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22-001 Christine Nakahara ASL interpreter services at Signing with Santa 2022May 5, 2020 SHORT FORM ENTERTAINMENT AGREEMENT CITY OF CUPERTINO Parks & Recreation Department 10185 N. Stelling Road Cupertino, CA 95014 408-777-3120 --USE OF THIS FORM IS ONLY VALID FOR AGREEMENTS UP TO $3,500.00-- Contractor Name: Christine Nakahara Contractor Authorized Representative: Christine Nakahara By the signature of its Authorized Representative below, Contractor hereby agrees to the following: A. SCOPE OF SERVICES. Contractor shall provide or furnish the following specified services and/or materials: ASL interpreter services at Signing with Santa 2022 for both Santa and event attendees. Location: Quinlan Community Center, 10185 North Stelling Road, Cupertino, CA 95014 Time: 1:45 p.m. to 4:00 p.m. B. TERM. The services and/or materials furnished under this Agreement shall be provided from December 10, 2022 to December 10, 2022. C. COMPENSATION. For the full performance of this Agreement, the City of Cupertino shall pay Contractor a total of $200 in a lump sum to be paid following receipt of Contractor’s invoice. D. EXHIBITS. The following attached exhibits hereby are made part of this Agreement: - Exhibit “C” – Affidavit of No Employees GENERAL TERMS AND CONDITIONS 1. 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 the Scope of 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. May 5, 2020 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 agreement. Further, Contractor hereby waives, releases, and discharges any and all claims for damages for personal injury or property damage that it may have, or that may hereafter accrue to Contractor, as a result of providing the Scope of Services. This release is intended to discharge in advance the City of Cupertino (its City Council, boards and commissions, officers, officials, employees, agents, servants, volunteers, and agents) from any and all liability arising out of or connected in any way with my services, unless caused by the sole negligence or willful misconduct of the City. It is further agreed that this waiver, release, and assumption of risk is to be binding on my heirs and assigns. Contractor further hereby waives the provisions California Civil Code section 1542, which reads: A GENERAL RELEASE DOES NOT EXTEND TO CLAIMS THAT THE CREDITOR OR RELEASING PARTY DOES NOT KNOW OR SUSPECT TO EXIST IN HIS OR HER FAVOR AT THE TIME OF EXECUTING THE RELEASE AND THAT, IF KNOWN BY HIM OR HER, WOULD HAVE MATERIALLY AFFECTED HIS OR HER SETTLEMENT WITH THE DEBTOR OR RELEASED PARTY. 2. Compliance with Laws. Contractor shall comply with all laws applicable to this Agreement including, without limitation, laws regarding workers’ compensation, antidiscrimination, and conflict of interest. If Contractor has no employees an affidavit to that effect shall be attached to this agreement. If the scope of work involves providing services to children, the City of Cupertino, Contractor Declaration shall be attached. 3. Assignment. Contractor may not assign, transfer, or subcontract this Agreement or any portions thereof, without prior written consent of City. 4. Termination. City may terminate this agreement at any time. In the event of cancellation within 24 hours of the time Contractor is to begin providing services City shall pay contractor one half of the total agreement amount unless cancellation occurs after Contractor’s personnel have arrived at the location where services are to be performed in which case the total contract amount shall be paid. 5. Interest of Contractor. It is understood and agreed that this Agreement is not a contract of employment and, 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. City shall have no right of control as to the manner Contractor performs the services to be performed. Nevertheless, City may, at any time, observe the manner in which such services are being performed by the contractor. Contractor shall comply with all applicable Federal, State, and local laws and ordinances including, but not limited to, unemployment insurance benefits, FICA laws, and the City business license ordinance. May 5, 2020 6. Changes. No changes or variations of any kind are authorized without the written consent of the City. CONTRACT COORDINATOR and representative for CITY shall be: Jason Bisely IN WITNESS WHEREOF, the parties have executed this Agreement effective the date last signed below. CITY OF CUPERTINO A Municipal Corporation By Name Title Date CONTRACTOR By Name Title Date Tax I.D. No.: Refer to W9 APPROVED AS TO FORM: CHRISTOPHER D. JENSEN Cupertino City Attorney ATTEST: KIRSTEN SQUARCIA City Clerk Date 1428151.1 Christine Nakahara ASL/English Interpreter Nov 28, 2022 Christopher D. Jensen Rachelle Sander Director of Parks and Recreation Nov 28, 2022 Nov 28, 2022 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 Christine Nakahara. 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 ____________, 2022, at , California. ______________________________ PRINT NAME ______________________________ SIGNATURE 28 November Sunnyvale Christine Nakahara ASL Interpreter Services for Signing with Santa 2022 Final Audit Report 2022-11-29 Created:2022-11-28 By:City of Cupertino (webmaster@cupertino.org) Status:Signed Transaction ID:CBJCHBCAABAAzhnMDyteGU_9Up00J3je_XiUikK0HO50 "ASL Interpreter Services for Signing with Santa 2022" History Document created by City of Cupertino (webmaster@cupertino.org) 2022-11-28 - 11:23:49 PM GMT- IP address: 35.229.54.2 Document emailed to Araceli Alejandre (aracelia@cupertino.org) for approval 2022-11-28 - 11:29:26 PM GMT Document approved by Araceli Alejandre (aracelia@cupertino.org) Approval Date: 2022-11-28 - 11:46:54 PM GMT - Time Source: server- IP address: 64.165.34.3 Document emailed to for signature 2022-11-28 - 11:46:55 PM GMT Email viewed by 2022-11-28 - 11:47:00 PM GMT- IP address: 66.249.84.236 Signer entered name at signing as Christine Nakahara 2022-11-28 - 11:49:25 PM GMT- IP address: 98.51.100.107 Document e-signed by Christine Nakahara ( Signature Date: 2022-11-28 - 11:49:27 PM GMT - Time Source: server- IP address: 98.51.100.107 Document emailed to christopherj@cupertino.org for signature 2022-11-28 - 11:49:28 PM GMT Email viewed by christopherj@cupertino.org 2022-11-28 - 11:53:42 PM GMT- IP address: 104.47.73.254 Signer christopherj@cupertino.org entered name at signing as Christopher D. Jensen 2022-11-28 - 11:53:59 PM GMT- IP address: 136.24.22.150 Document e-signed by Christopher D. Jensen (christopherj@cupertino.org) Signature Date: 2022-11-28 - 11:54:01 PM GMT - Time Source: server- IP address: 136.24.22.150 Document emailed to Rachelle Sander (rachelles@cupertino.org) for signature 2022-11-28 - 11:54:03 PM GMT Email viewed by Rachelle Sander (rachelles@cupertino.org) 2022-11-28 - 11:54:35 PM GMT- IP address: 104.47.73.126 Document e-signed by Rachelle Sander (rachelles@cupertino.org) Signature Date: 2022-11-28 - 11:55:19 PM GMT - Time Source: server- IP address: 64.165.34.3 Document emailed to Kirsten Squarcia (kirstens@cupertino.org) for signature 2022-11-28 - 11:55:21 PM GMT Email viewed by Kirsten Squarcia (kirstens@cupertino.org) 2022-11-29 - 0:33:02 AM GMT- IP address: 104.47.73.254 Document e-signed by Kirsten Squarcia (kirstens@cupertino.org) Signature Date: 2022-11-29 - 0:38:35 AM GMT - Time Source: server- IP address: 64.165.34.3 Agreement completed. 2022-11-29 - 0:38:35 AM GMT