15-001 Jeff Piserchio NO. _U0 I G-
FYtis-16
AGREEMENT BETWEEN THE CITY OF CUPERTINO AND J E F F P I S E R C H 10
FOR CONTRACT SERVICES
This Agreement, for reference dated June 2,2015, is by and between the City of
Cupertino, a municipal corporation (hereinafter referred to as "City"), and JEFF
PISERCHIO GOLF SHOP, for PGA PROFESSIONAL SERVICES, a California, SOLE
PROPRIETORSHIP, whose address is
(hereinafter referred to as "Consultant"), and is made with
reference to the following:
RECITALS:
A. City is a municipal corporation duly organized and validly existing
under the laws of the State of California with the power to carry on.its business as it is
now being conducted under the Constitution and the statutes of the State of California
and the Cupertino Municipal Code.
B. Consultant is specially trained, experienced and competent to perform
the special services which will be required by this Agreement; and
C. Consultant possesses the skill, experience, ability, background,
certification and knowledge to provide the services described in this Agreement on
the terms and conditions described herein.
D. City and Consultant desire to enter into an agreement for golf
professional services upon the terms and conditions herein.
NOW, THEREFORE, it is mutually'agreed by and between the undersigned
parties as follows:
1. TERM:
The term of this Agreement shall commence on July 1, 2015, and shall
terminate on June 30, 2017 unless terminated earlier as set forth herein.
2.' SERVICES TO BE PERFORMED:
Consultant shall perform each and every service set forth in Exhibit "A" which
is attached hereto and incorporated herein by this reference.
3. COMPENSATION TO CONSULTANT:
Consultant shall be compensated for services performed pursuant to this
Agreement in the amount set forth below. Consultant will be paid$27.08 per hour not
to exceed Fifty-two thousand dollars $52,000.00 for FY 15/16 and Consultant will be
paid$27.90 per hour not to exceed Fifty-three thousand dollars $53,560 for FY 16/17.
Consultant will invoice City by submitting dates and hours worked in order to
receive payment.
4. ACKNOWLEDGEMENT OF MANDATED REPORTING REOUIREMENTS:
Consultant shall comply with the requirements of California Penal Code 11164-
11174.3 and as set forth in Exhibit. "B" which is attached hereto and incorporated
herein by this reference.
5. FINGERPRINT AND TUBERCULOSIS (TB) CONSULTANT DECLARATION:
Consultant agrees that all individuals covered under this Agreement shall
provide fingerprints for criminal background test purposes and results of TB
screening, pursuant to the requirements as set forth in Exhibit "C" which is attach
hereto and incorporated herein by this reference.
6. TIME IS OF THE ESSENCE:
Consultant and City.agree that time is of the essence regarding the performance
of this Agreement.
7. STANDARD OF CARE:
Consultant agrees to perform all services hereunder in a manner commensurate
with the prevailing standards of like professionals in the San Francisco Bay Area and
agrees that all services shall be performed by qualified and experienced personnel
who are not employed by the City nor have any contractual relationship with City.
8. INDEPENDENT PARTIES:
City and Consultant intend that the relationship between them created by this
Agreement is' that of an independent contractor. The manner and means of
conducting the work are under the control of Consultant, except to the extent they are
limited by statute, rule or regulation and the express terms of this Agreement. No
civil service status or other right of employment will be acquired by virtue of
Consultant's services. None of the benefits provided by City to its employees,
including but not limited to, unemployment insurance, workers' compensation plans,
vacation and sick leave are available from City to Consultant, its employees or agents.
Deductions shall not be made for any state or federal taxes, FICA payments, PERS
payments, or other purposes normally associated with an employer-employee
relationship from any fees due Consultant. Payments of the above items, if required,
are the responsibility of Consultant.
9. IMMIGRATION REFORM AND CONTROL ACT (IRCA):
Consultant assumes any and all responsibility for verifying the identity and
employment authorization of all of his employees performing work hereunder,
pursuant to all applicable IRCA or other federal, or state rules and regulations.
Consultant shall indemnify and hold City harmless from and against any loss,
damage, liability, costs or expenses arising from any noncompliance of this provision
by Consultant.
10. NON-DISCRIMINATION:
Consistent with City's policy that harassment and discrimination are
unacceptable employer/employee conduct, Consultant agrees that harassment or
discrimination directed toward a job applicant, a City employee, or a citizen by
Consultant or Consultant's employee or subcontractor on the basis of race, religious
creed, color,national origin, ancestry, handicap, disability, marital status, pregnancy, sex,
age, or sexual orientation will not be tolerated. Consultant agrees that any and all
Violations of this provision shall constitute a material breach of this Agreement.
11. HOLD HARMLESS:
A. Consultant shall, to the fullest extent allowed by law, with respect to all
services performed in connection 'with the Agreement, indemnify, defend,
and hold harmless the City and its officers, officials, agents, employees and
volunteers from and against any and all liability, claims, actions, causes of
action or demands whatsoever against any of them, including any injury to
or death of any person or damage to property or other liability of any
nature, whether physical, emotional, consequential or otherwise; arising
out, pertaining to, or related to the performance of this Agreement by
Consultant or Consultant's employees, officers, officials, agents or
independent contractors. Such costs and expenses shall include reasonable
attorneysfees of counsel of City's choice, expert fees and all other costs and
fees of litigation.
B. Claims for Other Liability. Consultant shall, to the fullest extent allowed by
law, with respect to all services performed in connection with the
Agreement, indemnify, defend, and hold harmless the City and its officers,
officials, agents, employees and volunteers against any and all liability,
claims, actions,. causes of action or demands whatsoever from and against
any of them, including any injury to or death of any. person or damage to
property or other liability of any nature, that arise out of, pertain to, or
relate to the negligence, recklessness, or willful misconduct of Consultant or
Consultant's employees, officers, officials, agents or independent contractors.
Such costs and expenses shall include reasonable attorneys' fees of counsel
of City's choice, expert fees and all other costs and fees of litigation.
Consultant shall not be obligated under this Agreement to indemnify
City to the extent that the damage is caused by the sole or active
negligence or willful misconduct of City, its agents or employees.
C. Claims involving intellectual property. In addition to the obligations set forth
in (A) and (B) above, Consultant shall indemnify, defend, and hold the City, its
elected and appointed officers, employees, and volunteers, harmless from and
against any Claim in which a violation of intellectual property rights, including
but not limited to copyright or patent rights, is alleged that arises out of,
pertains to, or relates to Consultant's negligence, recklessness or willful
misconduct under this Agreement. Such costs and expenses shall include
reasonable attorneys' fees of counsel of City's choice, expert fees and all other
costs and fees of litigation.
12. INSURANCE:
On or before the commencement of the term of this Agreement, Consultant shall
furnish City with certificates showing the type, amount, class of operations covered,
effective dates and dates of expiration of insurance coverage in compliance with
paragraphs 12 A, B, C, D and E. Such certificates, which do not limit Consultant's
indemnification, shall also contain substantially the following statement: "Should any
of the above insurance covered by this certificate be canceled or coverage reduced
before the expiration date thereof, the insurer affording coverage shall provide thirty
(30) days' advance written notice to the City of Cupertino by certified mail, Attention:
Director of Recreation and Community Services." It is agreed that Consultant shall
maintain in force at all times during the performance of this Agreement all appropriate
coverage of insurance required by this Agreement with an insurance company that is
acceptable to City and licensed to do insurance business in the State of California.
Endorsements naming the City as additional insured shall be submitted with the
insurance certificates.
A. COVERAGE:
Consultant shall maintain the following insurance coverage:
(1) Workers' Compensation:
Statutory coverage as required by the State of California.
(2) Liability:
Commercial general liability coverage in the following minimum
limits(including SAMS insurance):
Bodily Injury: $500,000-each occurrence
$1,000,000 aggregate - all other
Property Damage: $100,000 each occurrence
$250,000�aggregate
If submitted, combined single limit policy with aggregate limits in
the amounts of $1,000,000 will be considered equivalent to the
required minimum limits shown above.
(3) Automotive:
Proof of automobile insurance.required at the California statutory
minimums.
B. SUBROGATION WAIVER:
Consultant agrees that in the event of loss due to any of the perils for
which he has agreed to provide comprehensive general and automotive
liability insurance, Consultant shall look solely to his insurance for recovery.
Consultant hereby grants to City, on behalf of any insurer providing
comprehensive general and automotive liability insurance to either Consultant
or City with respect to the services of Consultant herein, a waiver of any right
to subrogation which any such insurer of said Consultant may acquire against
City by virtue of the payment of any loss under such insurance.
C. FAILURE TO SECURE:
If Consultant at any time during the term hereof should fail to secure or
maintain the foregoing insurance, City shall be permitted to obtain such
insurance in the Consultant's name or as an agent of the Consultant and shall
be compensated by the Consultant for the costs of the insurance premiums at
the maximum rate permitted by law and computed from the date written
notice is received that the premiums have not been paid.
D. ADDITIONAL INSURED:
City, its City Council, boards and commissions, officers, employees
and volunteers shall be named as an additional insured under all insurance
coverages, except any professional liability insurance, required by this
Agreement.
The naming of an additional insured shall not affect any recovery to which such
additional insured would be entitled under this policy if not named as such
additional insured. An additional insured named herein shall not be held
liable for any premium, deductible portion of any loss, or expense of any nature
on this policy or any extension thereof. Any other insurance held by an
additional insured shall not be required to contribute anything toward any loss
or expense covered by the insurance provided by this policy.
E. SUFFICIENCY OF INSURANCE:
The insurance limits required by City are not represented as being
sufficient to protect Consultant. Consultant is advised to confer with
Consultant's insurance,broker to determine adequate coverage for Consultant.
13. CONFLICT OF INTEREST:
Consultant warrants that it is not a conflict of interest for Consultant to perform
the services required by this Agreement. Consultant may be required to fill out a
conflict of interest ,form if the services provided under this Agreement require
Consultant to make certain governmental decisions or serve in a staff capacity as
defined in Title 2, Division 6, Section 18700 of the California Code of Regulations.
14. PROHIBITION AGAINST TRANSFERS:
Consultant shall not assign, sublease, hypothecate, or transfer this Agreement,
or any interest therein, directly or indirectly, by operation of law or otherwise, without
prior written consent of City. Any attempt to do so without said consent shall be null
and.void, and any assignee, sub-lessee, hypothecate or transferee shall acquire no
right or interest by reason of such attempted assignment, hypothecation or transfer.
However, claims for money by Consultant from City under this Agreement may be
assigned to a bank, trust company or other financial institution without prior written
consent. Written notice of such assignment shall be promptly furnished to City by
Consultant.
The sale, assignment, transfer or other disposition of any of the issued and
outstanding capital stock of Consultant, or of the interest of any general partner or
joint venture or syndicate member or cotenant, if Consultant is a partnership or joint
venture or syndicate or co-tenancy, which shall result in changing the control of
Consultant, shall be construed as an assignment of this Agreement. Control means
fifty percent (50%) or more of the voting power of the corporation.
15. SUBCONTRACTOR APPROVAL:
Unless prior written consent from City is obtained, only those people and
subcontractors whose names and resumes are attached to this Agreement shall be
used in the performance of this Agreement.
In the event that Consultant employs subcontractors, such subcontractors shall
be required to furnish proof of workers' compensation insurance and shall also be
required to carry general, and professional liability insurance .in reasonable
conformity to the insurance carried by Consultant. In addition, any work or services
subcontracted hereunder shall be subject to each provision of this Agreement.
16. PERMITS AND LICENSES:
Consultant, at his sole expense, shall obtain and maintain during the term of
this Agreement, all appropriate permits, certificates and that may be required in
connection with the performance of services hereunder.
17. REPORTS:
A. Each and every report, draft, work product, map, record and other
document, hereinafter collectively referred to as "Report", reproduced; prepared or
caused to be prepared by Consultant pursuant to or in connection with this
Agreement, shall be the exclusive property. of City. Consultant shall not copyright
any 'Report required by this Agreement and shall execute appropriate documents
to assign to City the copyright to Reports created pursuant to this Agreement.
Any Report, information and data acquired or required by this Agreement shall
become the property of City, and all publication rights are reserved to City.
Consultant may retain a copy of any report furnished to the City pursuant to this
Agreement.
B. All Reports prepared by Consultant may be used by City in execution
or implementation of:
(1) The original Project for which Consultant was hired;
(2) Completion of the original Project by others;
(3) Subsequent additions to the original project; and/or
(4) Other City projects as appropriate.
C. Consultant shall, at such time and in such form as City may require,
furnish reports concerning the status of services required under this Agreement.
D. No Report, information or other data given to or prepared or
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assembled by Consultant pursuant to this Agreement shall be made available to
any individual or organization by Consultant without prior approval by City.
18. RECORDS:
Consultant shall maintain complete and accurate records with respect to
sales, costs, expenses, receipts and other such information required by City that
relate to the performance of services under this Agreement.
Consultant shall maintain adequate records of services provided in
sufficient detail to permit an evaluation of services. All such records shall be
maintained in accordance with generally accepted accounting principles and shall
be clearly identified and readily accessible. Consultant shall provide free access to
such books and records to the representatives of City. or its de-signees at all
proper times, and gives City the right to examine and audit same, and.to make
transcripts therefrom as necessary, and to allow inspection of all work, data,
documents, proceedings and activities related. to this Agreement. Such records,
together with supporting documents, shall be kept separate from other documents
and records and shall be maintained for a period of three (3) years after receipt of
final payment.
If supplemental examination or audit of the records is necessary due to
concerns raised by City's preliminary examination or audit of records, and the ,
City's supplemental examination or audit of the records discloses a failure to
adhere to appropriate internal financial controls, or other breach of contract or
failure to act in good faith, then Consultant shall reimburse City for all reasonable
costs and expenses associated with the supplemental examination or audit.
19. NOTICES:
All notices, demands, requests or approvals to be given under this Agreement
shall be given in writing and conclusively shall be deemed served when delivered
personally or on the second business day after the deposit thereof in the United States
Mail, postage prepaid, registered or certified, addressed as hereinafter,provided.
All notices, demands, requests, or approvals from Consultant to City shall be
addressed to City at:
City of Cupertino
10300 Torre Ave.
Cupertino CA 95014
Attention: Director of Recreation and Community Services
All notices, demands, requests, or approvals from City to Consultant shall be
addressed to Consultant at:
20. TERMINATION:
In the event Consultant fails or refuses to perform any of the provisions hereof
at the time and in the manner required hereunder, Consultant shall be deemed in
default in the performance of this Agreement. If such default is not cured within the
time specified after receipt by Consultant from City of written notice of default,
specifying the nature of such default and the steps necessary to cure such default, City
may terminate the Agreement forthwith by giving to the Consultant written notice
thereof.
City shall have the option, at its -sole discretion and without cause,, of
terminating this Agreement by giving thirty (30) days' prior written notice to
Consultant as provided herein. Upon termination of this Agreement, each party shall
pay to the other party that portion of compensation specified in this Agreement that is
earned and unpaid prior to the effective date of termination.
21. COMPLIANCES:
Consultant shall comply with all state or federal laws and all ordinances, rules
and regulations enacted or issued by City.
22. CONFLICT OF LAW:
This Agreement shall be interpreted under, and enforced by the laws of the
State of California excepting any choice of law rules which may direct the application
of laws of another jurisdiction. The Agreement and obligations of the parties are
subject to all valid laws, orders, rules, and regulations of the authorities having
jurisdiction over this.Agreement (or the successors of those authorities.)
Any suits brought pursuant to this Agreement shall be filed with the courts of
the County of Santa Clara, State of California.
23. ADVERTISEMENT:
Consultant shall not post, exhibit, display or allow to be posted, exhibited,
displayed any signs, advertising, show bills, lithographs, posters or cards of any kind
pertaining to the services performed under this Agreement unless prior written
approval has been secured from City to do otherwise.
24. WAIVER:
A waiver by City of any breach of any term, covenant, or condition contained
herein shall not be deemed to be a waiver of any subsequent breach of the same or,
any other term, covenant, or condition contained herein, whether of the same or a
different character.
25. INTEGRATED CONTRACT:
This Agreement represents the full and complete understanding of every kind
or nature whatsoever between the parties hereto, and all preliminary negotiations and
agreements of whatsoever kind or nature are merged herein. No verbal agreement or
implied covenant shall be held to vary the provisions hereof. Any modification of this
Agreement will be effective only by written execution signed by both City and
Consultant.
26. INSERTED PROVISIONS:
Each provision and clause required by law to be inserted into the Agreement
shall be deemed to be enacted herein, and the Agreement shall be read and enforced
as though each were included herein. If through mistake or otherwise, any such .
provision is not inserted or is not correctly,inserted, the Agreement shall be amended
to make such insertion on application by either party.
27. CAPTIONS:
The captions in this Agreement are for convenience only, are not a part of the
Agreement and in no way affect, limit or amplify the terms or provisions of this
Agreement.
IN WITNESS WHEREOF, the parties hereto have caused this modification of
Agreement to be executed.
JEFF PISERCHIO CITY OF CUPERTINO
A Municipal Corporation
By By 'Tim Coles
Title: Title: Recreation Coordinator
Date: /1 � Date:
RECOMMENDED FOR APPROVAL:
(Zd�
Dir. of Recreation & Community Services
Date: -
APPR VED AS TO FORM:
City Attorne
Date:
L 11
ATTETST:
City Clerk
Date:
EXPENDITURE DISTRIBUTION:
560-63-616-700-702 $52,000
Account No. Amount
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EXHIBIT A
CONSULTANT SERVICES TO BE PERFORMED
The CONSULTANT will provide golf shop concession and golf lessons in, but
not limited to, the following programs:
Consultant's Concessionaire Services:
Golf Merchandise Duties: Consultant agrees to (i) operate the Golf Shop and,manage
the sale, pricing, and inventory of Golf Merchandise; (ii) keep a daily accounting of all
proceeds generated from the sale of merchandise and forward such accountings on a
monthly basis to the CITY. Consultant shall provide a separate cash register for
recording sales; and (iii) be responsible for all local, state, and federal taxes with regard
to the golf merchandise.
Snack Duties: Consultant agrees to (i) provide and sell pre-packaged food and canned
beverage items for the convenience of the golfing public:, (ii) said items shall not
compete or be in conflict with food and canned beverage items sold at the Blue
Pheasant Restaurant: (iii) keep a daily accounting of all proceeds generated from the
sale of snacks and beverages and forward such accountings on a monthly basis.to the
CITY: (iv) be responsible for all local, state, and federal taxes with regard to the snacks
and beverages: (v) comply with all Health Department regulations regarding the sale of
food and beverage items; (vi) no Styrofoam drinking cups for coffee service.
Golf Lesson Duties: Consultant agrees to provide golf lessons. These lessons should
address individuals and groups as needed. All lessons should be taught on par with
PGA industry standards.
Other Consultant Services: When Consultant is not performing Concessionaire
Services (as described above), Consultant shall agree to provide support and assist the
City staff with customer service responsibilities.
Payment to City,Records and Accounts:
Consultant shall adopt and maintain a system of records and accounts approved by the
Finance Manager of the City. On or before the 25th of each month, while this agreement .
remains in effect, Consultant shall deliver, to the City a statement showing the total
amounts of money collected or received by Consultant from all sources during the
preceding calendar month.
Commencing July 1, 2015 Consultant shall remit to City the sum of $600 per month ($1.00
per square feet used) for rental of the facility. Consultant is entitled to 100% of revenue
from golf merchandise and snack concessions. City is entitled to 100% of revenues from
the driving range and is responsible.for 100% of maintenance and operating costs of the
driving range.
Commencing July 1, 2015 Consultant shall remit to City the sum of Ten percent (10%)
of all receipts from golf lessons.
City reserves the right to require an annual financial review and unannounced audits
of gross receipts to verify accounting procedures of the Consultant's operation.
Performance of CONSULTANT Services:
City shall have no right of control as to the manner Consultant performs the services to
be performed. Nevertheless, City may, at any time, observe the manner in which such
services are being performed by the consultant.
The Consultant shall have all participants complete the City's Waiver of Liability form
prior to taking part in a lesson program. The Consultant is responsible for supervising
minors after lessons until a parent of legal guardian has arrived.
In the event of an injury occurring to a participant, the Consultant will notify the City
within 4 hours and complete an ABAG Incident Report. The ABAG Incident Report
must be submitted to the City within 24 hours of the injury occurring.
EXHIBIT B
ACKNOWLEDGEMENT OF MANDATED REPORTING REQUIREMENTS,
RECEIPT OF TRAINING, AND RECEIPT OF PENAL CODES STATUTES
A mandated reporter is an individual who is obligated by law to report suspected
cases of child abuse and neglect. ' In general, any individual who, in the ordinary
course of their employment, has contact with children is a mandated reporter.
Mandated reporters include child care workers, teachers and coaches (California Penal
Code 11165.7).
If your job duties as an employee or an independent contractor of TEFF PISERCHIO
GOLF SHOP include contact with children, you are a Mandated Reporter. Prior to
commencing employment and as a prerequisite of that employment, California law
requires that you sign a statement to the effect that you have knowledge of the
provisions of the Mandated Reporter Law, and will comply with those provisions
(California Penal Code 11166.5).
The following are the Mandated Reporter responsibilities under California law. You
are also being provided with a separate informational document which includes the
text of the California Mandated Reporter Law and contact information for Child
Abuse and Neglect- Reporting for the County of Santa Clara. Please review this
information carefully and acknowledge your receipt and understanding where
indicated. If you have questions or concerns about this form or your Mandated
Reporter responsibilities, please contact the Recreation Supervisor at 408-777-3120.
I understand that:
• By virtue of my employment or independent contractor status with JEFF
PISERCHIO GOLF SHOP and because my employment requires me to have
contact with children, I am a Mandated Reporter as defined by California
Penal Code 11165.7.
• The following situations trigger "mandatory reports: a) Physical Abuse
(willful harming of a child); b) Sexual abuse including sexual assault, child
exploitation, pornography, and trafficking; c) Severe or General Neglect;
and d) Extreme Corporal Punishment (resulting in injury). (Cal. Pen. Code
11165 et. seq.) I further understand that I may, but am not required to,
report suspected EmotionalAbuse.
• If I reasonably suspect that a child is being abused, I must immediately make
a telephone report. I must follow up with a written report within 36 hours.
This report may be made to local law enforcement, or County Sheriff's
Department; Probation. Department or Child Welfare Agency (Cal Pen. Code
11166(a)).
• I am not required to, but I may, share information about suspected abuse
with my supervisor or management or the parents of the alleged victim.
• When I make a mandated report, I will be required to give my name.
However, my identity will be kept confidential unless I either consent to
disclosure or if the disclosure is made pursuant to a court- order. Further,
agencies investigating the mandated report may disclose my identity to one
another (Cal Pen. Code 11167(d)).
• The following agencies and individuals receiving or investigating mandated
reports may disclose my identity to one another:
o .Prosecutors in a criminal prosecuting or in an action initiated under
section 602 of the Welfare and Institutions Code arising from alleged
child abuse;
o Counsel appointed pursuant to subdivision (c) of Section 317 of the
Welfare and Institutions Code;
o A licensing agency when abuse or neglect in out-of-home care is
reasonably suspected. (Cal Pen. Code 11167.5)
• I may not be disciplined, dismissed, retaliated against, discriminated
against or harassed for making a mandated report of reasonably suspected
child abuse.
• As a Mandated Reporter, I have civil and criminal immunity when making
a report (Cal Pen. Code 11172).
• As a Mandated Reporter, it is a misdemeanor to fail to comply with
Mandated Reporting laws and I can be held criminally liable for failing to
report suspected abuse. The penalty for this is up to six months in County
jail, a fine of not more than $1000, or both. I further understand I could be
civilly liable for failure to report. (Cal. Pen. Code 11166(c)).
I have been provided with a copy of California Penal Code sections 11164-11174.3
(Mandated Reporter Law).
I understand that I am a legally Mandated Reporter. I am aware of and understand my
responsibilities under the Mandated Reporter laws of this state and am willing and able
to comply. I understand that a copy of this Acknowledgement will be kept in my
personnel file.
Date
&, ,
Name (Print)
EXHIBIT C
City of Cupertino Consultant Declaration
The undersigned does hereby certify that:
1. I am a representative of TEFF PISERCHIO GOLF SHOP (consultant or
company name); that I am familiar with the facts herein and am authorized
and qualified to execute this declaration.
2. I declare that TEFF PISERCHIO GOLF SHOP (consultant or company
name) has complied with fingerprinting and criminal background
investigation requirements with respect to all Consultant's employees who
may have contact with minors in the course of providing services pursuant to
the Agreement, and the California Department of Justice has determined that
none of those employees has been convicted of a felony, as that term is defined
in California Penal Code Section 11105.3.
3. That a complete and accurate list of Consultant's employees, who may come in
contact with minors during the course and scope of the Agreement, are
included below.
4. All of the below mentioned employees have tested negative for TB, or X-ray
results for TB, and have current documentation on file with Consultant.
5. All of the below mentioned employees have received training and understand
their responsibilities under the Mandated Reporter laws of this state and are
willing and able to comply.
A List of all Consultant Employees Working for the City of Cupertino:
Self
6. The City of Cupertino will be notified by Consultant in writing of any new
employees and will be added to the above list prior to beginning work for the
City of Cupertino.
I declare under penalty of perjury that the foregoing is true and correct:
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Date Place Con Signature Title
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