Day. Labor Day.
Thanksgiving, Christmas Eve and Chnsunas Dm, except to the extent Licensee may be prohibited from
being open for business by applicable laws. Upon evaluation of Licensee needs and foot traffic to the
Pmmiscs. the foregoing hours may be adjusted by written agreement between the panics. Any changes to
the operating hours or closures required above shall be subject to Licensor's prior written approval, which
mar be withheld or withdrawn at any ume in Licensor's sole discretion. Accordingh, with respect to any
day during the Term that Licensee shall fail to be open for all the hours provided for above, Licensee shall
pay to Licensor a charge of One Hundred Dollars ($100.00) which shall become immediateh due and
payable. Such charge shall not be in lieu of Licensor's other remedies under this Agreement or at law,
and acceptance by Licensor of such charge shall not preclude Licensor from seeking any other available
remedv.
(c) Permits and Licenses. Licensee shall, at its sole costs and expense. obtain and
maintain in effect at all times all permits and licenses, necessary for the operation of Licensees business.
and shall deliver Licensor reasonable evidence of such valid permits and licenses upon Licensor s request
therefor. If liquor is consumed or sold, an appropriate liquor license must be obtained by Licensee and
displayed at the Beat Prior to the Event, Licensee must provide Licensor with a copy of the liquor
license.
(d) Intentionally Deleted.
(e) Trade Name. In transacting business in or from the Premises, Licensee mac use
a trade time approved by Licensor Licensee may not use any other trade time in transacting business in
or from the Promises without the prior written consent of Licensor, which may be withheld in Licensor's
sole but commemially reasonable discretion
(f) Hazardous Materials. No Licensee Party shall use, generate, store or Release
(defined below), or permit the use, generation, storage or Release of Hazardous Materials (defined below)
on or about the Project except for Hazardous Materials contained in products which arc reasonably and
customarily used in the operation of a restaurant, such as cleaning solvents, as long as such Hazardous
Materials am only used in compliance with all Laws (without the need for a special permit) and all
manufacturer s and supplier's instructions and recommendations. and in quanuues and for purposes
which arc reasonabh and customarily used in restaurant uses. Licensee shall comply with any rules and
regulations for the Project which Licensor may adopt or change from time to time. --Hazardous
Materials" means any substance. material, or waste which is now or hereafter classified or considered to
be hazardous, toxic, or dangerous under my Law relating to pollution or the protection or regulation of
human health, natural resources or the environment, or poses or threatens to pose a hazard to the health or
safety of persons on the Premises or in the project; "Release" means depositing. spilling, leaking.
pumping. pouring, emitting, emptying, discharging, injecting, escaping, leaching, dumping or disposing
Docuslgn Envelope ID'. 1A858491-0 5A-4702-98AF-EC83FOF8623
If any Licensee Pam breaches its obligations under this Section 20 with respect to Hazardous Materials,
Licensor may immcdiatet take any and all action reasonably appropriate to remcdv the same, including
taking all appropriate action to clean up or remediate any contamination resulting from such Licensee
Pam's use, generation, storage or disposal of Hazardous Materials. Licensee shall defend. Indemnify.
and hold harmless Licensor and its representatives and agents from and against any and all claims,
demands, liabilities, causes of action, suits, judgments, damages and expenses (including reasonable
attomevs' fees and cost of clean-up and remediation) arising from any Licensee Pany's failure to comply
with die provisions of this Section 20. This indemnity provision is intended to allocate responsibility
between Licensor and Licensee under environmental Laws and shall survive termination or expiration of
this License.
(g) Parkin¢. Licence is not being granted any right or interest in any of the parking
facilities within or serving the Project (the "Parking Facidries' I, Should Licensor permit Licensee to use
such Parking Facilities at any point during the Term, Licensee shall abide by the terms and conditions of
this subsection (g) with respect to such use. Licensee and its employees and agents shall park them cars
and other vehicles only in areas (if any) specifically designated from time to time by Licensor for that
Porpoise. Licensee covenants that it will enforce the parking by its employees and agents in such
designated areas. Automobile license numbers of employees' and agents' vehicles shall be famished by
Licensee to Licensor upon Licensors request. In the event any vehicle is parked by Licensee or by an
employee or agent of Licensee in violation of these provision. Licensor shall have the right to impound,
immobilize, detain or cause the vehicle to be towed to a location designated by Licensor and Licensee
shall be obligated w reimburse Licensor for all towing changes. Licensee further agrees to bold harmless
Licensor and defend Licensor, its agents and employees against any and all claims of the employee. agent
and/or owner of the vehicle towed. Licensor shall have the further option of prohibiting Licensee and its
employees and agents from parking their cars or other vehicles in the Parking Facilities, and the violation
of such prohibition shall be subject to the same provisions as set forth herein. Licensor reserves the right
to adopt, modify, and enforce reasonable rules and regulation governing the use of the Parking Facilities
from time to time. NOTWITHSTANDING ANYTHING TO THE CONTRARY CONTAINED IN THIS
AGREEMENT, LICENSOR SHALL HAVE NO LIABILITY WHATSOEVER FOR ANY PROPERTY
DAMAGE OR LOSS WHICH MIGHT OCCUR ON THE PARKING FACILITIES OR AS A RESULT
OF OR IN CONNECTION WITH THE PARKING OF MOTOR VEHICLES IN ANY OF THE
PARKING SPACES.
(h) Advertising. Without the prior written consent of Licensor. Licensee shall not
use the time of the Project or any picture of the Project in connection with, or in promoting or advertising
the business of. Licensee, except Licensee may use the address of the Project as the address of its
business"
7. Lieemom Risk- Licensee's entering of the Project and the Premises and use thereof shall
be a Licensee's sole risk and expense, and Licensor shall have no responsibility or liability for any loss of
or damage to Licensee's property or for any inconvenience, aonoyancc, interruption or injury to business
arising from Licensor's making any repairs or changes which Licensor is permitted by this Agreement or
required by law to make in or to any portion of the Premises or other section of the Project or in or to the
fixtures, equipment or appurtenances thereof. Without limiting the generality of the foregoing, Licensee
acknowledges that Licensor will not be insuring any materials or personal property in the Premises.
Licensee agrees that all personal property of every kind or description that may at any time be in
the Project shall be in the Project at Licensee's sole risk or at the risk of those claiming by, through
or under Licensee, and in no event shall Licensor have any liability with respect to the same.
Licence assumes all risks of injury to or death of persons in connection with the exercise of its
MfD: Yes, the store location maY be used in advertising
1271979Mt
Docusign Envelope 101A85B491-045Ai702-98AF-EC1K1FC3F8623
rights hereunder and in no event shall Licensor have any liability with respect to the same.
Licensee hereby releases Licensor of and from every right, claim and demand that licensee may
hereafter have against Licensor and from all liability for any accident damage or injury caused to
person or property in or about the Project, whether or not due to the negligence of Licensor.
a Afterationsb Improvements: Repairs and Maintenance Licensee shall not make, nor
be permitted to make. any alterations. improvements, additions or installations to the Premises or to the
storefront. Licensee shall maintain die Premises in a clean, safe, and operable eoodaion. and shall not
permit or allow to remain am waste or damage to any portion of the Premises or the Project. Licensee
shall repair or replace. subject to Licensoi s direction and supervision, any damage to the Premises or the
Project caused by a Licensee Part}. Licensee shall not obstruct or permit the obstruction of light. halls.
common areas, roofs. parapets. stairways or entrances to the Project or the Premises and will not affix.
paint erect or inscribe any sign, projection, awning, signal or advertisement of any kind to any part of the
Project or the Premises, including, without limitation, the inside or outside of the windows or doors.
without the written consent of Licensor.
9. Simaee. Subject to Licenser's prior written approval of the location. design. size. color.
material composition. and plans and specifications (collectively, the "Sign Specifications I. Licensee
shall install one fascia sign on the exterior of the Premises (the "Sign") using a contractor designated or
approved by Licensor, prior to Licensee conducting business at the Premises. Licensee shall pm for the
Sign and the installation thereof including the electrical hook-up. A $25000 Into will be deducted from
the Security Deposit if Licensee fails to do so. Licensee shall install the Sign in accordance with
approved plans and specifications and in conformance with Licensor's Licensee signage criteria, in a good
and workmanlike manner, in accordance with all laws, regulations, and ordinances in effect for the area in
which the Project is located and reecipt of all requisite approvals thereunder (collectively, the "Sign
Requirements'), and in a manner so se; not to unreasonably interfere with the use of the Project grounds
while such construction is taking place. Licensors approval shall not be a representation or warranty of
Licensor that such Sign Specifications are adequate fen any use or comply with the Sign Requirements but
shall merely be the consent of Licensor thereto. Licensor reserves the right to temporarily remove am
signs in the tours, of performing arty repairs or remodeling to the Premises or the Project. Prior to the
end of the Term or within ten business days alter Licensee's right to possess the Premises has been
terminated, Licensee shall remove the Sign, repair all damage caused thereby, and restore the Project
facade to its condition before the installation of the Sign. If Licensee fails to timely do so, Licensor mav,
without compensation to Licensee, at Licensee's expense plus an administrative fee equal to 15% of such
costs. remove the Sign, perform the related restoration and repair work and dispose of the Sign in any
manner Licensor deems appropriate.
10. Condition of Premises. Except as provided in Section 8, Licensor shall have no
obligation to Licensee to perform any set-up, preparation or maintenance with respect to the Premises or
my other portion of the Project a any time during the Term. Licensee hereby accepts its rights to use the
Promises hereunder in its "AS -IS, WHEREAS, WITH ALL FAULTS" condition. Licensee
acknowledges and agrees that Licensor has not made, does not make and specifcaliv negates and
disclaims any representations or warranties of any kind or character whatsoever. whether express or
implied, oral or written, past, present or future. and no responsibility has been assumed by Licensor or
any representative thereof or by any person. agent, attorney or representative ailing or purporting to act
on behalf of Licensor concerning or with respect to (i) the condition or slate of repair of the Premises or
other portions of the Project. (ii) the compliance or noncompliance of the Premises or other potions of
the Project with any applicable laws, regulations or ordinances. (in) the habitability. merchmtabilir.
marketability, profitability or fitness for particular purpose of the Premises. (iv) sin' other factor or
condition which has or might affect the Premises or other portions of the Project or the condition. state of
171'1111-
Docusign Envelope ID1A85939I-0 5A4702-9aAF-EC83FC3Fa823
repair, compliance, value, expense or operation of the Promises or other portions of the Project, or (v)
whether the Promises or other portions of the Project contain harmful, hazardous or toxic substances. The
execution of this Agreement by Licensee shall constitute the acknowledgment and agreement of Licensee
that Licence is familiar with the physical condition of the Premises and the Project, that Licensee has
accepted the same in good order and condition, and that the Premises complies in all respeels with
requirements of this Agreement and am suitable for the purposes for which the Premises are hcrcbv
licensed.
11. No Assignment. Licensee shall not assign, sublet nor otherwise transfer any of
Licensee's rights under this Agreement nor permit any person (other than Licensee and its agents and
employees) or entity to use the Premises or any portion Ihercof. Any such attempt to assign or transfer
shall be void and of no effect.
12, Rules and Regulations. Licensee shall comply with all rules and regulations of the
Project from time to time established by Licensor. Access to and from the Premises shall be subject to
such reasonable rules and regulations.
13. Licensees Insurance. Licensee shall maintain throughout the Term the following
insurance policies: (a) commercial general liability insurance on an occurrence basis with limits of
liability in an amount not less than $1.000,000 combined single limit for each occurrence, $2,000,000
aggregate (and, if the use and occupancy of the Promises include any activity or matter that is or may be
excluded from coverage under a commercial general liability policy [e.g., the sale, service or consumption
of alcoholic beverages), Licensee shall obtain such endorsements to the commercial general liability
policy or otherwise obtain insurance to insure all liability arising from such activity or matter (including
liquor liability, if applicable, in such amounts w Licensor may reasonably require), all insuring Licensee,
Licensor, CBRE Global Investors, LLC, Licensor's mortgagee, Licensors Project Manager and their
respective successors against ail liability for injury to or death of a person or persons or damage to
property arising from the use and occupancy of the Premises, (b) cause of loss -special risk form (formerly
`-all-risk") property insurance which shall be primary (notwithstanding any policy language to the
contrary) and non-contributory on Licensee's property, including, without limitation, its goods,
equipment, inventory, alterations, additions and improvements, in an amount adequate to cover their
replacement cost. (c) excess/umbrella liability insurance with minimum limits of not less than $1,000,000,
(d) contractual liability insurance sulficicnl to cover Licensee's indemnity obligations hereunder,
(e) worker's compensation insurance, in statutory amounts and limits, and employer's liability insurance
with limits as follows: bodily injury each accident -- not less than One Million Dollars (SI,000,000.00),
bodily injury/disease each employee -- not less than One Million Dollars ($I,000,000.00), and a bodiy
injury/disease policy limit of not less than One Million Dollars ($1,000,000.00), and (A business
interruption insurance. Licensee's insurance shall provide primary (notwithstanding any policy language
to the contrary) and non-contributory coverage to Licensor when any policy issued to Licensor provides
duplicate or similar coverage, and in such circumstance Licensor's policy will be excess over Licensee's
policy. Prior to the Early Entry Date and thereafter upon request by Licensor, Licensee shall fumish to
Licensor certificates of such insurance and such other evidence satisfactory to Licenmr of the
maintenance of all insurance coverages required hereunder, and Licensee shall obtain a written obligation
on the part of each insurance company to notify Licensor at least 30 days before cancellation or a material
change of any such insurance policies. All such insuratce policies shall be in form, and issued by
companies, reasonably satisfactory to Licensor.
14. Waiver of Subrogation. Licensor and Licensee each waives any claim it might have
against the other for any injury to or death of any person or persons or damage to or theft, destruction.
loss, or loss of use of any property (a "Loss'), to the extent the same is insured against under am
insurance policy that covers the Project, the Premises, Licensors or Licensee's fixtures, personal
0ocusign EOVBIopo 10, 1A115Ba91-05/ 702-98AF-ECBYMFBM
property, leasehold improvements, or business, or, in the case of Licensee's waiver. is required to be
insured against under the terms hereof, regardless of whether the negligence of the other pan+ caused
such Loss: however, Licensors wane; shall not include anv deductible amounts on insurance policies
carried by Licensor. Each party shall cause its insurance carrier to endorse all applicable politics waiving
the canie('s nglus of rccown unJcr submgaliun or ulhcuwix against time odmcr party
I5. Licensee's Indemnity. Subject to Section 14, Licensee shall defend, mdemmfy, and hold
harmless Licenser and its representalices and agents from and against all claims, demands- liabilities.
causes of action, suits, judgments, damages, and expenses (including attorneys' fees) arising from (a) am
Loss arising from any occurrence on the Premises, (b) Licensee's failure to perform its obligations under
this Agreement, (c) Licensee's exercise of its rights hereunder, including without limitation. Licensee -s or
its employees or agents or mvitees' use of the Premises or presence in the Project or ant damage to the
Project, even though, in each instance of the foregoing clauses (&He). caused or alleged to be caused
by the negligence or fault of Licensor or its agcah, and even though any such claim, cause of action.
or wit is based upon or alleged to be based upon the strict liability of Licensor or its agents: or (d)
infringement misappropriation, or violation by Licensee of a patent, trademark. copyright, trade scare;, or
any other intellectual property right of a third party. This indemnity provision shall survive termination or
expiration of this Agreement. If any proceeding is filed for which indemnity is required hereunder.
Licensee agrees, upon request therefor. to defend the indemnified party in such proceeding at its sole cost
utilizing counsel satisfactory to the indemnified party.
16. Events of Default Each of the following occurrences shall be an "Event of ftefaa@
(a) Payment Default. Licenses s failure to pay any amount due hereunder within
five days after Licensor has delivered written notice no Licensee that the same is due.
(b) lsurance. Licensee fails to procure, maintain and deliver to Licensor evidence
of the insurance policies and coverages as required by this Agreement
(c) Mechanic's Liens. Licensee fails w pay and release of record. or diligently
contest and bond around. any mechanic's lien filed against the Premises a the Project for any, work
performed, materials furnished, or obligation incurred by or at the request of Licensee, within ten days of
written notice from Licensor.
(d) Other Defaults. Licensees failure to perform. comply with- or observe any
other agreement or obligation of Licensee under this Agreement and the continuance of such failure for a
period of more than ten (10) days after Licenser has delivered to Licensee written notice thereof:
(e) Open for Business. Licensee fails to (a) open for business to the public in the
Premises Oxtured, stocked and staffed as herein provided within ten (10) days after the Rent
Commencement Date, (b) open and remain open for business as herein provided during such hours as
herein required, or (c) maintain during such hours a staffof employees and stock of merchandise as herein
required. or
(D Insolvency. The filing of a petition by or against Licensee (the term "Licensee'
shall include- for the purpose of this Section, any guarantor of Licensee's obligations hereunder) (a) in
an) bankruptcy or other insolvency proceeding; (b) seeking any relief under any state or federal debtor
relief law. (c) for the appointment of a liquidator or receiver for all or wbshntially all of Licensee's
property or for Licensee's interest in this Agreement, or (d) for the reorganization or modification of
Licensee's capital structure; however, if such a petition is filed against Licensee, then such filing shall not
IIII arhp,4
Docusign Envelope ID: 1A958491-M5A47024i0AF-ECa3FC3F8623
be an Event of Default unless Licensee fails to have the proceedings initiated by such petition dismissed
within 90 days after the filing thereof
(9) Cross Default. A default or Event of Default (beyond any applicable notice.
grace and cure periods) under my other written agreement between Licensor and Licensee shall constitute
an Event of Default under this License, and any Event of Default under this Agramenl(beyond any
applicable notice, grace and cum periods) shall constitute a default or Event of Default under such other
written agreement between Licensor and Licensee (w about any obligation to give Licensee env notice or
opportunity to cure period thereunder).
17. Termination Upon Default and Remedies. Upon an Event of Default, Licensor may
terminate this Agreement upon written notice to Licensee and may exercise any remedy available to it at
law or in equity. including, without limitation, the immediate termination of this Agreement and removal
of any of Licensee's personal property. Such termination by Licensor shall be deemed effective on the
date of such notice and Licensee shall vacate and deliver the Premises to Licensor in accordance with the
provisions of this License. Termination of this Agreement by Licensor as aforesaid shall not prejudice
any other remedies which might be available to the Licensor under this Agreement or any other
agreement by and between Licensor and Licensee. In addition to Licenser's right to terminate this
Agreement, as well as all of the rights and remedies afforded Licensor at law or in equity, Licensor may
perform env act Licensee is obligated to perform under the terms of this Agreement (and enter upon the
Premises in connection therewith if necessary) in Licensee's time and on Licensee's behalf, without
being liable for any claim for damages therefor, and Licensee shall reimburse Licensor on demand for any
expenses which Licensor may incur in thus effecting compliance with Licensee's obligations under this
Agreement (including, but not limited to, collection costs and legal expenses), plus interest thereon at the
Default Rate. Upon any termination of this Agreement, Licensee shall remain liable to Licensor for am,
obligations of Licensee under this Agreement during the entire Teter. No waiver by Licensor of env
default or breach by Licensee of its obligations hereunder shall be construed to be a waiver or release of
any other or subsequent default or breach by Licensee hereunder, and no failure or delay by Licensor in
the exercise of any remedy provided for herein shall be coaswed to constitute a forfeiture or waiver
thereof or of env other right or remedy available to Licensor.
18. Holding Over. If Licensee fails to vacate the Premises at the end of the Term, then
Licensee shall be a Licensee at will and, in addition to all other damages and remedies to which Licensor
may be entitled for such holding over, Licensee shall pay, in addition to the other amounts payable
hereunder, a daily License Fee equal to 150% of the daily License Fee payable during the last month of
the Term. No holding over by Licensee, whether with or without the consent of Licensor, shall operate to
extend this Agreement The provisions of this Section shall not be deemed to limit or constitute a waiver
of any other rights or remedies of Licensor provided herein or at law. In addition, Licensee shall be liable
to Licensor for all damages occasioned by such holding over, including, without limitation, all
consequential, direct and indirect damages and losses sustained by Licensor. If Licensee fails to surrender
the Premises upon the termination or expiration of this Agreement, in addition to another liabilities to
Licensor accruing therefrom. Licensee shall protect, defend, indemnify and hold Licensor harmless from
all loss, costs (including rwsonable atmmeys' fees) and liability resulting from such failure, including,
without limiting the generality of the fomgomg, any claims made by any succeeding Licensee or Licensee
of the Premises founded upon such failure to surrender, and any lost profits to Licensor resulting
therefrom.
19. Surrender of Premises. At the expiration or ennmation of this Agreement, Licensee
shall deliver to Licensor the Premises with all improvements located therein in good repair and condition.
free of hazardous materials placed on the Premises during the Term, broom -clean, reasonable wear and
tear (and condemnation and casualty damage not caused by Licensee) excepted, and shall deliver to
I Z714I1457,4
Docusl9n Envelope ID: IM5B 91-045A-4702-NAF-EC83FC3Faa23
Licensor all kc_as to the Premises. Provided that Licensee has performed all of its obligations hereunder.
Licensee max remenc all unattached trade fixtures, furniture. and personal property placed m die
Premiscs b% Licensee, and shall remove such alterations, additions, improvements. trade fixtures.
personal property, equipment, wiring, and furniture as Licensor may request. Licensee shall repair all
damage caused by such removal. All items not se, removed shall be deemed to have been abandoned by
Licensee arid may be appropriated, sold, stored, destroyed, or otherwise disposed of by Licensor without
nouce to Licensee and without am obligation to account for such items The provisions of this Section
shall survive the end of the Tenn.
20. Utilities Commencing with the Commencement Dow, Licensee shall pav in a hmeh
manner and prior to delinquency for all utilities or services related to its use of the Premses, including.
without limitation, electron. gas, hcaL se -et, $torn' water. water, telephone, trash. and janitorial
services. Licensee shall be responsible for all utilities used and consumed in and with respect to the
Premises during the Term. For any utilities that an scparalch metered. Licensee shall (i) make
application in Licensees own name for all such uuliucs that arc separately metered, including, without
Imitation, electricity. (a) compl) with all service provider regulations for such services, including,
without limitation, requirements for the installation of meters or sub -meters. and (in) for those services
that are separately metered, obtain such sen ices direct[% from. and pay for the some when due directly to.
the applicable renice provider. For any unlitics that are sub -metered, Licensee shall pay to Licensor the
separate submeter utility charges for the Premiscs ("Separate Sabmerer Charges'), based on separate
submeters for all utilities used in the Premises. Licensor shall read Licensee's separate submeters. and
Licensee shall pay to Licensor the Separate Submeter Charges within 30 days following Licenser's
delivery to Licensee of an invoice therefor, plus Licensor's reasonable administration fee thereon. if any.
When calculating Separate Submeter Charges, Licensor may include all applicable sales, use, excise, or
other woes assessed by governmental authorities an electrical services and any other costs imposed or
collected by the utility provider Licensee shall not install any equipment or fixtures, or use the same. so
as to exceed the sate and lawful capacity of any utility equipment or lines serving the same. The
installation, alteration, replacement or connection of any utility equipment and lines shall be subject to the
requirements for alterations of the Premises. Licensor shall not be responsible for the stoppage or
interruption of utilities services, other than as required by its limited covenant to repair and replace set
forth herein.
21. Licrosor's Rights. Licensor shall have the right to enter the Premises after reasonable
prior notice (which notice may be oral notice, except in the case of real or apparent emergency, in which
case no notice shall be necessary) at all reasonable hours for the purpose of inspecting or making repairs
to the same, and Licensor shall also have the right to make access available at all reasonable hours (upon
reasonable advance oral or written notice) to prospective or existing mortgagees, purchasers or Licensees
of my pan of the Project.
22. Licensor's Liability. The liability of Licensor (and its partners, shareholders or
members) to Licensee (or my person or entity claiming by, through or under Licensee) for my default by
Licensor under the terms of this Agreement or any matter relating to or arising out of the occupancy or
use of the Premises and/or other areas of the Project shall be limited to Licensee's actual direct, but not
consequential, damages therefor and shall be recoverable only from We interest of Licensor in the Project
and Licensor (and its partners. shareholders or members) shall not be personally liable for any defrctemy.
23. Submission. Submission of this Agreement by Licensor to Licensee for examination
and/or execution shall not in my mariner bind Licensor and on, obligations shall arise under this
Agreement unless and until this Agreement is fully signed and delivered by Licensor and Licensee.
1711W 71i
Docuslgn Envelope ID: 1AB58491-04 4702-98AF-EC83FOF8623
24. Subordination* Estopael Cert'fci am Financial Statements. This Agreement and all
of Licensee's rights hereunder shall be subject and subordinate to any mortgage or mortgages (and the
liens thereof) now or at any time hereafter in force against the Project and/or to any underlying leasehold
estate. From time to time Licensee shall furnish to any party designated by Licensor within ten (10) days
after Licensor made a request therefor a certificate signed by Licensee confirming and containing such
factual certifications and representations as to this License as Licensor may reasonably request. In the
event Licensee fails or refuses to deliver any such certificate within said ten day period, in addition to all
other rights and remedies available under this Agreement (a) Licensee hereby appoints Licensor as
attomev in fact for Licensee with full power and authority to execute and deliver in the time of Licensee
MY such certificate, and (b) Licensee shall be deemed to have accepted. agreed to and certified to, each of
the statements set forth in any such certificate Licensee agrees to deliver to Licensor updated financial
statements from time to time within ten days of Licensor's written request, each financial statement
certified to be We and correct in all material aspects by an authorized person on behalf of Licensee.
25. Notices. All notices and other communications given pursuant to this License shall be in
writing, addressed to the parties hereto at the address listed in the License Terms Summary, and shall be
(a) mailed by first class, United States mail, postage prepaid, certified, with return receipt requested, (b)
hand delivered to the intended addressee, or (c) sent by nationally recognized overnight courier. Notice
sent by certified mail, postage prepaid, shall be effective three business days after being deposited in the
United Stares mail; all other notices shall be effective upon delivery to the address of the addressee (even
if such addressee refuses delivery thereof). Licensor and Licensee hereby agree not to conduct the
transactions or communications contemplated by this License, by electronic means, nor shall the use of
the plume "in writing" or the word "written" be construed to include electronic communications. The
parties hereto may change their addresses by giving notice thereof to the other in conformity with this
provision.
26. Separability. If any clause or provision of t11is Agreement is illegal, invalid, or
unenforceable under present or future laws, then the remainder of this Agrcemem shah not be affected
thereby and in lieu of such clause or provision, there shall be added as a part of this Agreement a clause or
Provision as similar in ten is to such illegal, invalid, or unenforceable clause or provision as may be
possible and be legal. valid, and enforceable.
27. Confidentiality. Licensee acknowledges that the terms and conditions of this License
are to remain confidential for Licensor's benefit and may not be disclosed by Licensee to anyone, by any
answer or means, directly or indirectly, without Licemor's prior written consent; however, Licensee may
disclose the terms and conditions of this License to its attorneys, accountants, employees and existing or
prospective financial partners, or if required by Law or court order, provided all parties to whom Licensee
is permitted hereunder to disclose such terms and conditions are advised by Licensee of the confidential
nature of such terms and conditions and agree to maintain the confidentiality, thereof (in each ease, prior
to disclosure). Licensee shall be liable for any disclosures made in violation of this Section by Licensee
or by any entity or individual to whom the terms of and conditions of this License were disclosed or made
available by Licensee. The consent by Licensor to my disclosures shall not be deemed to be a waiver on
the part of Licensor of my prohibition against my fume disclosure.
28. Amendments; Binding Effect This Agreement may nor be amended except by
instrument in writing signed by Licensor and Licensee. No provision of this Agreement shall be deemed
to have been waived by Licensor unless such waiver is in writing signed by Licensor, and no custom or
practice which may evolve between the parties in the administration of the terms hereof shall waive or
diminish the right of Licensor to insist upon the performance by Licensee in strict accordance with the
terms hereof. The terms and conditions contained in this Agreement shall inure to the benefit of and be
binding upon the parties hereto, and upon their respective successors in interest and legal representatives.
12
12]19Ya51W
Docusign Envelope ID: IM5M91-04MA 702-98AF-EC83FC3F8623
except as otherwise herein expressly provided. This Agreement is for the sole benefit of Licensor and
Licensee, and. other than Licensor's mortgagee, no third party shall be deemed a third -parer bcncrichan
hereof.
29 Counterparts; Electronic Signatures. This Agreement may be executed in counterparts.
each of which shall constitute an original and all of which taken together shall constitute one and the same
agreement Furthermore, the panics agree (hat (1) this Agreement mac be transmitted between them by
electronic mail and (it) electronic signatures and electronic copies of manual signatures shall have the
effect of original signatures relative to this Agreement. Signature pages may he detached from the
counterparts and attached to a single copy of this License to physically form one document.
30. Entire Agreement. This Agreement constitutes the entire agreement between Licensor
and Liceasee regrading the subject matter hereof and supersedes all oral sutemenis and prior writings
relating therein Except for those set forth in this Agreement. no representations, warranties. or
agreements have been made by Licensor or Licensee to the other with respect to this Agreement or the
obligations of Licensor or Licensee in connection (herewith. The normal rule of construction that any
ambiguities be resolved against the drafting party shall not apply to the interpretation of this Agreement
or any exhibits or amendments hereto.
31. Governine Law; Jurisdiction. This License shall be governed by and construed in
accordance with the laws of the state in which the Premises are located. The proper place of venue to
enforce this License will be the county or district in which the Premises are located. In an) legal
proceeding regarding this License, including enforcement of am' judgments, Licensee irrevocably and
unconditionalty (a) submits to the jurisdiction of the courts of law in the county or distinct in which the
Premises are located. (b) accepts the venue of such courts and waives and agrees not to plead am
objection thereto; and (c) agrees that (1) service of process may be effected at the address specified for
Licensee in this License, or at such other address of which Licensor has been properly notified in writing.
and (2) nothing herein will affect Licensor's right to effect service of process in any other manner
permitted by applicable law.
32. Waiver of Jury Trial. TO THE MAXIMUM EXTENT PERMITTED BY LAW.
LICENSEE (ON BEHALF OF ITSELF AND ITS RESPECTIVE SUCCESSORS, ASSIGNS AND
SUBLICENSEES) AND LICENSOR EACH, AFTER CONSULTATION WITH COUNSEL.
KNOWINGLY WAIVES ANY RIGHT TO TRIAL BY JURY IN ANY LITIGATION OR TO HAVE A
JURY PARTICIPATE IN RESOLVING ANY DISPUTE ARISING OUT OF OR WITH RESPECT TO
THIS LICENSE OR ANY OTHER INSTRUMENT, DOCUMENT OR AGREEMENT EXECUTED OR
DELIVERED IN CONNECTION HEREWITH OR THE TRANSACTIONS RELATED HERETO.
33. Survival Provision. It is expressly understood and agreed that any provisions of this
Agreement that by their nature would be expected to survive, including without limitation piny indemnity
provisions contained in this Agreement, shall survive any expiration or earlier temhinatton of this
Agreement.
34. Authority. Each person executing this Agreement on behalf of Licensor and Licensee
hereby represents and affirms that he/she is a duly authorized rcpresentatice of such party and has been
fully empowered to execute and deliver this Agreement on behalf of such entity. that each party has full
power and authority to perform its obligations hereunder. and that all necessary corporate or
organisational action for the execution, delivery and performance of this Agreement has been taken and
done
¢+ivINsu4
Docusgn Envelope ID: 1A !M91-015A,4702-98AF-EC83FCV8823
35, No Joint Venture. This Agreement is not intended to create a partnership or joint
vcnwm between Licensor and Licensee. or to create a principal and agent relationship between them.
36. Attornev's Fees. If either Licensor or Licensee commences any litigation a judicial
action to determine or enforce my of the provisions of this Agreement, the substantially prevailing party
in my such litigation or judicial action is entitled to recover all of its costs and expenses (including,
without limitation, reasonable attorneys' fees, costs and expenditures) from the other party.
37, Radon. Radon is a naturally occurring radioactive gas that, when it has accumulated in a
building in sufficient quantities, may present health risks to persons who are exposed in it over time
Levels of radon that exceed federal and state guidelines have been found in buildings in Florida.
Additional information regarding radon and radon testing may be obtained from your county health
department' (Fla. Stan. Ana. § 404.056)
3& Prohibited Person and Transactions. Licensee represents and warrants that Licensee
is not and covenants and agrees that Licensee will not become, a person or entity with whom U.S.
persons a entities are restricted from doing business under regulations of the Office of Foreign Assets
Control (`OFAC) of the Department of the Treasury (including those named on OFAC' is Specialiv
Designated Nationals and Blocked Persons List) or under any statute, executive order (including the
September 24, 2001, Executive Order Blocking Property and Prohibiting Transactions with Persons Who
Commit, Threaten to Commit, or Support Terrorism), or other governmental actioa and Licensee
covenants and agrees that it will not Transfer this License to any such persons or entities (and am, such
Transfer shall be void).
39. Brokame. Neither Licensor nor Licence has dealt with any broker or agent in
connection with the negotiation or execution of this License, other than Colliers International Florida.
LLC, whose commission, if any, shall be paid by Licenor pursuant to a separate written agreement.
Licensor and Licensee shall each indemnify the other against all costs, expenses, attorneys' fees, liens and
other liability for commissions or other compensation claimed by any other broker or agent claiming the
same by, through or under the indemnifying party.
40. License Only. This Agreement creates a license only and Licence acknowledges that
Licensee does not and shall not claim at any time any interest or estate of any kind or extent whatsoever
in the Project or the Premises by virtue of this License or Licensee's use of the Premises or any other pan
of the Project pursuant hereto. In connective with the foregoing, Licensee further acknowledges that in
no event shall the relationship between Licensor and Licensee be deemed to be a so-called landlord -tenant
relationship and that in no event shall Licensee be entitled to avail itself of any rights afforded to tenants
under the laws of the state in which the Premises are located. This License is not and does not grant an
easement'
(THE REMAINDER OF THIS PAGE IS INTENTIONALLY LEFT BLANK(
h NTDThe Premises is being delnertd "es -is, where -I.,
ITn97657v4
Docuagn Envelope ID: IA85M91-04 702-9EM-EGBVCV8623
IN WITNESS WHEREOF. the parties have executed this Agreement on the date first wnimn
above.
LICENSEE:
LILIANA MONTOYA INC..
a Florida corporation
Name _IILIKMA
Title- e51Dt= T
LICENSOR:
1111 LINCOLN. LLC. a Delaware limited
liability company
By,
Name
Nayan
TiUe: Presi ent
Bv:
Name:
Title: reasurer
15
1271"M4
Dmusgn Envelope ID: 1ABBB491-0 SA-0702-98AF-EC83FCVM23
O
0
0
§;
EXHIBIT A
Outline of Premises
LMCDLN ROAD
The Premises is identified as the "Premises-- and highlighted in yellow in the above dcpicuon. References
to tenants and occupants in the above depiction are not and shall not be deemed representations of
existing or future tenancies or occupancies nor of am particular tenant/occupant-mix or Ict ant/occupant
physical arrangement or placement or operation or closures, now or in the future anticipated.
A -I
Dowsgn Envelops ID: IA85B491-04-4702-98AF-EC83FC3F8823
EXHIBIT B
List of Prohibited Uses
Exclusives:
Shake Shack
Licensee may not operate as a restaurant which has at least 50°/ of its menu items m the categories of
burgers- shakes and/or fries.
Licensee will not operate a store which has at least 500i6 of its menu items in the categories of ice cream
products.
Tastiest America. LLC
Licensee will not sell books in an area exceeding the greater of 500 square feet of floor area or 10 percent
of the retail display area of the premises.
MA.C. Cosmetics
Licensee may not operate the Premises as a "Sephora" store.
Regus
Licensee will not operate as a flexible workplace center for third parties, with or without individual
offices or ancillarx services.
CBS Enterprises
Licensee will not operate as a body sculpting and/or contouring facility.
Other Prohibited Uses: Licensee shall not conduct or operate within or about the Premises am (a) fire,
auctiost, bankruptcy or "going out of business" sales, (b) a "wholesale' or "factory outlet" store. (c) a
cooperative store. (d) intentionally omitted. (c) a "flea market' store, (f) a "surplus' store, or (g) a store
commonly referred to as a "discount house." Licensee shall not advertise that it sells products or services
at "discount" "cut-price" or "cut-rate" prices. Licensee shall not (1) permit any objectionable or
unpleasant odors to emanate from the Premises: (2) place or permit any radio, television, loudspeaker or
amplifier on the roof or outside the Premises or where the same can be seen or heard from outside the
Premises or in the Common Areas. (3) place an antenna, awning or other projection on the exterior of the
Premises: (4) solicit business or distribute leaflets or other advertising material in the Common Areas: (5)
take anv other action that would constitute a nuisance or would disturb or endanger other Licensees of the
Project or unreasonably interfere with their use of their respective premises: or (6) do anything that would
tend to injure the reputation of the Project.
L.
it-urssna
Docusign Envelope ID: 1A 13491445A4742-9 F-EC83FC3F6823
ExhibilC
Umnm's Pre-Aooroved Sienaae
ff na stgnage is attached, this exhibit .111 be deemed blank.
LILIANA/
M:! TOYA
s
IVIMSN4
Docusign Envelope ID: 1A859491-045A 70M8AF-EC83FC3F8623
EXHIBIT D
I If I Lincoln - Rules and Regulations
The following rules and regulations shall apply to Licensees use of the Premises and the Project, and the
appurtenances thereto:
I. No sign, advertisement, display, notice or other lettering shall be exhibited, inscribed.
painted or affixed on any pan of the outside of the Premises or inside. if visible from the outside, or the
building of which thev form a pan. and no symbol, design, mark, or insignia adopted by Licensor for the
Proll"i or any portion themof or the Licensees therein shall be used in connection with the conduct of
Licensee's business in the Premises or elsewhere without, in each instance, the prior written consent of
Licensor. All signs, displays. advertisements and ounces of Licensee so approved by Licensor shall be
maintained by Licensce in good and attractve condition at Licensee's expense and risk
i The Common Area shall not be obstructed by Licensee or used for purposes other than
Parking. ingress and egress to and from the Premises and for going from one to another pan of the
Project. No awning or otter projections shall be attached to the outside walls of the Premises or the
Project of which they form a pan without, in each instance, the prior written consent of Licensor.
3. All loading and unloading of goods shall be done only at such time& in the areas and
through the entrances designated for such purpose by Licensor.
4. .At garbage and refuse shall be kept in the type of container specified by Licensor and
shall be placed outside of the Premises and prepared for collection in the manner and at the times and
places specified by Licensor. If Licensor shall provide or designate a service for picking up refuse and
garbage. Licensee shall use the same at Licenses^-s cost, provided such cost shall be competitive to any
similar service available to Licensee.
5. No radio or television or other similar device shall be installed without, in each instance,
Licensor's prior written consent No aerial shall the etceted on the nnlf o1 exterior walls of the Premises.
or on the grounds without, in each instance, the prim written consent of Licensor. Any aerial so installed
without such written consent shall be subject to removal without notice u any none. In the event any
television of similar device is installed, same must be removed at the expiration or earlier termination of
this Agreement'
6. No loudspeakers, television sets, phonographs, radios or other devices shall be used in a
manner so as to be heard or seen outside of the Premises without the prior written consent of Licensor.
7. No auction, fare. bankruptcy or selling -out sales shall be conducted on or about the
Promises without the prior written consent of Licensor.
9, Licensee shall keep Licensee's display windows illuminated and the signs and exterior
lights lighted each and every day, of the Lease Tenn hereof during the hours designated by Licensor.
9. Licensee shall keep the Premises at a temperature sufficiently high to prevent freezing of
water in pipes and fixtures.
' NTD. Landlord approves the Installation of 1 or 2 I'Vs so long as thev arc removed at the end of the tam
D-1
121197857W
DowsVn Envebpe ID: 1AMM91-0 5A4702-99AF-EC83FC3F8623
to. The outside areas immediately adjoining the Premises shall be kept clean by Licensee
and Licensee shall not place or permit any obstructions or merchandise in such areas.
11. Licensee and Licensee's employees shall park their cars only in those portions of the
parking area designated for that purpose by Licensor, which cicslgnatien may be changed by Licensor
from time to time. Licensee shall fumish Licensor the stale automobile license numbers assigned to
Licensees car or cars and the cars of Licensee's employees within 10 days after taking possession of the
Premises and shall lhetcafter notify Licensor of any changes within 10 days after such changes occur. All
vehicles we to be currently licensed, in good operating condition, parked for business purposes having to
do with Licensees business operated in the Premises, parked within parking spaces designated by
Licensor from time to time, one vehicle to each space Licensor shall have the right to reserve am
parking spaces for the exclusive use of other Licensees or occupants in the Project. No vehicle shall be
parked as a "billboard" vehicle in the puking IoL Any vehicle parked improperly may be towed away.
Licensee. Licensees agents, contractors. employees, vendors and customers who do not operate or pack
their vehicles as required shall subject the vehicle to being towed at the expense of the owner or driver.
Licensor may place a "beef' on the vehicle in immobilize it and may levy a charge of $50 00 to remove
the "boot' Licence shall indemnify, hold and save harmless Licensor of any liability arising from the
towing or booting of any vehicles belonging to a Licensee Party. For purposes of these rules. "Licensee
Party" means Licensee. its agents, conametors, employees, vendors and customers.
12. Licensee shall use, at Licence's cost, such pest extermination contractors as Licensor
may direct and at such imervals as Licensor may require, provided the cost thereof is competitive to any
similar service available to Licensee.
13. Licensee shall not make or permit any noise or odor which Licensor deems objectionable
to emanate from the Premises.
14. Licensee shall not use or, permit to be used by its employees, contractors, suppliers or
agents, any (1) crime or (2) heavy machinery. equipment or vehicles within the Project, without the prior
written consent of Licensor, which may be withheld in Licensor's sole and absolute discretion. For
purposes of this Section, the term "heavy macbmery, equipment or vehicles' shall be deemed to mean
that such item weighs 80,000 pounds or mom.
15, Plumbing, fixtures and appliances shall be used only for the purposes for which designed.
and no sweepings, rubbish, rags or other unsuitable material shall be thrown or deposited therein.
Damage resulting to any well fixtures or appliances from misuse by Licensee or its agents, contractors.
employees er invitees, shall be paid by Licensee.
16. Licensor shall provide all door locks at the entry of Licensee's Premises, at the cost of
Licensee, and Licensee shall not place any additional door locks in the Premises without Lncensor's prior
written consent. Licensor shall furnish to Licensee a reasonable number of keys to Licensee's Premises,
at Licensee-s cost. and Licensee shall not make duplicates thereof
17. Licensor will not be responsible for lost or stolen personal property, money or jewelry
from a Licensee's premises or public or common areas regardless of whether such loss occurs when the
aura is locked against entry or not.
18. No vending or dispensing machines of any kind may be maintained many leased
Premises without the prior written permission of Licensor.
D-2
129197SM4
Docoaign Envelope IDlA85M91-045A4702-NAF-EC83FC3FW23
19. Licensee shall not conduct my activity on or about the Premises or Project which will
draw pickets, demonstrators, or the like.
20. No Licensee may enter into phone rooms, electrical rooms, mechanical rooms, or other
service areas of the Project unless accompanied by Licensor or the Project manager.
21. Licensee will not permit anv Licensee Party to bring onto the Project any handgun.
firearm or other weapons of any kind, illegal drugs or, unless expressly permitted by Licensor in writing,
alcoholic beverages.
D-3
137191a37v,i
Dacusign Env.4ID: 1A85Mg1445A4702-98AF-EC83FC3F8523
EXHIBIT E
Rent Commencement Date Confirmation Agreement
DECLARATION BY LICENSOR AND LICENSEE AS TO RENT COMMENCEMENT DATE
Attached to and made a pant of the Agreement dated lk L day of UL 20_, entered into by
and between 1111 LMCOLN, LLC, as LICENSOR, and LILIA A ONTOYA INC. a Florida
corporation .as LICENSEE.
LICENSOR AND I,ICENSEE do hereby declare tl1e Rent Commencement Date occurred on the
_ day of NiJF M .2ol2
LICENSEE:
LILIANA MONTOYA INC.,
a Florida corporatica
By: AIL NA- NbWo`k IWJ
Name L
Title: tOC
Dane: ItA4 I
I r11VrPA"
LANDLORD:
Ills LINCOLN. LLC,
a Delaware limited liability company
By:
Y
Name:
A i Mayan
Title:
President
Date:
��3cr3m�
By: _
Name:
A
W
letrrey B. I orto
Title:
Treasurer
Date:
7r79n012
E-I
Docusgn Enveo ID: iA85aa91-N5A47m2-98AF-EC83FC3F8623
SEVENTH AMENDMENT TO LICENSE AGREEMENT
THIS SEVENTH AMENDMENT TO LICENSE AGREEMENT (this "Amendment") is
entered into as of September _, 2025 (the "Amendment Effective Date-), by and between 1111
LINCOLN, LLC, a Delaware limited liability company ("Licensor"), and LILIANA MONTOYA INC., a
Florida corporation ("Licensed').
BACKGROUND:
A. Licensor and Licensee are parties to that certain License Agreement dated July 18, 2022
(the "Original License Agreement), m amended by that certain First Amendment to License Agreement
dated January 31, 2023 (the "First Amendment') and, as amended by that Second Amendment to License
agreement dated September 8, 2023 (the "Second Amendment"), and as amended by that Third
Amendment to License agreement dated January 1, 2024 (the "Third Amendment'l, and as amended by
that Fourth Amendment to License agreement dated April _, 2024 (the "Fourth AmendmenPl, and as
amended by that Fitch Amendment to License agreement dated August 31, 2024 (the "Fifth Amendment'l,
and as amended by that Sixth Amendment to License agreement dated February _, 2025 (the "Sixth
Amendment') and together with the Original License Agreement, (collectively, the "License Agreement'),
for the license to occupy approximately 2,200 rentable square feet of space (the "Premises") in that certain
building located at I I I I Lincoln Road, Miami Beach, Florida, all as more particularly described in the
License Agreement.
B. Licensor and Licensee desire to enter into this Amendment to amend the License
Agreement as hereinafter provided.
C. The defined terms used in this Amendment, w indicated by the initial capitalization thereof,
shall have the same meanings ascribed to such terns in the License Agreement, unless otherwise specifically
defined herein.
NOW, THEREFORE, for and in consideration of Ten and No/100 Dollars ($10.00) and of the
mutual covenants, agreements and undertakings herein set forth and other valuable considerations, the receipt
and sufficiency of which are hereby acknowledged, Licensor and Licensee hereby agree as follows:
1. Extension of Tem. The Term is currently set to expire on August 31, 2025. The Term is
hereby extended for a period (the "Amendment Extension Teruel of approximately six (6) months,
commencing September 1, 2025 (the "Amendment Commencement Date"), and expiring February 28,
2026, unless earlier terminated pursuant to any provision in the License Agreement. Except as expressly
provided in this Amendment, no improvement allowance or similar allowance shall be payable or otherwise
available to Licensee with respect to such extension, and Licensor shall have no obligation to perform my
upfit pr other improvement work to the Premises in connection with this Amendment. Licensee hereby
acknowledges that it has, as of the Amendment Effective Date, accepted the Premises in its "as is, where
is" condition, subject only to Licensor's obligations expressly provided for in this Amendment.
2. Licensor's Termination Right. Licensor shall have the option, in its sole discretion, to
terminate this License Agreement by providing Licensee with thirty (30) days prim written notice thereof.
If Licensor exercises its option to terminate the License Agreement in accordance with this Section 2, (i)
the effective expiration of the Term shall be 11:59 p.m. on the thirtieth (30th) day following Licensor's
delivery of such termination notice, (ii) ou such termination date Licensee shall surrender the Premises to
Licensor in the condition required pursuant to the License Agreement and (iil) on such termination date
Licensor may reenter and take possession of the Premises free and clear of the License Agreement and all
rights of Licensee thereunder.
16182M5v2
Docusign Envelope ID! 1Aa5M1-045A4702-98AF-EC83FC3F8623
3. Ratification. Licensee hereby confirms that it is the "Licensee" under the License Agmement.
All terms and conditions of the License Agreement, as amended hereby, are hereby ratified and shall remain
in full force and effect. To the extent there is a conflict between the terns of this Amendment and the terms
of the License Agreement, the terms of this Amendment shall control. Licensee represents that it is not
aware of any default by Licensor or Licensee under the terms of the License Agreement. Licensor and
Licensee represent that (i) the individuals executing this Amendment on behalf of Licensor and Licensee,
respectively, have full authority and power to execute and deliver this Amendment, and (ii) this Amendment
constitutes a valid and binding obligation on the parties hereto. This Amendment contains all of the
agreements of the parties hereto with respect to the matters contained herein, and no prior agreement,
arrangement or understanding pertaining to any such matters shall be effective for any purpose.
4. Counterparts. This Amendment may be executed in two (2) or more counterparts.
Furthermore, the parties agree that (i) this Amendment may be transmitted between them by electronic mail
and (ii) electronic signatures and copies (including electronic copies) of manual signatures shall have the
effect of original signatures relative to this Amendment. Copies ofthis Amendment (including copies stored
electronically) shall be deemed originals for all purposes.
5. Brokerage. Licensor and Licensee represent and warrant to each other that neither said
party nor any of its representatives, employees or agents have consulted or negotiated with any broker or
finder with regard to this Amendment.
Confidentiality. Licensee shall hold strictly confidential the information contained in this
Amendment.
[SIGNATURES APPEAR ON FOLLOWING PAGE]
1618ai6 2
p usign Envelope Ill: tA95M91-045Ai702-98AF-EGB3FG3F8623
IN WITNESS WHEREOF, the parties hereto have caused this Amendment to be executed by
persons duty empowered to bind the parties to perform their respective obligations hereunder the day and
year first above written.
LICENSOR:
Ill LINCOLN, LLC,
a Delaware limited liability company
By. h�
Name: Jaffey a Tono
Title: Reriaeel
X, 0
By
i
Name:
%H g
Title:
T.W
LICENSEE:
LILIANA MONTOYA INC.,
a Florida corporation
r
�. �•� •`
•
161a1i ,2
Ovcuslgn Envelope It: 1AWB691-046AA7024?MF-EC83FC3F8623
BANK OFAMERICA���il
ULIANA MONTOYA INC. I kC urt k 2290 4196 2917 1 February 1, 2025 m February 28, 2025
Check images
Account number. 2290 4196 2917
Check number: 143 1 Amount $9.000.00
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Page 7 of 8
Cocusign Envelope IC: IAB56491-04M4702-98AF-EC83FC3F8623
W-9
Request for Taxpayer
Give Form to the
Do
m
BN.Mg -r
Identification Number and Certification
requester. not
send to the IRS.
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NeMe for saewn do yourIncmw do, whom)
-my name, a tlM0000afiwn eWvd
euelnase nemf�Wr
LILIANA MNC
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❑ Mw ws) a Raew.tvi't, woo, wN arFkada fwtwork,
Address b,umb r. NrM, w,U apt. a.ut. r,u.)
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1113 LINCOLN ROAD STORE t6
b}
CM1y,steb. and APcade
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MIAM1. FL 33139
her acmud numbers) bare Idpearug
W1111111 i 14p IAentjf11tis I It Number (TIN)
Enter your TIN in Me appropriate box. The TIN prohavad must melon Me name given on the "Name" line 6e°le�l sawMy n"nlMr i�-�--�I
W avoid backup withholding. For intlivitluals, the s your social semadty number (Si However. fora i _ m _ I
alien, sole Prophend. or Management entity, see Me Part Indentation- on pegs 3. For other I I1 1 1 1 JI
resident
he number saetrowrormta J LJ
studied, a. your employer identification number (FIN. If You do not yea
u
TIN on page 3.
Nob. If the account is in more than one name, was the chart on page 4 for guidelines on whose
number to aver.
Under wastes; of perjury, I tarty met
1. The number shown on this forth is my coned taxpayer identification number (or I an, waiting for a number to be Issued to Mi and
2. 1 am not subject to backup methods, because: (a) I am exempt from lockup withholding, or (b)1 have not been notified by the Internal Revenue
Service gRS) Mat I and subject to backup withholding a a result of a failure to report IN intents or dividends, or (c) the IRS has hadified me that I who
w burden addition to backup withholding, and
3. 1 am a U.S. citizen or other U.S. parson lowered below), and
4. Tfre FATCa, code(e) entered an this font (if any) indicating that I am exempt Rom FATCA reporting as wrrect.
Certification instructions. you must cross out item 2 above if you have been notigetl by the IRS that you are currently subject to backup withholding
because you have failed to epon all interest and dividends on your tax ratan. Far real estate thavaceorts, item 2 does not apply. Far mortgage
pmm��eeny, cancala8on of deal, camnbuterns to an individual retirement arrangement (IRA), and
interest fund, acquisition or abandonment a secured
rumored. dimmants now than integral and dividentlavy6u>ot required to son Me ceddication, but you moatprovde your attach TIN. Sea the
SEPTEMBER 9, 2025
load e
withholding to an tw«gn permom sM1wa of Iterativelyeommaded y"dow. and
General Instructions r
4.ried"W Iii aaaetn edered an Mr. farm of alp intoning that you are
Sedum tdarmem are to the lntamal Revenue Cade unless Whadriamnoted.
wtwnor lmm the Fi repai a watch.
Future p dwell nb. The HIS has domord a page m IMday forinfwmatim
Naa if you are a U.Spoor., and a maueww given youabrm other than Form
Me remxsxtw's harm if it is w warrhoW
about Farm WA, at www.in.govlw9. Indonesian about wry runs aevNWmwlb
mount W-g W your TIN. yam now use
alreclin, Form W-9 width as stithrom enacted now we rekaeip will bad Podded
indoor to Mi. Form Wi
on that page.
bestirred W a U.S. pawn. For federal rex summer You are wnsiaered a U.S
Purpose of Form
Patty, if You are:
• M individual why Ia a U.S. deizM or U.S. resident slim,
A Parson whoe require] to file an inhermNi to datum with ire IRB most obtainyour d to
Wrtand
drMetlaor9mizetl in Me
under
youMrniturer idendfiaoui nuatemen offpayment tend Parte�o*
in statement mttgage
Umaid Seem w ma lava of Me Unided$Meam,
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foreadymnd, net made yam pod. scgWy'lou or
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ro an IRA,
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that dooduat had.
apayy mYa Wr PaNwnhity
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Me,ano,W aregenerall WpaYewromed withholding aectio^
when
your caredr llN an me permnregwNnO It s[M1e reauaslerl end. wdw
rham of dm W-9 as101 iard hum
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sash buvnms. in chain [saes wdooe a Fad W-9 has nth bow relived.
woo hued
1.Cwtiard). the TIN you as grind is collect (a you are wesirp faanumber
wation, a 6wiftedidon Pnstround i TherahatapMnar iea
orderand11day 446
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ram un,otim,
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2. Card Mat you are not subject W hacxup wiMholdmg..r
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aster sh U.S. andus
W-9 to the derin ptabll
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an your
end eves section 1mm8 wiMdddd9 an Your sd».I pMrrarship Income.
aPoiodi Mat sit a parmon. your nodwIF6 wave M
US. trade or).S.
"prommushi indalm�air,
anY pannwa Pincam buanesse not wbladt W he
Form W'9 (Roo. 5-2013)
. No. f @31%
Docusigm Envelope ID: 1A85B491-0 5A4702-98AF-EC83FC3F8623
Form W-9 (Ral 8-2013) Page 2
In the cases below, the Mlowis person must give Form W-9 to the perinMip
for purymea of Wbi MIN or U.S. status and avdds wiMllddLp ohm
Wlacebe share of put income from the paRrwe ,p it.,, s Bede or business
in the United States'.
e In the case of a disre.�ardm angry with a U.S. mend, the U.S. When of the
d'urag". emiN and not the drdry,
e M the cam of a Who norwm with a U.S. gremor or other U.S. owner,'a xWy,
the U.S. 9rartwa o1Mr LL5. owner May grarrtw Must "hot Me huK and
• In the came of a U.S, trust (otlnr Man a grad marl. the U.S. trust (nMer Man a
grantor oat) and nth Me beneficieriea 0Me mi
Foreign paean. If you are a foeigin on "a U.S. dvch of a foreign henk
Met has elected to be treated as a U 5. pram, do net use Forth W-9 ndetl. use
the appropriate Form W-8 of Form 82331see Publication 515, Wrhhdding M Tax
W Nonresident Arens and Fcreign Entlgksl.
Nonresident alien who becomes a moidam alien. Generally, only a nonresident
When ineividual may use the terms of a tax bade, to reduce or eliminate U.S. tax on
certain types of income. lbwever, most Wr tfaties contain a proridon known m
saving Gauss." Exceptions appeal In the ssysg claw¢ may pema an
exemption from tar to continue M [Mann tool d Intone even age Me payee
has .Me .became. U.S. mddMt Wien for tax purposes.
11 you are a U.S. resMent Wien who is MNng an an except'ion=MWn In the
cnng clause of a tax many to cleat an exemption from U.S. tax on mNin types
dln.,your .. affect It statement to Form W-9 that apaeil the fallowing
five items,
1. The beery country. Generally, the must be the owner treaty under which you
formed exemption from lax as a nonresident Wien.
2, The Mary Mina addrpsfg the Income.
3.Theartda number lot location) In the tax Vwly that contains the u ng
clause and its exceptions.
4. The type and amount of Income that gwlifies for the exemption from tax.
5. Sufficient tack to Justify the exemption imm tax under the terms d Me treaty
ender.
Eaw,As. Arrde 20 of the U.S.-ChM¢ Income rax treaty slower an exameion
ran tax for schokrMlp income mcalved by a Chinese student temporal pored
in the United Stalin. Under U.S. hew, this strdent will becam a resident alien for
tax purreaea a his or her my in the United stales exceeds 5 creendar seem.
However, paragraph 2 of the first Pmtocol M the U.S.-China rids (Were Aging 30.
19aq Wows the promsiose of Ankle 20 to continue to apply eves and, the
Chinese student becomes a ardent alien of the United States. A Chirreae student
who qualifier for this excels on (under paragraph 2 of the Mg broocpg and Is
relying on this exception to claim an exempron from tax on his o, her sense p
o llowshlp Incomewouldcho attaForm al aataemmn Mat IncludestM1e
informal Watmided above to support MW emerged,
If you am a ncfeamalt alien or a foreign many give Me remember Me
appropriate completed Form W-8 or Form 8233,
whet k backup wrbhdding4 Pelsoms making caraln prynwrb to you must
under canon conditions wihMMd and pry to the IRS a percents, of such
payments. Traps is collM'baki wiMMlipi Payments that may, be subject to
backup wdidmiding Iinduce 'market, lax -comp) intdeat, dividends, rival and
bane exclunge bandsmons.lams. royal nonemployes M. Myth smade
in mM M of payment card and third Jody network transactions, and dnaln
payments from flMing boat operators. Real estate transactions am Ion wbjad m
backup withholding.
You will not W subject to backup withholding on payments you 2cWve r your
give the requedx your coming TN, Made, Me proper cenircations, end report WI
your markers interest and dispenses on your tax Mum,
Payments you recelve will be subject to backup
wabholli ing if:
1. You do net funnM1 your TN ox Me rpmium.
2. You do not cerrfy Your TN raven noosed km the PM II iMrvcraw on Me
31w dWalNJ,
3. The INS bill, the sequester that you fumished an incorrect TIN.
4. The In Was you that you de subject to textual wiMndding because you did
net report all your interest and dividers on Your return (for reponable IntereW
and dividdoa any), or
5. You do ml tardy to Me requal that you am not subject to backup
withholding under 4 above (for repo Labe imd.W do dvidem arcaums ppmed
seer 19113 eight.
Carbon perms and p,ym,nm are exempt from backup wiMhddng. sat Exerrpt
payee code on cage 3 and the.ep IrtMucrm9 for the Relof Form
W-9 for more Interpreter,
Ako am Sprial have MxlwmdWrps on page 1.
shish is FAT" rgwWg4 The Foreign Account Tax Complimme Act (FATCA)
requires a pMicipatis foreign financial institution to report al United Stales
account holden that are so efgM Urged States persons. Carl payees ae
exempt from FATCA reporting. See Exemption from FATCA r}ronmg Cole on
page 3 and the Instructions for the Rental of Form WA M more Informatin.
Updating Your Information
You mum provide updrtM information to any person to whom you claimed to In
an exempt payee II wu are he larger an exempt parse and amKlper. racdvrtp
reportable payments in the future tram this person. For example, mu may need to
pmetda updated Infmnmion it you are a c comparison that elects to be an 3
wrporaTron, or ryou no longer am sex exempt In mdria,, you must fil a new
Form y it the name a TIN changes for the account, for example, r the grmmr
of a granter cod area.
Pernatties
Faiun to lumIM TN. If you fail to fumiah your correct TIN to a rryumUc yel we
subject to a penalty of SM for each such fdhum unless spur faiure is due to
reasonable [avid and not to wiifw eeriest.
CNr We" for false Interferon wM purpose ro wrbaddig If you make a
false statement with no reasonable Loris that results in no backup withholding.
You are object to a r500 penaty.
Criminal penalty ter Warsaw Information. Willfully falsifying ca ficat'wm or
affirmations may subject you to criminal penalties including fines snow
mpdsonmenL
Mfdoe of TIN¢, If the reguestd discloome or uses TINS in vioutien of Wake] law,
the requester may be surest to [Nil and seminal pe rapes.
Specific Instructions
Name
If you we an Meise 1, you most ganeroq rimer the name snown an your scene
tax were. How, 8 you have changed your 1. name, fa Instance, it. to
eamen, without Informed the Social Sewrlry Mr iniatrmmM on 0the name change,
nter your first .is the lot puma shown on your eocia secunry card, and your
aw 1. rem¢.
n If Me account Is In idnt names, Ike flit, and than circle. Me name of thus person
or miM'Ml res number you entered In Pont I athe form.
ads rapids. Enter your veividual name as Mown on Your idomety return
on the "Noma' line. You may ederyour business, had,, or'done business m
(DM' nager, on the "Business namddkregafed emM normal fire.
Parbnnhip, C Corporation, or a Corporation. Eller thealtiy's mate an the
'Name" line and any busnes, bade, or'co n, WWn® as (Di name" on Me
'Buainees MkMod w,atled entity moms' Ill
Uldegarded wl For U.S. apparel tox purples, an entity that Is dieregWM de
an ends separate from be owner is bated as a "disregarded entity." see
Regulation section 301-2(cp2)(ig. Enter Me owner s name an the 'Name"
line. The name of Me d tyentered on the "Name" line shoWd never bea
d4regsNed des,. The name on Me'Nams' line must W the nano clown on the
income tax rectum on when she incdne should be recto tad For monde. Ra
Me dkrsal mrty a name an Me'Buaim„ nammdi magarded entity, name"
line. If Me owner of the disregarded entM1y is a bmgn person, the owner must
aanpnde an magnitude Fate W-S Imbied of a Form W-9. This Is Me cam even it
the forrogn perm has a U.S. TN.
Nee. Check the sternest. toper, for Me U.S. feudal tax elemental. of Me
permn whose name is eMded on tell 'Name' line (Indi rduld aoie pop ¢tor,
Partnership , C Cognomens, a Corporation, Truse/emall.
Li.N ULbilM/ Compery (LLC). If the pexn Identitbd on tM "Name" line la an
uG, check the -Limited oatelliy compary" Mx only and eider Meapprepiele
code MMa U.S. fed" tar dasslfication in the lace pmvMW.1t rou are m LLC
that re treaded are a partnership for US. bdeal to Furpaer, enter'P' for
pednership. If ycxi are an LLC that has fiMd a Form ea32 or a Form 2553 to be
taxed as a corpweliw, enter 'C" for C comeml'en or'S"for S corpaatlon, m
appropriate. If you are an uC that is comortM as an mrty attanR from as
under Regulation section 3Di-3 (except M empbymend and excite
tot, do net check the LLC box unless the owns of the LLC MNul cot to be
centered m the "Name" line is another LLC that net exponential! for U.S.
bidefl lax pupoure If uw uCm managed] man entiy separate Man as
owns.', anM Me appropriate lax asssMcetim of the owner i]dmfied an the
'Name" line.
otMr eembis Show your business name are Mown on required U.S. federal tax
dcouma4a on Me "Name' Ile.. That name should match Inn name sown on Me
charier pr What Ism document pests the afar. You meY enter any buvness,
three, or DM name on the'Bwlnesa nune/diasarded entity game" line.
Exemptions
If you am ammo ran backup adfack ganNa FATCA mlwning, eider In the
Exempt mm box, My coha(5) Met may apply to you. See Exempt Payee code and
Exemption M1cm FATCA repargg. on pace 3.
Doousyn Envelope 10: 1A85B491-065A4702-98AF-EC83FC3F8623
Farm W9 (FNv. 8-2013)
Exmfat Fwae aotla Generally, Individuals onduf ire foie dexpiesing am net
exempt Sam backup wMM1KVding, Completes we exempt Sri I AurP
withboding for oaten payments, such as imereas anal alviderkM. CglwarawM am
not exempt ram dhckuP Worcurang fair paymads made in satlement of My t
card or MIM party network tmnwctime.
NOW. If you ere exe o from baccup wlthhoking. you eMOUd Gall twnpbte this
Men to evoltl pfsaible erramous backup Withholding.
TM( Glowing codes foul p Mat are evamq from duWP wMM iW
1—An wgenmtbn -.Man from mac under aecam III IPA ana
cusmdol... undw Warden grabl(II IT Me account seliaflss me reyirm
of who. prof III
2-11ey UMtad Scala[ or any of Ma agendas win "manWNw
MeerA ni orctobererfC.1 lewen�allM4 eon of tM United States,«env of
ubdivappre
4—A fort government or any of its points! sad gym acreaganbms, as
mwMwwwwMxw
5—A rMe(bmninn
Sret.m orater�M C.Iw �or eip�+�verr a M.uneedd sums nnaa
T—A futures cwnmisam m mhaM regbtwed with this Commodty Futures
Thai iUW
a —A real Sotam,mWmmt err
9—M entity rWimwW at all time dunng tw ux y®r Under Ma Imaednmt
COmFany AM of 191E
10—A common trust fund OWMM by a trunk uMe argon We)
11—A financial lnatMMion
12—A middleman hewn M the component community as a ro ences ae
cpemdiar
13—A trust exempt from Our under axtion 880 or recorded In txaon 4947
1 he IOlbwmg man shows typed of Pa to that They be agreed from backup
wdMdding. The chest apples What evwnpc pry 5 listed arrow, t through 13.
gaff...
TEN tM Payment la aalbmyt ter...dvidend
payments
a'x aawrrPt WYaes waePtforTacllUs
tNou9MF1 who allCmPrrWions.Smry
tlws must not enter an exemptSaf
=f��ENM
co de because May am uemplMly
bw sales M nancoverwl snow llwmpuirea
Pro to 2012.ge
banmctvne and
Usmpt payeaa l Mspite4ivialmdsff
$FAO mauimalm bs
Gmealy. uempl payeese
dlrec[ Saes Sow S5.W0'
IMrcugw sa
payment made In settlement of
Ex oM'saa l MraupM4
Payment card or Mbd pNy nNwok
vaneadaM
r Sae Form 1 W9-MISC, MissAlenwua Income, "oils InNmdione,
' However, the following pry smetle to a corporation and exponede on Form
h brawal
payMi attorneys f., 9r or . paid an ..Weno pvprane to
ces Paid by a fedora executive agency
EaengEM from FATR ror MM oew Res following coots Iomdy payeaa
that as exempt from reconirg urMw FATCA. Throe cad.. a N m Inrwna
submMing This form for acco Ma maintained whaioe of the United States or
certain fro ign fee-mad,rearWiona Them.. If cou
aarleo l sofa Ming
ankthe
�
W M rowunt you hem in ane United SlMw m e a
Consult with me thereon regueorg Mar form If you eon uncertain it the financial
migrationis correct to tMx MgUi a ens.
A—M organization exempt from W unoer..l Sol (a) or wry IMiWWa
mammwt pm we aefimd 1n aw,mm notlaN3T1
B—The united Sstea or dry of Me agencies or Icartu rapper.
C—Asae,tMD Irictd W=Wa,aposawsion al the Unistl Show,"any
M their Soimone subamis he or inMmrr id,l
D—A corporation the etwk M Whichis newleg ry tretled M one 01more
ec eslaNleMtl sudxw cyclic roe dasribad in Reg. section 1.1472-1(hltnr
E—A corporation
ceecommore w sencee inrReg. weed he 1 1472-11cN1111aneed emlleso 9mup ae a
E—A it. 1.—notes mmcotiw. or drammrva financia instruments(nnauaegoYm nel achapal f. U., [awed, and opeom) mars
m lam as forth under theshwa of Me unMtl St. Or mrry sort.
G—A real wtete'mvm4 Mat
H—A rogulaled ImuMwa metal as aefieW In sact'wn Ml or an vnthy
mgislerea at ror ttmes Sunni the Iaayes under the In2.nt Comp Act of
191E
I —A common Wa M1md as aefinetl b aMlon gagg
J—A bank as defined in Condon 591
K—A dpker
L—A but exemptf Wt under sect'wn W OrCncnbetl In sactiw 0.947KI)
M—A tax Solberg Vaal onew a wasece Mai pan w whown 457(g) wshe
Part I. Taxpayer Identification Number (TIN)
Enlw your nN in We aplaepda[e lea. Hro¶N:rou IRS Ina'Mand gupryBrt
have anal tie ned aliglbse m 0 an SSN. pun
w1xMg lion number FIN). Enter far ttm wciel aecurKy, number Sac H yeti do me
N an InN, see lbw Mga a Toy bNow.
If you are a she p reprlet a arts you Inv[ an EIN, We may enter either our SSN
or EIN. Fbwace, Me IRS pmMa test yen use your Si
H you ere a sirgla erember LLC deaths diwepedaal as an fai wpeaw M1om as
vane(ace Umisd Lud iry Canrwry XLQ on page 2f, enter Her Owrwra SIGN l"
EIN,Had aeonhenatich Uamawal aiweg. Sm a SIR EIN.HMe LLCb
clxufwtl roc a [aposVm Or pwlrwrshiP. enter Ma mgdy'v EIN.
Notes sac tM coed an papa 4 for further cwrlrcMiM of name and TIN
ombihWMe
How w 9at a nN. If you W rot haws a TIN, apply for one immMleftey. Y apply
for an SSNSS , get Farm 5A, opl inn f" a Speial Security Card (man local
Sort, Secunry Admix tsum o M. or gel Cher form while M w eiii.go, on
mry elm ger the orm Wy caleg 1-8W-n2-1213. Use Font W-1, ASPFwtiun fa
IRS beftweua Taxpayer IdeMif Lion Number, to apply for an ITIN, or Form SSi.
1ppiicatlm ne Employer Identification Number, to apply for an EIN. You can apply
for w FIN online by accessing the IRS webaim at weni yov/dusinesses and
tlekes; On Empmpr Identification Number(EIM under Starting a Buman You
[an get Forme IN and SS4 from the IRS by elating 183 Vv a by calling 1-900-
TM-FONM (I-0g0-929-36T6).
H you we coked to complete Form WA tug do farmers a TIN, Narrow. TIN
Slid -Agtled For' In Me duce for this TIN. Min and date tM bran, endsrm
to the regueaer. For interest and dividend Payment . yW extan ma
wymren
w mmmem Mildily Variable lnstromem ,9grang ill whim W days to gN
a TIN and give it to the requester belpre you are sublets to backup weh odeff on
MS... The EO-day, nee does nM orgy m b, ryces of payments. You will M
eugxt to IvcWp wiMha IN on al such paymarh wal you Mvge your TIN to
theraryWw.
Npta. Entering "Applied For' pros that you hove Weedy spr coal fair h TIN Or Met
pu inlwM m ropy for Ore exam.
Cau4pn: A dergW U.S, entry Suit lea a breifin o wawar Ov the
appmpiam Fann W-8.
Part IL Certification
To eanMbh to Me wiMMldmg agent Met Sou we a Us. pemm. or rniaeM alien,
von Form W-9. You may M repuMwd to Sign by the "Molding agent arm H
Mons 1. 4, or 5 below Indicate when iw.
Fact a oiM account, only Me damson whose TIN Is shown in Pad I should sign
N,xw mpulntlj. In the cau of a dismgartled entity, the y.1itied on Me
-Nana ge, has mail aExampt payees, see Exemplpyee
ei9raWm rpuVwmeMa. Comdete the wrichbca me as iMkMed in ilema 1
though 5 babe.
1. In@roet. Mvidw , and leaner exchange accounts xpewS Verona INg
mdnerAaTIN, but You do not dwmid0 sign tMactivir uding IMMyou must give your
on2lnsr Mrk bWdi and WMw=tlM9e accormis opened ens
,M and IwPks acwunm cMaderad i..e Mlm91 gag. You must sign Me
certification or backup wtwMdng will apex, If you are subject to beri
Withholding and yce are merely Fr" n9 ycor enact TIN To the repwsaw. you
must cans out item 2 in Me cerrfkaian M re signing Me form.
3, sea eSta1s, bamacHOma. You must won the unifiaHbe. You may awe oN
arm 2 of the ceNnrw—
C Order MmeM . You meg give your coned TIN, ton you do rant bare to sign
Me cMticai re unless now ewe were Imbad that yes Mae Amway gNen hex
incorrect TIN. "goer pwymmw" include payments ma % de in the aouraf Me
Irpuener a trede or Wsi[an for none, mingle, goctla (oMw Man ads for
mwMwdlw), mWlca and heard cam ahoems (including payments to
car aiiM3), payments 10 a nMempayw for increase, uymerw made in
sasemeM of payment card and miN talon metwprk Wanshaioner, payments TO
enure fishing
s Q e a race paymentsree,we s and fishermen and gross proceeds pain 10
S, Mortgage inlemM paid by "or ca,bailien Pm9eon nmentomerafts IuMeed
, prapent cMrwd fusionlla8on of debt, Vualnie81on
section Sho, Inn, CwercNl ESA, Mtlwr NSA or HB .O lb0ioo; ¶ r but you
distributions, end penelm disbaudws. You most gyour
W not nave to sign the pmwwgiM.
Docusign Envelope ID: IM58491-045A4702-98AF-EC831FC31F8623
Form W-9 Res. III
What Name and Number To Give the Requester
Far" a typo of sceanb
Giva—raxl88N ot.
1. IMMWal
Ts, indlvbwl
2. Two or more individuals good
The rapped owner of the account or,
sedum)
if combined boa, the Nap
intlivbal on the appeal
3. Campbell amount m a minor
the mi+or'
(Unibrtn OM to Minors Act)
4. a The usum rrvocabde seise
The 9remo-foist.'
treat (grantor la aim tlla ebb
It. SOSalled trust account that be
The actual owner'
non a aged or voile Must ads
state we
5. SOM prophaoddhip or disr W
The owrer'
m1Hy owned by an individual
6. Gremor wn filing under GptimW
The gmrrtW
Fans 1099 Finn, M W 1 lam
Rglulation aemim 1.671-4lbll2)0l'F(Ap
For Woe type of aomwdo
GNa puma end ONM
T. ComegandW entity not owned by an
reowar
aMiodual
8. A valid trust, a e, per pension bat
Leal smm,
9. Corpadionw LLC Nepal
TM cerebral
Corporate "us on Form all or
Form 2553
10. Aaecsyation, club, official
The agansafwn
charlMba, luationel, or other
tat-exanpt oganlzadon
11. Partaromp or mudtlmambm LLC
no Woe .p
12, AMahe or W.damen.
This beach or rominm
13, ACWrm with the Geanmdt of
The public entity
1pr'n m in the name of a pi
emify (such as a star of Iro'
government, steal district, or
pri.nl that recay. aicuYou res
prcgrem payments
14. Champ trust filing under this Form
The trust
1041 Filing MaMW ptle OpdwW
Form 1n99 Filing Mst 2 (ere
Regulation section 1.571-4(bAlJlIM
Lue lost mtl circle the name or 11. anon aTm numhw you fur lzR II mM onelnzanana
Pre xcoum has an55N Mal personn z numM mW be lumwnM,
'Gorda the minors rums melmmzb It honorr z III
you .,is lop. yam neimem lame and be, raw .1. enter your aeln®or"(Also owns an
rye"6u mane/derep enLlly"n mayu.wrhwry,S wEINVd
rwerverei, but the IRS encragn you to urn your Sao,
'I. dial anal a21e the name of the owt ante, in onvion tout Co not lwna 11. TIN N 1.
members repreunuhre or tuum unwa Me able anid i uma mop deegnded in the aaawm
toe)azo— ArevecN rn remember on pap al,
Nand (whi.. area prori.a Fdm alto MMw of twl
Note. If her name Is circled when name Ms one name is listed, me, numbs will .
comidered W be Mat of the Met ..listed.
Secure Your Tax Records from Identity Theft
Identity hlroX Aare what sommre uses your p oweral informal such are your
pemal wcuMy numbs ISSN), on distressingly, improper ,..ou. y
, mUamasion, W aimed) tree or other proms. An idamM thief may um your WON to
W a iob or nary file a for retum peri yea WIN to receive a Name.
To Aurae your dab
• R9btt your WIN,
• Ensure your employer is protesting your SSN, and
• Be careful when Mmae a tax posters.
If your lox records are affMed by identity Mee and you raeive a rwtice hoe
Me IRS, respond right away to the name and pone numher pinto on the In
edition or letter.
If your tax meads are nor currently affected by identify Matt but your think you
am at oak due to a bat or stolen pure or waled, p asstionede credit call Mlvlry
or cmtlh report, contact Me IRS Identify Troft Hotline at or submit
Form 14039.
For more IMamefv5 sae Publication ei Ideal Theft PreyaNan and Victor
Automation.
Manor of Mom, Me who are expvimrng econarra ham or a syatan
pmdmm, or am g help in meeting but poblaes Met have not bra reeved
through riamat chamois, may be apogees be Taxpeya Advocate Service (TA5)
aasiatancs. You use reach TAR by calling the TAS full-time cede Intake line at
1-877-777-4775 or TTYI DD 1-80U829-e059.
l#pbcl you Fan mapkbus emalls m prltlNg scha . Pwshirg is Me
common and use of seal and wars¢ts designed to mime highlands bushes
raja ant weWites. The most common act is sending an shoal to a user all
Chimer, to be an eeadis W Willmete arterprise in an attempt to mvn the peen
into eumn Lure, whale Information that will be used tr iMmiry Me.
The IRS does not inNaa conOcts with taxaeare via seals. Am, Me IRS does
has, resent personal diaMitW impression through email or ere t assistance fire the
RN numbers, aawade, d similar secret aces Information for their treat road,
barn, or doer fianael wisdoms.
9 you receive M unat ichW eman claiming to be from the IRS, forward this
messee topbeleaguer the; You nary sled report maws or the IRS name, logo.
or other IRS prop" to the Tre Inymtw General for Tax Muhammadan at
1-800-31%l You can forward auspicious Galls to Me Fetlaal Tmde
(:anmaam at:Yamaun.gav or antact ton at www.ttc.govlid w1-8TT-
IDTHEF((1-877-4351
VaW IRSq. to Imes more about identM MAX and how W haduce your risk
Privacy Act Notice
Section 61M of the Internal Revenue Cade rebores you o provides your cared TIN to persons (including federal agencies) wlq are ragWud to file Inlamat on returns with
the In to reart interest, dividends , her human other iname red to you; mortgage interest your ere?, Me accusation or abandonment of secured them aly; Me Wncetition
of date wcomdbutions you made to an Ind, Archer NASA, or HS4 The derven collecting Mia form user the Imamntian an the form to file impels bn Mums with Me IRS,
IepoNng Me above anfamatbn Romem uses of thIa mmmedon Include giveng it to Me Department of Jacks for civil and cnmimt ntgaen and m Chi., stores, the District
of Columba, and u5. commonwealtM1s and personal for use in agreatemg their laws. The amamatled also may be diecloaed to o w eounMes under a Mary, to
bdeml and store agmuea to enforce pool and criminal laws, or to federal law enforcement and meingence agencies to combat haorlsm, You must provide your TIN
whahM1er or not you are model to file sx harbor Under section 3l payers must generally withi a percentage of twable interest, dividend, and cwtain other
payments to a payse who tlMs no give a TIN to Me Ayer. Certain penalties may seed apply for peovding fadrm or fraudulent Information.
Granado, Rafael
From: Docusign -CMB <CMB@Docusign.miamibeachfl.gov>
Sent: Wednesday, March 11, 2026 2:44 PM
To: Granado, Rafael
Subject: Completed: Complete with Docusign: For execution - Small Business Grant Agreement -
Liliana Montoya (9/20)
MIAMIBEACH
Veronica Hennig
VeronicaHennig@miamibeachfl.gov
All parties have completed Complete with Docusign: For execution - Small Business
Grant Agreement - Liliana Montoya (9/20).
For execution - Small Business Grant Agreement - Resolution # 2024-33179
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