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23-001 Linda Hsu_Amendment #2 dated 7-12-25 for Line Dance Instruction1 SECOND AMENDMENT TO AGREEMENT 23-001 BETWEEN THE CITY OF CUPERTINO AND LINDA HSU FOR LINE DANCE INSTRUCTION This Second Amendment to Agreement 23-001 is by and between the City of Cupertino, a municipal corporation (hereinafter "City") and Linda Hsu, a Sole Proprietorship/Individual (“Contractor”) whose address is and is made with reference to the following: RECITALS: A. On January 18, 2023, Agreement 23-001 (“Agreement”) was entered into by and between City and Contractor for Line Dance Instruction. B. On December 19, 2023, City and Contractor entered into a First Amendment for Line Dance Instruction. C. The Agreement and First Amendment are collectively referred to as the “Agreement” unless otherwise indicated. D. City and Contractor desire to modify the Agreement on the terms and conditions set forth herein. NOW, THEREFORE, it is mutually agreed by and between the undersigned parties as follows: 1. Paragraph 3 of the Agreement is modified to read as follows: Compensation. City will pay Contractor for satisfactory performance of the Services an amount that will be based upon actual costs but that will be capped so as not to exceed $48,000.00 (“Contract Price”), based upon the Scope of Services, budget, performance schedule, and rates included in Exhibit A. The maximum compensation includes all costs, expenses, and reimbursements and will remain in place even if Contractor’s actual costs exceed the capped amount. Contractor must submit invoices and the information required in Exhibit A in order to receive payment. City will compensate Contractor within thirty (30) days after approval of written invoices. Invoices are subject to review and audit by City during regular business hours upon 24 hours’ notice. Contractor must maintain complete and accurate records of payrolls, expenditures, disbursements and other cost items charged to City or establishing the basis for an invoice, for a minimum of four (4) years from the date of the final payment. 2. Exhibit A of the Agreement is modified as follows, under the following section(s): Compensation for CONTRACTOR Services The total compensation to the Contractor shall not exceed $48,000.00. 3. Exhibit B of the Agreement is replaced with a new Exhibit B-1 attached hereto. 4. Except as expressly modified herein, all other terms and covenants set forth in the Agreement shall remain the same and shall be in full force and effect. 2 IN WITNESS WHEREOF, the parties hereto have caused this modification of Agreement to be executed. CITY OF CUPERTINO By Title Date APPROVED AS TO FORM Senior Assistant City Attorney ATTEST: City Clerk Date LINDA HSU By Title Date EXPENDITURE DISTRIBUTION Item PO Number Amount Base Amount 2023-345, 2024-59, 2025-139 9,000.00 1st Amendment 18,000.00 2nd Amendment 21,000.00 - - 48,000.00 Jul 10, 2025 Line Dance Instructor Jul 12, 2025 Director of Parks and Recreation Jul 12, 2025 Updated 06/23/21 EXHIBIT C AFFIDAVIT OF NO EMPLOYEES State of California County of Santa Clara City of Cupertino I, the undersigned, declare as follows: I am an independent contractor and the owner of Linda Hsu. I wish to enter into a services contract with the City of Cupertino. I am fully aware of the provisions of section 3700 of the California Labor Code, which requires every employer to provide Workers' Compensation coverage for employees in accordance with the provisions of that Code. I am also aware that I must provide proof of workers’ compensation insurance to the City of Cupertino for any and all employees I may have, pursuant to Section 12 of the City of Cupertino’s contract. I hereby certify that I do not have any employees nor will I have any employees working for me or my business during the term of any service contract with the City of Cupertino. I am not required to have Workers’ Compensation insurance. I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct. Executed on this ____day of ____________, 2025, at , California. ______________________________ PRINT NAME ______________________________ SIGNATURE Linda Hsu CupertinoJuly10 Line Dance Instruction Final Audit Report 2025-07-12 Created:2025-07-10 By:Webmaster Admin (webmaster@cupertino.org) Status:Signed Transaction ID:CBJCHBCAABAAAmKmy6Eofo_iRNBUFRxKVyJlGo1XLxAA "Line Dance Instruction" History Document created by Webmaster Admin (webmaster@cupertino.org) 2025-07-10 - 10:25:08 PM GMT- IP address: 35.229.54.2 Document emailed to Araceli Alejandre (aracelia@cupertino.org) for approval 2025-07-10 - 10:27:18 PM GMT Email viewed by Araceli Alejandre (aracelia@cupertino.org) 2025-07-10 - 10:27:27 PM GMT- IP address: 54.159.123.137 Document approved by Araceli Alejandre (aracelia@cupertino.org) Approval Date: 2025-07-10 - 11:01:39 PM GMT - Time Source: server- IP address: 71.202.76.156 Document emailed to Yeh linda ( for signature 2025-07-10 - 11:01:42 PM GMT Email viewed by Yeh linda ( 2025-07-10 - 11:01:58 PM GMT- IP address: 162.206.79.31 Signer Yeh linda ( entered name at signing as Linda Hsu 2025-07-10 - 11:08:48 PM GMT- IP address: 162.206.79.31 Document e-signed by Linda Hsu ( Signature Date: 2025-07-10 - 11:08:50 PM GMT - Time Source: server- IP address: 162.206.79.31 Document emailed to Michael Woo (michaelw@cupertino.org) for signature 2025-07-10 - 11:08:53 PM GMT Email viewed by Michael Woo (michaelw@cupertino.org) 2025-07-10 - 11:09:02 PM GMT- IP address: 13.221.218.197 Document e-signed by Michael Woo (michaelw@cupertino.org) Signature Date: 2025-07-10 - 11:54:21 PM GMT - Time Source: server- IP address: 73.170.186.236 Document emailed to Rachelle Sander (rachelles@cupertino.org) for signature 2025-07-10 - 11:54:23 PM GMT Email viewed by Rachelle Sander (rachelles@cupertino.org) 2025-07-10 - 11:54:34 PM GMT- IP address: 3.82.49.23 Document e-signed by Rachelle Sander (rachelles@cupertino.org) Signature Date: 2025-07-12 - 3:20:27 PM GMT - Time Source: server- IP address: 98.51.212.207 Document emailed to Kirsten Squarcia (kirstens@cupertino.org) for signature 2025-07-12 - 3:20:30 PM GMT Email viewed by Kirsten Squarcia (kirstens@cupertino.org) 2025-07-12 - 3:20:37 PM GMT- IP address: 54.242.142.50 Document e-signed by Kirsten Squarcia (kirstens@cupertino.org) Signature Date: 2025-07-12 - 6:16:42 PM GMT - Time Source: server- IP address: 104.28.123.92 Agreement completed. 2025-07-12 - 6:16:42 PM GMT