23-001 Amendment #1 dated 12-19-23 Linda Hsu for Line Dance Instruction1
FIRST AMENDMENT TO AGREEMENT 23-001
BETWEEN THE CITY OF CUPERTINO AND LINDA
HSU FOR LINE DANCE INSTRUCTION
This First Amendment to Agreement 23-001 between the City of Cupertino and Linda Hsu is
by and between the City of Cupertino, a municipal corporation (hereinafter "City") and Linda Hsu, a
Sole Proprietorship/Individual (“Contractor”) whose address is 976 Alpine Ter Unit 2, Sunnyvale, CA
94086, and is made with reference to the following:
RECITALS:
A. On January 18, 2023, Agreement 23-001 (“Agreement”) was entered into by and
between City and Contractor for Line Dance Instruction.
B. City and Contractor desire to modify the Agreement on the terms and conditions set
forth herein.
NOW, THEREFORE, it is mutually agreed by and between the undersigned parties as
follows:
1. Paragraph 3 of the Agreement is modified to read as follows:
Term. This contract begins on the Effective Date and ends on 12/31/2025 (“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. The City’s appropriate
department head or the City Manager may extend the Contract Time through a written
amendment to this Agreement, provided such extension does not include additional contract
funds. Extensions requiring additional contract funds are subject to the City’s purchasing
policy.
2. Paragraph 4 of the Agreement is modified to read as follows:
Compensation. City will pay Contractor for satisfactory performance of the Services an
amount that will be based upon actual costs but that will be capped so as not to exceed
$27,000.00 (“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 thirty (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 the final payment.
3. Exhibit A of the Agreement is modified as follows:
The CONTRACTOR will provide Line Dance Instruction in, but not limited to, the
following:
2
Line Dance – Beginner, Line Dance Basics
Under Compensation for CONTRACTOR Services:
Contractor shall be compensated for services performed pursuant to this Agreement.
For a class taught in person, seventy percent (70%) of revenue generated at the member rate per
participant based on final enrollment plus seventy percent (70%) of the revenue for drop-in
students, as space allows.
City and Contractor may mutually agree for Contractor to teach a class online rather than in
person, provided that City and Contractor reach agreement for compensation for that online
class. Compensation for that online class shall be specified in writing in a separate side
agreement before online instruction for a class begins.
The total compensation to the Contractor shall not exceed $27,000.00.
4. Except as expressly modified herein, all other terms and covenants set forth in the
Agreement shall remain the same and shall be in full force and effect.
IN WITNESS WHEREOF, the parties hereto have caused this modification of Agreement
to be executed.
CITY OF CUPERTINO
By
Title
Date
APPROVED AS TO FORM
City Attorney
ATTEST:
City Clerk
Date
LINDA HSU
By
Title
Date
Linda Hsu
Line Dance Instructor
Dec 20, 2023
Christopher D. Jensen
Director of Parks and Recreation
Dec 19, 2023
Dec 19, 2023
3
EXPENDITURE DISTRIBUTION
Item PO Number Amount
Base Amount 2023-345 9,000.00
Amendment 1 18,000.00
- - 27,000.00
1429656.1
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American Family Connect Property and
Casualty Insurance Company
3500 Packerland Drive
De Pere, WI 54115-9070
POLICY NUMBER:
POLICY PERIOD:
12:01 AM Standard Time
LAPSE IN COVERAGE:
09/03/2023 - 03/03/2024
FOR CLAIMS SERVICE CALL:
FOR CLIENT SERVICE CALL:
RENEWAL DECLARATION
CALIFORNIA
AI04064262
NONE
1-888-404-5365
1-888-404-5365
Brian Hsu
976 ALPINE TER UNIT 2
SUNNYVALE, CA 94086-2454
BODILY INJURY LIABILITY
PROPERTY DAMAGE LIABILITY
UNINSURED MOTORIST BODILY INJURY
MEDICAL EXPENSE - EXCESS COVERAGE
UNINSURED MOTORIST PROPERTY DAMAGE
COLLISION
COMPREHENSIVE
TOWING AND LABOR COSTS
RENTAL EXPENSE
TOTAL SEMIANNUAL PREMIUM PER VEHICLE
TOTAL SEMIANNUAL PREMIUM ALL VEHICLES -
CONSOLIDATED VEHICLE ASSESSMENT FEE
COVERAGE/LIMIT
$100,000 EACH PERSON
$300,000 EACH ACCIDENT
$5,000 EACH PERSON
$100,000 EACH ACCIDENT
$100,000 EACH PERSON
$300,000 EACH ACCIDENT
CAR 1-WAIVER OF COLLISION DEDUCTIBLE
DEDUCTIBLES CAR 1-$100
DEDUCTIBLES CAR 1-$0
2021 AUDI1
Q3 QUATTRO
$455.00
INCL
INCL
$193.00
$1.00
$490.00
$131.00
INCL
NONELECT
$1,270.87
$1,270.87
$0.87
$75 PER DISABLEMENT
Coverage is provided only when both a premium and limit are shown.
adca01a (001)07/21/2023
DRIVER INFORMATION
LIENHOLDER INFORMATION
YOUR POLICY HAS THE FOLLOWING ENDORSEMENTS:
YOUR POLICY HAS THE FOLLOWING DISCOUNTS:
CAR INFORMATION CARS KEPT AT LOCATION OTHER THAN RESIDENCE
1. Brian Hsu
2. Linda Hsu
3.
4.
5.
6.
PREMIER SAFETY, FULL PAYMENT PLAN, TENURE, COSTCO
2021 AUDI - GOOD DRIVER, ANTI-THEFT DEVICE, DUAL AND SIDE AIRBAGS
2021 AUDI WA1DECF3XM1142825
AMENDATORY ENDORSEMENT
SPECIAL EQUIPMENT/CUSTOMIZATION: NONE
cdec09 - CA
Line Dance Instruction
Final Audit Report 2023-12-20
Created:2023-12-18
By:City of Cupertino (webmaster@cupertino.org)
Status:Signed
Transaction ID:CBJCHBCAABAA608uuEWKDUoC4P3joP7UQqG21cJOUwGX
"Line Dance Instruction" History
Document created by City of Cupertino (webmaster@cupertino.org)
2023-12-18 - 11:54:50 PM GMT- IP address: 35.229.54.2
Document emailed to Araceli Alejandre (aracelia@cupertino.org) for approval
2023-12-18 - 11:56:37 PM GMT
Document approved by Araceli Alejandre (aracelia@cupertino.org)
Approval Date: 2023-12-19 - 0:08:48 AM GMT - Time Source: server- IP address: 71.204.144.228
Document emailed to Yeh linda (lindayeh00@gmail.com) for signature
2023-12-19 - 0:08:50 AM GMT
Email viewed by Yeh linda (lindayeh00@gmail.com)
2023-12-19 - 0:08:56 AM GMT- IP address: 74.125.209.34
Signer Yeh linda (lindayeh00@gmail.com) entered name at signing as Linda Hsu
2023-12-19 - 11:17:08 PM GMT- IP address: 118.240.217.79
Document e-signed by Linda Hsu (lindayeh00@gmail.com)
Signature Date: 2023-12-19 - 11:17:10 PM GMT - Time Source: server- IP address: 118.240.217.79
Document emailed to christopherj@cupertino.org for signature
2023-12-19 - 11:17:11 PM GMT
Email viewed by christopherj@cupertino.org
2023-12-19 - 11:32:32 PM GMT- IP address: 136.24.22.194
Signer christopherj@cupertino.org entered name at signing as Christopher D. Jensen
2023-12-19 - 11:34:36 PM GMT- IP address: 136.24.22.194
Document e-signed by Christopher D. Jensen (christopherj@cupertino.org)
Signature Date: 2023-12-19 - 11:34:38 PM GMT - Time Source: server- IP address: 136.24.22.194
Document emailed to Rachelle Sander (rachelles@cupertino.org) for signature
2023-12-19 - 11:34:41 PM GMT
Email viewed by Rachelle Sander (rachelles@cupertino.org)
2023-12-19 - 11:36:03 PM GMT- IP address: 104.47.74.126
Document e-signed by Rachelle Sander (rachelles@cupertino.org)
Signature Date: 2023-12-19 - 11:36:26 PM GMT - Time Source: server- IP address: 64.165.34.3
Document emailed to Kirsten Squarcia (kirstens@cupertino.org) for signature
2023-12-19 - 11:36:27 PM GMT
Email viewed by Kirsten Squarcia (kirstens@cupertino.org)
2023-12-20 - 0:08:04 AM GMT- IP address: 104.47.74.126
Document e-signed by Kirsten Squarcia (kirstens@cupertino.org)
Signature Date: 2023-12-20 - 0:08:14 AM GMT - Time Source: server- IP address: 64.165.34.3
Agreement completed.
2023-12-20 - 0:08:14 AM GMT