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18-001 Deep Cliff Golf Associates CITY OF No. ^ O FY2018-21 CUPERTINO RECREATION SERVICES AGREEMENT 1. Parties.This contract is made and entered into as of 7/16/2018("Effective Date"),by and between the City of Cupertino, a municipal corporation ("City"), and with DEEP CLIFF GOLF ASSOCIATES, 10700 CLUBHOUSE LN.,CUPERTINO, CA 95014("Contractor"),a PARTNERSHIP for GOLF CAMPS AND CLASSES. 2. Services. Contractor agrees to provide the Services included in the Scope of Work and in accordance with the Schedule of Performance attached in Exhibit A. 3. Term. This contract begins on the Effective Date and ends on 6/30/2021 ("Contract Time"),unless extended or terminated as provided herein. Time is of the essence and Contractor must have sufficient time,resources, and qualified staff to deliver the Services as required. Contractor must promptly notify City of any actual or potential delays to afford the Parties adequate opportunity to address or mitigate such delays. 4. Compensation. City will pay Contractor for satisfactory performance of the Services an amount that will based upon actual costs but that will be capped so as not to exceed$80,000 ("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 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 final payment. 5. Independent Contractor.Contractor is an independent Contractor and not an employee, partner, or joint venture of City. Contractor is solely responsible for the means and methods of performing the Services and for the persons hired to work under this Agreement.No civil service status or other right of employment will be acquired by virtue of Contractor's performance of the Services. Contractor is not entitled to City's health benefits, worker's compensation or any other benefit. Contractor must have the skills and qualifications to perform the Services in a competent and professional manner. Contractor will supply all tools, materials and equipment required to perform the Services under this Contract. Contractor is responsible for obtaining permits and licenses required by law and must obtain a City business license. Recreation Services Agreement/Rev. 3-27-2018 Page 1 of 6 6. Proprietary/Confidential Information.To the extent Contractor may have access to private or confidential information owned or controlled by the City, Contractor agrees to treat it confidential and use it solely to perform this Agreement. Contractor must exercise the same standard of care to protect City information as a reasonably prudent Contractor would use to protect its own proprietary data. 7. Ownership of Materials.To the extent Contractor prepares written material, drawings or data in connection with this contract, City will have the property rights to those materials and all copyrights,if any, to such work product will constitute City property. 8. Records. Contractor must maintain complete, accurate, and detailed accounting records relating to its performance in accordance with generally accepted accounting principles and procedures. The records must include detailed information about Contractor's services,benchmarks, deliverables and costs/fees,and must be made reasonably available to City.The records and supporting documents must be kept separate from other files and maintained for four years from the date of City's final payment. 9. Assignment.This Contract is not assignable. Contractor may not substitute another or transfer any rights or obligations under this Contract without prior written approval of City.Only those persons whose names are included in Exhibit A may perform the Services. 10. Publicity and Signs.Any publicity generated by Contractor related to this contract or the Services during the Contract Time and for one year thereafter must reference City contributions. The words "City of Cupertino" shall be displayed in all pieces of publicity, including flyers, press releases, posters, brochures, public service announcements, interviews and newspaper articles. No signs may be posted,exhibited or displayed on or about City property,except signage required by law or under this Agreement without prior written approval from City. 11. Indemnification.To the fullest extent allowed by law and except for losses caused by the sole negligence or willful misconduct of City personnel, Contractor agrees to indemnify, defend, and hold harmless the City, its City Council, boards and commissions, officers, officials, employees, agents, servants, volunteers and Contractors (collectively, "Indemnitees"), through legal counsel acceptable to City, from and against any liability for damages, claims, actions, causes of action, demands,charges,losses, costs and expenses (including attorney fees,legal costs and expenses related to litigation, arbitrations,administrative and regulatory proceedings), of every nature, arising out of or in any way related to Contractor's or Contractor's agents performance of this contract or the Services. This includes but is not limited to Liability resulting in personal injury, death, property damage, or economic losses. Contractor must pay any costs City may incur in enforcing this provision and must accept a tender of defense upon receiving notice from City.Contractor's payments may be deducted or offset to cover any money the City lost due to a claim or counterclaim arising out of this Contract. 12. Insurance. Contractor shall comply with the insurance requirements in Exhibit B. City will not execute the Agreement until it has received and approved satisfactory certificates of insurance and endorsements evidencing the type, amount, and dates of coverage. Alternatively, City in its sole Recreation Services Agreement/Rev.3-27-2018 Page 2 of 6 discretion may purchase insurance and deduct the costs from payments to Contractor,or terminate the contract. 13. Compliance with Laws and Other City Requirements. Requirements for all Contracts. This contract is subject to local, state and federal laws and regulations prohibiting discrimination,including Title VII of the Civil Rights Act of 1964,the California Fair Employment Practices Act,the Americans with Disabilities Act of 1990,and other laws that pertain to fair employment and anti-discrimination practices. Contractor must comply with labor laws pertaining to prevailing wages, working hours, overtime, payroll records, and other requirements imposed by the Department of Industrial Relations.If Contractor does not have employees,it must sign the Affidavit of No Employees, attached as Exhibit C. Contractor is responsible for verifying employment eligibility of employees pursuant to the Immigration Reform and Control Act of 1986. Contractor must comply with conflict of interest laws and regulations applicable to this Agreement and avoid conflicts of interest. Contractor may be required to file a conflict of interest form for engaging in governmental decisions or serving in a staff capacity,and is hereby advised to review the requirements of California Political Reform Act and the California Code of Regulations. Services may only be performed by persons who are not employed by City and who do not have a contractual relationship with City other than this contract. Contractor agrees to abide by City policies and administrative rules prohibiting gifts to City officials and employees. Additional Requirements for Services Provided to Minors: Contractor and its employees who provide services under this Agreement must comply with these additional requirements: A. Undergo fingerprinting and a criminal background check and verify all employees providing services under this contract have met this requirement. B. Complete a Tuberculosis screening test as required by law and as set forth in Exhibit D. C. Comply with the Mandatory Reporting under California Penal Code 11164-11174.3 and with the protocols, reporting, and training required under California Health and Safety Code Section 124235, AB2007, and other laws pertaining to concussion evaluation,removal from play, and return to play protocols. (Refer to Center for Disease Control & Prevention, https://w,",w.cdc.gov/headsul2/`index.html). D. Submit required forms and acknowledgments included in Exhibit D, and ensure its each participant is provided with a concussion information sheet, signs and returns the forms to the City as required by Health and Safety Code Section 124235. Require coaches and administrators to successfully complete the concussion and head injury education at least once either online or in person, before supervising a participant. Contractor shall offer training, educational materials, or both to each Contractor administrator on a yearly basis. (Training resources are available at the Center for Disease Control&Prevention(link cited above). E. If providing instruction, Contractor must acknowledge and comply with all requirements set forth in the Recreation&Community Services Instructor Manual. Recreation Services Agreement/Rev.3-27-2018 Page 3 of 6 Check one(if applicable): ® This contract requires services for children. ❑ This contract currently does not require services for children. If in the future, services for children are required,the contract will require a'written amendment' to include the appropriate insurance coverages as required in'Exhibit B—Insurance Requirements for Recreation Contracts', proof of finger printing and additional requirements under Paragraph 13. The contract amendment will also require the approval of the Director of Recreation and Community Services and City Attorney. 14. Coordination of Services. The Parties designate the following persons as Services Coordinators with the responsibility to oversee the delivery of Services in accordance with the terms of this Agreement. Contractor's designation and any substitution are subject to City approval. For.City: For Contractor: Name:Jeff Ordway Name:Brian Wilcox Position:Recreation Coordinator Position: General Manager Contact:jeffoCcupertino.org 408-777-3327 Contact:bwilcox@playdeepcliff.com;408-253-4521 15. Abandonment.City may abandon or postpone the Activity or Program and will notify Contractor as soon as possible. Contractor will be paid for satisfactory Services rendered through the date of abandonment upon submission of final invoices approved by City. 16. Termination. City may terminate this contract for cause or without cause at any time and will notify Contractor as soon as possible.Contractor will be paid for satisfactory services rendered through the date of termination upon submission of final invoices approved by City. 17. Governing Law,Venue and Dispute Resolution.This contract is governed by the laws of the State of California. Any legal actions or proceedings filed against City in connection with this contract must comply with the government claims filing requirements and must be filed with the Superior Court for the County of Santa Clara, State of California. At City's request, Contractor is required to continue to provide Services pending resolution of any dispute. If the Parties elect arbitration, the arbitrator's award must be supported by law and substantial evidence and include detailed written findings of law and fact. 18. Attorney Fees. If City is required to pursue litigation,arbitration or other administrative or regulatory proceeding to enforce its rights or the terms of this Agreement, the prevailing party will be entitled to reasonable attorney fees and costs.This Section survives this Agreement. 19. Third Party Beneficiaries.There are no third party beneficiaries under this Contract. Recreation Services Agreement/Rev.3-27-2018 Page 4 of 6 20. Waiver. Neither acceptance of Services nor payment thereof constitutes a waiver of any contract provision. City waiver of a breach shall not constitute waiver of another term, provision, covenant or condition, or a subsequent breach,whether of the same or a different character. 21. Entire Agreement.This Agreement and all referenced Exhibits are hereby attached and incorporated into the Agreement by this reference and represent the full and complete understanding as to those matters contained herein,and supersede any other contract or understanding,either oral or written,between the Parties.This Agreement may not be modified or amended except in writing signed by both Parties.If there is any inconsistency between the main contract and any attachments or exhibits thereto,the main contract shall prevail. 22. Inserted Provisions.Each provision or clause required by law or this contract is deemed to be included and will be inferred herein. Either party may request an amendment to cure any mistaken insertion or omission of a required provision. 23. Headings. The headings are for convenience only and are not a part of the contract or intended to affect, limit or amplify the terms or provisions of this Agreement. 24. Severability/Partial Invalidity.If any contract term or provision,or their application to a particular situation, is found by the court to be void, invalid, illegal or unenforceable, such term or provision shall remain in force and effect to the extent allowed by such ruling.All other contract terms and provisions and their application to specific situations will remain in full force and effect. 25. Survival.All provisions which by their nature must continue after the Agreement ends, including without limitation Indemnification,Insurance, Ownership of Materials,Records, Governing Law and Attorney Fees,will survive the expiration or termination of this Agreement. 26. Notices.All notices and instruments pertaining to material provisions of this contract or significant disputes which are required by law or under this contract to be in writing must be sent to the persons listed below. The notices will be deemed effective on the date of personal delivery or the date confirmed by a reputable overnight delivery service, on the fifth calendar day after deposit in the United States Mail, postage prepaid, registered or certified, or the next business day following electronic submission. To City of Cupertino: To Contractor: Office of the City Manager 10700 Clubhouse Ln., Cupertino, CA,95014 10300 Torre Ave.,Cupertino CA 95014 cc: Representative/Coordinator: cc:Representative/Coordinator: Brian Wilcox Jeff Ordway Email:bwilcox@playdeepcliff.com Email: jeffo@cupertino.org Recreation Services Agreement/Rev.3-27-2018 Page 5 of 6 27. Validity of Contract. This contract is valid and enforceable only if it complies with the provisions of Cupertino Municipal Code Chapters 3.22 and 3.23, is signed by the City Manager or authorized designee, and is approved for form by the City Attorney's Office. 28. Execution. The person executing this contract on behalf of Contractor represents and warrants that Contractor has full right, power, and authority to execute this contract and to carry out all actions and services required. This contract constitutes a legally binding obligation of Contractor, and may be executed in counterparts, each one of which is deemed an original and all of which, taken together, constitute a single binding instrument. IN WITNESS WHEREOF,the parties have caused this contract to be executed. CONTRACTOR CITY OF CUPERTINO DEEP CLIFF GOLF ASSOCIATES A Municipal Corporation By By / Name &r'V\ Nam !'/ ) Q�►�/ Title 6��eru.( A4sw) ,ar— Title Date 6161 aOlB Date Tax I.D.No.:Refer to W9 APPROVED AS TO FORM: ATTEST: �C j 7% jN OLPH STEVENSON HOM GRACE SCHMIDT Cupertino City Attorney City Clerk Fiscal Year 2018-19 ContractlEncumbered Amount:$25,000 Account No.:580-63-620 700-702 Fiscal Year 2019-20 ContractlEncumbered Amount:$27,000 Account No.:580-63-620 700-702 Fiscal Year 2020-21 ContractlEncumbered Amount:$28,000 Account No.:580-63-620 700-702 Recreation Services Agreement/Rev.3-27-2018 Page 6 of 6 EXHIBIT A SCOPE OF WORK,PERFORMANCE AND PAYMENT SCHEDULES The CONTRACTOR will provide GOLF CAMPS AND CLASSES in,but not limited to,the following: ADULT GOLF,GOLF FOR WOMEN,PARENT/CHILD GOLF,JR.GOLF:BEGINNING,JR.GOLF INTERMEDIATE,THE PLAYER'S GOLF ACADEMY,JR.GOLF CAMP:BEGINNING,JR.GOLF CAMP: INTERMEDIATE AND THE PLAYER'S GOLF CAMP Location and Time of CONTRACTOR Services: Refer to the Recreation Schedule dated SUMMER 2018 THROUGH SPRING 2021 for agreed upon dates, times, and class locations.The City,at its sole discretion,may change the agreed terms. Compensation for CONTRACTOR Services: Contractor shall be compensated for services performed pursuant to this Agreement. Compensation shall consist of the following: 78%OF THE RESIDENT REGISTRATION FEE. The total compensation to the Contractor shall not exceed$80,000. Eligible Participant Minimum and Maximums for CONTRACTOR Services: Minimum: 5 Maximum: 14 If less than the required minimum number of participants enroll in and pay for a particular class as identified in the schedule before the class is scheduled to start, the City may cancel the particular class and/or terminate this Agreement without additional notice or payment to Contractor. List of all Contractor Employees working for the City of Cupertino (if no Employees,identify "self"): G-rsn 3wl �y1S�� c�wnc,ellin Performance of CONTRACTOR Services: In the case Contractor unilaterally cancels performance of a class,camp, activity or service without City approval,City reserves the right to immediately and without notice cancel the remainder of programs/services offered and or performed by Contractor. The Contractor shall follow all guidelines pertaining to registration procedures as listed in the quarterly recreation schedule.Participants may not take part in the program unless they are listed on the class roster or can show proof of enrollment.All participants and volunteers need to complete the City's Waiver of Liability form prior to taking part in the program. If applicable, contractors who are responsible for supervising minors must remain with the class until a parent of legal guardian has arrived and all minors are released to them. In the event of an injury occurring to a participant, the Contractor will notify the City within 1 hour and complete an Incident Report in the form approved by the City. The Incident Report must be submitted to the City within 24 hours. Exhibit B Insurance Requirements for Recreation Contracts As required by Section 12 of the Agreement, Contractor shall procure and maintain the following insurance for the duration of the contract against claims arising from or in connection with Contractor, its agents, representatives,employees or subcontractors Services under this Agreement. Minimum Scope and Limit of Insurance. Coverage shall be at least as broad as: 1. Commercial General Liability (CGL): Insurance Services Office Form CG 00 01 covering CGL on an "occurrence" basis, including property damage, bodily injury and personal & advertising injury with limits no less than $1,000,000 per occurrence. If a general aggregate limit applies, it must apply separately to this project/location (CG 25 03 or 25 04)or be twice the required occurrence limit. I Automobile Liability: ISO CA 0001 covering Code I (any auto), or if Contractor has no owned autos, Code 8 (hired) and 9 (non-owned), with limits no less than $1,000,000 per accident for bodily injury and property damage. ❑ Required if automobile is used to perform work under this contract. Otherwise, proof of Contractor's personal auto insurance with limits required by state law suffices. Contractor shall not transport or use its personal vehicle to transport participants or perform work under this contract. 3. Workers' Compensation: As required by the State of California, with Statutory and Employer's Liability Insurance limits of no less than $1,000,000 per accident for bodily injury or disease. Required if Contractor has employees. ❑ If no employees, Contractor must sign Affidavit of No Employees. Sexual Abuse/Molestation: Insurance or the equivalent as required for activities/services involving minors, (i.e., after school activities, recreational programs, athletics, study/training events and transportation of minors). Coverage may be included under General Liability or be obtained in a separate policy, such as Educators Legal Liability (ELL) policy, with a limit of no less than $1,000,000 per occurrence. If a general aggregate limit applies, it must apply separately to this contract or be twice the required occurrence limit. Required if Contract involves services to children. Insurance coverage required may be satisfied by a combination of Primary and Excess/Umbrella insurance. Self-Insured Retentions: Self-insured retentions must be approved by City. City may require Contractor to provide proof of ability to pay losses and related investigations, claim administration, and defense expenses within the retention. The policy language must provide, or be endorsed to provide, that the self- insured retention may be satisfied by either the named insured or City. Acceptability oflnsurers: Insurance must be issued by insurers acceptable to City and licensed to do business in the State of California,with an A.M. Best's financial strength rating of"A"or better and a financial size rating of"VII"or better. OTHER INSURANCE PROVISIONS: The CGL policy must contain, or be endorsed to contain, the following provisions: 1. The City, its City Council, boards and commissions, officers, officials, employees, agents, servants and volunteers are to be covered as additional insureds with respect to liability arising out of work or Exh. B Insurance for Recreation Contracts Updated 3-26-18 operations performed by or on behalf of the Contractor including materials, parts or equipment furnished in connection with such work or operations. 2. Contractor's insurance shall be primary insurance coverage at least as broad as ISO CG 20 01 04 13 as respects the City, its officers, officials, employees,agents,and volunteers. 3. The Insurance Company agrees to waive all rights of subrogation against the City, its elected or appointed officers, officials,agents,and employees for losses paid under the terms of any policy which arise from work performed by Contractor for City. This provision also applies to the Contractor's Workers' Compensation policy. 4. Each insurance policy required by this contract shall provide that coverage shall not be canceled, except with notice to the City. Primary Coverage: The Additional Insured coverage under Contractor's policy shall be primary non- contributory and at least as broad as ISO CG 20 01 04 13 as respects the City and all the insureds/indemnitees. If the limits of insurance required are satisfied in part by Umbrella/Excess Insurance, the Umbrella/Excess Insurance shall contain or be endorsed to contain a provision that such coverage shall also apply on a"primary and non-contributory" basis for the benefit of the Additional Insureds before City's own insurance is triggered. Notice of Cancellation: Each insurance policy shall provide that coverage shall not be canceled or allowed to expire without written notice to City 30 days in advance or 10 days in advance if due to non-payment of premiums. Such notice must be sent to City via email or certified mail to the attention of the City Manager. Waiver of Subrogation:Contractor grants City a waiver of any right to subrogation which any insurer of said Contractor may acquire against City by virtue of payment of any loss under such insurance. Contractor will obtain any endorsement that may be necessary to effect this waiver of subrogation, but this provision applies regardless of whether or not the City has received a waiver of subrogation endorsement from the insurer. Verification of Coverage:Contractor shall furnish the City with original certificates and amendatory endorsements effecting coverage required by this clause.All certificates and endorsements are to be received and approved by the City before work commences.The City reserves the right to require complete, certified copies of all required insurance policies, including endorsements affecting the coverage required by these specifications,at any time.At a minimum Contractor must provide acceptable copies of the policy declarations and endorsement page verifying the required insurance coverages. Homeowner's Insurance:,Contractor's homeowner's liability insurance may provide coverage sufficient to meet these requirements. Contractor should provide these requirements to his or her agent to confirm and provide verification to City. Special Events Coverage: Insurers may provide special events coverage for a reduced fee,or City may be able to offer this coverage.Contractor should contact the City Manager's Office for information or assistance. Special Risks or Circumstances:City reserves the right to modify these requirements based on the nature of the risk, prior experience, insurer, coverage,or other special circumstances. Exh.B Insurance for Recreation Contracts Updated 3-26-18 2 EXHIBIT D Contractor's Mandated Reporter Declaration The undersigned does hereby certify that: 1. I am a representative of DEEP CLIFF GOLF ASSOCIATES;that I am familiar with the facts herein and am authorized and qualified to execute this declaration. 2. I declare that DEEP CLIFF GOLF ASSOCIATES has complied with fingerprinting and criminal background investigation requirements with respect to all Contractor'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. 1 declare that each coach and administrator shall be required to successfully complete concussion and head injury education at least once,either online or in person,before supervising a participant, as required by California Health and Safety Code Section 124235,et seq. 4. On a yearly basis, all participants shall be required to sign and return a concussion and head injury information sheet in compliance with California Health and Safety Code Section 124235, which may be in the form attached as D-1. 5. That a complete and accurate list of Contractor's employees, who may come in contact with minors during the course and scope of the Agreement, are included below. 6. All of the below mentioned employees have tested negative for TB, or X-ray results for TB, and have current documentation on file with Contractor. 7. 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. List of all Contractor Employees working for the City(if no Employees,identify"self"): �r- n 8. The Contractor will notify the City of Cupertino in writing of any new employees and will be added to the above list prior to beginning work at the City of Cupertino. I declare under penalty of perjury that the foregoing is true and correct. DEEP CLIFF GOLF ASSOCIATES By �� ke Name sCt� W�ka-, Title Cie(z k ac Date (2 �I f q 01 CONCUSSION Information SheetVillp This sheet has information to help protect your children or teens from CONCUSSION concussion or other serious brain injury. Use this information at your children's or teens'games and practices to learn how to spot a concussion and what to do if a concussion occurs. What Is a Concussion? Ian ahead.What •• you want your A concussion is a type of traumatic brain injury—orTBI—caused I hild or • know about c• • by a bump,blow,or jolt to the head or by a hit to the body that causes the head and brain to move quickly back and forth.This fast movement can cause the brain to bounce around or twist in the skull,creating chemical changes in the brain and sometimes stretching and damaging the brain cells. How Can I Spot a Possible Concussion? Children and teens who show or report one or more of the signs How Can I Help Keep My Children or and symptoms listed below—or simply say they just"don't feel right"after a bump,blow,or jolt to the head or body—may have Teens Safe? a concussion or other serious brain injury. Sports are a great way for children and teens to stay healthy and Signs Observed by Parents or Coaches can help them do well in school.To help lower your children's or teens'chances of getting a concussion or other serious brain Appears dazed or stunned. injury,you should: Forgets an instruction,is confused about an assignment or Help create a culture of safety for the team. position,or is unsure of the game,score,or opponent. > Work with their coach to teach ways to lower the chances ' Moves clumsily. of getting a concussion. Answers questions slowly. > Talk with your children or teens about concussion and Loses consciousness(even briefly). ask if they have concerns about reporting a concussion. Shows mood,behavior,or personality changes. Talk with them about their concerns;emphasize the i Can't recall events prior to or after a hit or fall. importance of reporting concussions and taking time to recover from one Symptoms Reported by Children and Teens t' > Ensure that they follow their coach's rules for safety and - Headache or"pressure'in head. the rules of the sport. • Nausea or vomiting. > Tell your children or teens that you expect them to a Balance problems or dizziness,or double or blurry vision. ii practice good sportsmanship at all times. L Bothered by light or noise. ' When appropriate for the sport or activity,teach your )9 children or teens that they must wear a helmet to lower the Feeling sluggish,hazy,foggy,or groggy. chances of the most serious types of brain or head injury. Confusion,or concentration or memory problems. However,there is no"concussion-proof'helmet.So,even . Just not"feeling right;'or"feeling down" with a helmet,it is important for children and teens to avoid • hits to the head. Talk with your children and teens about concussion.Tell them to report their concussion symptoms to you and their coach right away.Some children and teens think concussions aren't serious or worry that if they report a concussion they will lose their position on the team or look weak.Be sure to remind them that it's better to miss one game than the whole season. -' Centers forDisease Control and Prevention National Center for Injury To learn more, go to www.cdc.gov/HEADSUP Prevention and Control Concussions affect each child and teen differently.While most children andIL i teens with a concussion feel better within a couple of weeks,some will have symptoms for months or longer.Talk with your children's or teens'health care provider if their concussion CONCUSSION symptoms do not go away or if they get worse after they return to their regular activities. What Are Some More Serious Danger What Should I Do If My Child Signs to Look Out For? or Teen Has a Possible Concussion? In rare cases,a dangerous collection of blood(hematoma)may As a parent,if you think your child or teen may have a form on the brain after a bump,blow,or jolt to the head or body concussion,you should: and can squeeze the brain against the skull.Call 9-1-1 or take s. Remove your child or teen from play. your child or teen to the emergency department right away if, after a bump,blow,or jolt to the head or body,he or she has 2. Keep your child or teen out of play the day of the injury. one or more of these danger signs: Your child or teen should be seen by a health care provider and only return to play with permission from a health care • One pupil larger than the other. provider who is experienced in evaluating for concussion. • Drowsiness or inability to wake up. 3. Ask your child's or teen's health care provider for written A headache that gets worse and does not go away. instructions on helping your child or teen return to school. • Slurred speech,weakness,numbness,or decreased You can give the instructions to your child's or teen's school coordination. nurse and teacher(s)and return-to-play instructions to the • Repeated vomiting or nausea,convulsions or seizures coach and/or athletic trainer. (shaking or twitching). Do not try to judge the severity of the injury yourself.Only a health care provider should assess a child or teen for a possible • Unusual behavior,increased confusion,restlessness, concussion.Concussion signs and symptoms often show up soon or agitation. after the injury.But you may not know how serious the concussion Loss of consciousness(passed out/knocked out).Even a is at first,and some symptoms may not show up for hours or days. brief loss of consciousness should be taken seriously. The brain needs time to heal after a concussion.A child's or teen's return to school and sports should be a gradual process that is Children • teens who continue to play while carefully managed and monitored by a health care provider. having concussion symptomsor • return to play too soon—while the brain is still healing— To learn more, go to have a greater chance of getting another S ApPe.w. www.cdc.gov/HEADSUP repeat • the brain is still healing from the first injury can You can also download the CDC HEADS UP a to et concussion information at our •- • • PP g y _ fingertips.Just scan the QR code pictured lifetime. It can be at left with your smartphone. Revised 512015 Discuss the risks of concussion and other serious brain injury with your child or teen and have each person sign below. Detach the section below and keep this information sheet to use at your children's or teens'games and practices to help protect them from concussion or other serious brain injury. ------------------------------------------------------------------------------------------------------------------------------------------------ O 1 learned about concussion and talked with my parent or coach about what to do if I have a concussion or other serious brain injury. Athlete Name Printed: Date: Athlete Signature: O 1 have read this fact sheet for parents on concussion with my child or teen and talked about what to do if they have a concussion or other serious brain injury. Parent or Legal Guardian Name Printed: Date: Parent or Legal Guardian Signature: Client#:40388 GOLFDEEP ACORD. CERTIFICATE OF LIABILITY INSURANCE DATE(Mwoomrq 6119/2018 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER,THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER($),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT:If the certificate holder Is an ADDITIONAL INSURED,the policy(les)must be endorsed.If SUBROGATION IS WANED,subject to the terms and conditions of the policy,certain policies may require an endorsement.A statement on this certificate does not confer rights to the certificate holder in lieu of such andomemen s. PRODUCER NAME; Jenny Fish Edgewood Partners Ins.Center .916-576-1555 9164848.3547 1765 Challenge Way,Suite 200 jenny.fishQepk:brokers.com Sacramento-Golf IN Sacramento,CA 95815 SURE a AFFORDING COVERAGE NAICs INSURER A:amore,aqui h—m—CwWW 13544 INSURED INSURER 8: Deep Cliff Golf Course INSURER C 10700 Clubhouse Lane INSURER D Cupertino,CA 95014-3969 INSURER E @/SURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. �NTR TYPE OF INSURANCE ADOL Ua POLICYNUMBER tXP IJkeTS A X COMMERCIAL GENERAL LIASILRY X X 13CMA11702941 0111012018 0111110120111 pEpgHIED AqCH OCCURRENCE s2,000,000 CLAMS-MADElADE OCCUR PRre.) $100,00() MED EXP Wy one - $5,000 PERSONALli ADv INJURY s2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER I GENERAL AGGREGATE s4,000,000 X POLICY F-1JJEECT LOC I PRODUCTS-COMP/OP AGG s2,000,000 OTHER: s A AUTOAOWLE LIABILITY 13CMA11702941 0110112018 01/0112011 CMe OMBINE,SINGLE LIMB 1,000:wo ANY AUTO BODILY INJURY(Per penum) $ ALL OWNED SCHEDULED BODILY INJURY(Peracddant) $ AUTOS X HIRED AUTOS X NOIR NED PROPERTY DAMAGE $ AUTOS aaideN S UMBRELLA LIMB HorCUR EACH OCCURRENCE $ EXCESS LNa CLAIMS-MADE AGGREGATE $ DED RETENTIONi WORKERS COMPENSATION PERTUTE OTH- AND EMPLOYERS'LIABILrTY Y 1 N FR ANY PROPRIETORIPARTNEWEXECUTIVEEL EACH ACCIDENT s OFFICERNAEMBER EXCLUDED? D N I A (ManAMmy In NH) E.L.DISEASE-EA EMPLOYEE $ Ityq dewAbe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT I DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101,Additlaut Rasurks Schedule,nW be altae al a more space Is requked) RE:Summer Day Camps/Goff Lessons.City of Cupertino,Its City Council,Boards and Commissions,officers, employees and volunteers are considered Additional Insured.General Liablllty Waiver of Subrogation applies. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE City of Cupertino THE EXPIRATION DATE THEREOF, NOTICIEEWILL BED POLCS BEE DELIVERECELLED D WE ( 10300 Toms Avenue ACCORDANCE WITH THE POLICY PROVISIONS. Cupertino,CA 950143255 AUTHDRUM REPRESENTATIVE ®1988-2014 ACORD CORPORATION.All rights reserved. ACORD 25(2014101) 1 Of 1 The ACORD name and logo are registered marks of ACORD #S1096045/M928525 MTEA1 Policy Number: 13-CMAl1702941 Commercial General Liability CG 20 26 07 04 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY ADDITIONAL INSURED - DESIGNATED PERSON or ORGANIZATION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name of Additional Insured Persons Or Organization(s) City of Cupertino, its City Council, Boards and Commissions, Officers, Officials, Employees, Agents, Servants, Volunteers and Consultants. Information required to complete this Schedule, if not shown above, will be shown in the Declarations. Section II—Who is An Insured is amended to include as an additional insured the person(s)or organization(s)shown in the Schedule,but only with respect to liability for"bodily injury", "property damage"or in part,by your acts or omissions or the acts or omissions of those acting on your behalf. A. In the performance of your ongoing operations;or B. In connection with your premises owned by or rented to you. CG 20 26 07 04 ©ISO Properties, Inc., 2004 Page 1 of 1 POLICY NUMBER: 13-CMA11702941 COMMERCIAL GENERAL LIABILITY CG 24 04 10 93 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name of Person or Organization: City of Cupertino, its City Council, Boards and Commissions, Officers, Officials, Employees, Agents, Servants, Volunteers and Consultants (If no entry appears above, information required to complete this endorsement will be shown in the Declarations as applicable to this endorsement.) The TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US Condition (Section IV - COMMERCIAL GENERAL LIABILITY CONDITIONS) is amended by the addition of the following: We waive any right of recovery we may have against the person or organization shown in the Schedule above because of payments we make for injury or damage arising out of your ongoing operations or "your work" done under a contract with that person or organization and included in the "products-completed operations hazard". This waiver applies only to the person or organization shown in the Schedule above. CG 24 04 10 93 Copyright, Insurance Services Office, Inc. , 1992 DEEP CLIFF Golf Course Client#:40388 GOLFDEEP ACORD. CERTIFICATE OF LIABILITY INSURANCE DAT 105/2D/YYYY) 07/05/2018 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT:If the certificate holder is an ADDITIONAL INSURED,the policy(les)must be endorsed.If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement.A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT Jenny Fish Edgewood Partners Ins.CenterPHONE g16-576-1555 FAX 916-848-3542 AIC,No,Ext: AIC,No: 1765 Challenge Way,Suite 200 E-MAIL fish a Icbrokers.com Sacramento-Golf Lic#01329370 ADDRESS: Jenn Y• @ p Sacramento,CA 95815 INSURER(S)AFFORDING COVERAGE NAIC# INSURER A:LloydsofLondon INSURED INSURERS: Deep Cliff Golf Course 10700 Clubhouse Lane INSURER C: Cupertino,CA 95014-3969 INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDLSUBR POLICY EFF POLICY EXP LIMITS LTR INSR WVD POLICY NUMBER MM/DD/YYY MM/DD COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ CLAIMS-MADE FIOCCUR PREMISESOEa..0 encs $ MED EXP(Any one person) $ PERSONAL R ADV INJURY $ GENT AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ PRO- POLICY 0 JECT LOC PRODUCTS-COMP/OP AGG $ OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS AUTOS NON-OWNED PeOra cidentDAMAGE HIRED AUTOS AUTOS $ UMBRELLA LIAB HOCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED T7RETENTION$ $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY Y/N ISTAIER TUTE ANY PROPRIETOR/PARTNER/EXECUTIVEE.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? ❑ N/A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ A Sexual abuse/ AC1805175 7/02/2018 07/02/2019 $1,000,000 Occurence Molestation $2,000,000 Aggregate DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) City of Cupertino, Its City Council, Boards and Commissions,Officers,Officials, Employees,Agents, Servants,Volunteers and Consultants. CERTIFICATE HOLDER CANCELLATION City of Cupertino etal SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 10300 Torre Avenue ACCORDANCE WITH THE POLICY PROVISIONS. Cupertino,CA 95014 AUTHORIZED REPRESENTATIVE ©1988-2014 ACORD CORPORATION.All rights reserved. ACORD 25(2014/01) 1 of 1 The ACORD name and logo are registered marks of ACORD #S1120331/M1119398 MTEA1 ACERTIFICATE OF LIABILITY INSURANCE DAT06/22D/YYYY) 06,22/,8 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT Aon Risk Services,Inc of Florida NAME: Aon Risk Services,Inc of Florida 1001 Bnrkell Bay Drive,Suite#1100 PHONE FAX Miami,FL 33131-4937 A/C No Ext):800-743-8130 A/C No):800-522-7514 EMAIL ADDRESS: ADP.Col.Center@_Aon.com INSURER(S)AFFORDING COVERAGE NAIC# INSURER A: American Home Assurance Co. 19380 INSURED INSURER B: ADP TotalSource FL XVI,Inc. 10200 Sunset Drive INSURER C: Miami,FL 33173 LJC/F INSURER D: Deep Cliff Associates,LP DBA Deep Cliff Golf Course INSURER E: 10700 Clubhouse Lane, Cupertino,CA 95014 INSURER F: COVERAGES CERTIFICATE NUMBER: 1952079 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LIMITS SHOWN ARE AS REQUESTED. INSR TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF POLICY EXP LIMITS LTR INSR WVD MM/DD MM/DD/Y COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ CLAIMS-MADE ❑ OCCUR DAMAGE TO RENTED PREMISES Ea occurrence $ MED EXP(Any oneperson) $ PERSONAL&ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ POLICY ❑PROJECT❑LOC PRODUCTS-COMP/OP AGG $ OTHER $ AUTOMOBILE LIABILITY M INE I L I Ea accident $ ANY AUTO BODILY INJURY Perperson) $ OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY Per accident $ HIRED NON-OWNED PROPERTY DAMAGE AUTOS ONLY AUTOS ONLY Per accident $ $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DEC I I RETENTION$ WORKERS COMPENSATION X PER OTH- AND EMPLOYERS'LIABILITY Y/N STATUTE ER A ANY PROPRIETOR/PARTNER/EXECUTIVE El N/A 047015721 CA 7/1/2018 7/1/2019 E.L.EACH ACCIDENT $ 2,000,000 OFFICER/MEMBER EXCLUDED? N/A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 2,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT 1 $ 2,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) All worksite employees working for DEEP CLIFF ASSOCIATES,LP DBA DEEP CLIFF GOLF COURSE,paid under ADP TOTALSOURCE,INC's payroll,are covered under the above stated policy. CERTIFICATE HOLDER CANCELLATION Deep Cliff Associates,LP DBA Deep Cliff Golf Course SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 10700 Clubhouse Lane THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Cupertino,CA 95014 ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE 04oa o f(flotida ©1988-2015 ACORD CORPORATION.All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD