10-001 Generations Community Wellness AGREEMENT
CITY OF CUPERTINO
City of 10300 Torre Avenue
Cupertino / Cupertino, CA 95014
408 -777 -3200 NO. a
BY THIS AGREEMENT made and entered into on the _ 7 day of
by and between the CITY OF CUPERT NO (Hereinafter referred to as CITY) and
Name (1 Wet1 (2)
Address:?
(Hereinafter referred as CONTRACTOR), in consideration of t eir mutual covenants, the parties hereto agree as
follows:
CONTRACTOR shall provide or furnish the following specified services and /or materials:
Tea c l 1'; 6 G►zc rtio 1" '+� :z kUW,41'V ee Wee P4,,
EXHIBITS: The fol wing attached exhibits hereby are made part of this Agreement:
TERMS: The services and /or materials furnished under this Agreement shall commence on
and shall be completed before 6 & a / /
COMPENSATION: For the full performance of this Agreement, CITY s hall pay CONTRACTOR:
j 5 n e r C f u s5 , 8�C) �� r 5'e�.5� Z� , r0Ll <S;e6 , Zn 1 S f �? r �(�C� ( ,
Yh V , V►1 L� / 5 '`z�"
GENERAL TERMS AND CONDITIONS
Hold Harmless. Contractor agrees to save and hold harmless the City, its officers, agents and employees from any
and all damage and liability of every nature, including all costs of defending any claim, caused by or arising out of the
performance of this Agreement. City shall not be liable for acts of Contractor in performing services described herein.
Insurance. Should the City require evidence of insurability Contractor shall file with City a Certificate of Insurance
before commencing any services under this Agreement. Said Certificate shall be subject to the approval of City's
Director of Administrative Services.
Non - Discrimination. No discrimination shall be made in the employment of persons under this Agreement because
of the race, color, national origin, ancestry, religion or sex of such person.
Interest of Contractor. It is understood and agreed that this Agreement is not a contract of employment in the sense
that the relation of master and servant exists between City and undersigned. At all times Contractor shall be deemed
to be an independent contractor and Contractor is not authorized to bind the City to any contracts or other obligations
in executing this Agreement. Contractor certifies that no one who has or will have any financial interest under this
Agreement is an officer or employee of City.
Changes. This Agreement shall not be assigned or transferred without the written consent of the City. No changes
or variations of any kind are authorized without the written consent of the City.
CONTRACT CO- ORDINATOR and representative for CITY shall be:
NAME r— DEPARTMENT
This Agreement shall become effective upon its executioi by CITY, in witness thereof, the parties have executed this
Agreement the day and year first written above.
g
Title �-k c C t, v A-t__ C E a Title
Soc. Sec. # 9-. _ CZ a 71
APPROVALS EXPENDITURE DISTRIBUTION
D RTME 7 DATE ACCOUNT NUMBER AMOUNT
a
r _ S-4 _ 3 3,_p cc) -00
Y CLERK
v
CITY CLERK COPY
Exhibit A
1. The City reserves the right: to terminate this Agreement
with a 30 -day notice. The contractor may terminate this
Agreement with a 30 -day written notice.
2. City shall have no right of control as to the manner
Contractor performs the services to be performed, nor as
to the content of any artistic performance. Nevertheless,
City may, at any time, observe the manner in which the
contractor is performing such services.
3. The Contractor shall comply with all applicable Federal,
State, and local laws and ordinances including, but not
limited to, unemployment insurance benefits, FICA laws,
the City business license ordinance, and the provisions
of federal law governing copyright protection found in
Title 17 of the U.S. Code.
4. The contractor shall not promote his /her business to
participants registered in the City's programs.
5. The contractor may be required to provide a one million
dollar General Liability Certificate of Insurance with
the City listed as additionally insured.
6. In the event that less than the required minimum number
of participants shall request and pay for services
prior to the agreed upon time for the commencement or
service to be performed by Contractor, City may cancel
and withdraw from this Agreement.