04-001, Ann Cuny
CITY OF CUPERTINO
10300 Torre Avenue
Cupertino, CA 95014
408-777 -3200
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BY THIS AGREEMENT made and entered into on the day of
by and between the CITY OF CUPERTINO (Hereinafter referred to as CITY) and
Name (1) Ark C l~ n " (2)
Address
follows: ?t Co. , t 0
CONTRACTOR shall provide or furnish the following specified services and/or materials:
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Cupertino {if 3/ t'4-
AGREEMENT
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EXHIBITS: The following attached exhibits hereby are made part of this Agreement:
TERMS: The services and/or materials furnished under this Agreement shall commence on ~--inbd'" ..2.n1J1
and shall be completed before ...T u k~ 3 1) JI 2-{)O...5t--
COMPENSATION: For the full performance of this Agreement, CITY shall pay CONTRACTOR:
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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 Trtr~ll b~I\.J M/) DEPARTMENT SeAt i ()r Ce-n t-4?r
This Agreement shall become effective upon its execution by CITY, in witness thereof, the parties have executed this
Agreement the day and year first written above.
Title
Soc. Sec. #
CITY OF CUPERTINO:
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EXPENDITURE DISTRIBUTION
AMOUNT
:i$ I ~.;!D II of)
CITY CLERK COpy