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22-001 Amendment #1 dated 3-2624 Li Fen Lin for Fitness Instruction1 FIRST AMENDMENT TO AGREEMENT 22-001 BETWEEN THE CITY OF CUPERTINO AND LI FEN LIN FOR ADULT FITNESS INSTRUCTION This First Amendment to Agreement 22-001 between the City of Cupertino and LI FEN LIN is by and between the City of Cupertino, a municipal corporation (hereinafter "City") and LI FEN LIN, a Sole Proprietorship/Individual (“Contractor”) whose address is 19861 Portal Plaza, CUPERTINO, CA 95014, and is made with reference to the following: RECITALS: A. On July 06, 2022, Agreement 22-001 (“Agreement”) was entered into by and between City and Contractor for Adult Fitness 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 1 of the Agreement is modified to read as follows: Parties. This contract is made by and between the City of Cupertino, a municipal corporation (“City”), and Li Fen Lin (“Contractor”), a Sole Proprietorship/Individual for Fitness Instruction and is effective on the last date signed below (“Effective Date”). 2. Paragraph 13 of the Agreement is modified to read as follows, replacing the last paragraph under subsection “Additional Requirements for Services Provided to Minors”: This contract requires services for children. 3. Exhibit A and B of the Agreement are replaced with a new Exhibit A-1 and B-1 attached hereto. 4. Exhibit D of the Agreement is added to the agreement, attached hereto. 5. 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. SIGNATURES CONTINUE ON THE FOLLOWING PAGE 2 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 LI FEN LIN By Title Date EXPENDITURE DISTRIBUTION Item PO Number Amount Base Amount 2023-73 13,000.00 Amendment 1 1,500.00 - - 14,500.00 1429656.1 Li-Fen Lin Zumba Instructor Mar 25, 2024 Christopher D. Jensen Director of Parks and Recreation Mar 25, 2024 Mar 26, 2024 Updated 06/23/21 EXHIBIT A-1 SCOPE OF WORK, PERFORMANCE AND PAYMENT SCHEDULES The CONTRACTOR will provide Fitness Instruction in, but not limited to, the following: Zumba, Aerobics for Everyone Location and Time of CONTRACTOR Services: Refer to the City’s Publications for agreed upon dates, times, and locations of a class, camp, activity, program, or service (“class”). The City, at its sole discretion, may change the agreed dates, times and locations of a class, or may cancel a class. Compensation for CONTRACTOR Services: Contractor shall be compensated for services performed pursuant to this Agreement. For a class taught in person, $40/hour. 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 $14,500.00. Eligible Participant Minimum and Maximums for CONTRACTOR Services: Minimum: 10 Maximum: 15 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”): Self Performance of CONTRACTOR Services: Class Cancellation Updated 06/23/21 Contractor will only receive compensation for a class that is performed. If performance of a class is cancelled by the City or Contractor before instruction begins, Contactor will not receive compensation for the class. If the City or Contractor cancels performance of certain meetings of a class, Contractor will only receive compensation for those meetings of the class that are performed. In the case Contractor unilaterally cancels performance of a class without City approval, City reserves the right to immediately and without notice cancel the remainder of classes offered and or performed by Contractor. COVID-19 Health Order Compliance Contractor acknowledges that its duty to comply with Laws, as stated in Section 13 of the Agreement, includes compliance by Contractor with any restrictions on travel or social distancing or other requirements set forth in any health order issued by any local, state, or federal authority, and any other local, state, or federal laws or policies that have been or may be enacted in response to the COVID-19 pandemic (collectively, “Health Laws”). Contractor shall comply with all applicable Health Laws when preforming work under this Agreement. If this Agreement specifies work that cannot be performed in compliance with the Health Laws, Contractor shall refrain from conducting the work and immediately inform the City. Contractor shall likewise comply with any City protocols designed to help prevent the spread of COVID-19. Contractor acknowledges that the need to comply with the Health Laws may result in the City canceling performance of any class or meetings of a class referenced in this Agreement. Registration, Enrollment, and Supervision 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. Injury of a Class Participant 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 of the injury occurring. Exh. B Insurance for Recreation Contracts Updated May 2020 1 Exhibit B-1 Insurance Requirements for Recreation Contracts As required by the Agreement, Contractor shall procure prior to commencement of Services and maintain the following insurance for the duration of the Agreement 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. a. It shall be a requirement that any available insurance proceeds broader than or in excess of the specified minimum insurance coverage requirements and/or limits shall be made available to the Additional Insured and shall be (i) the minimum coverage/limits specified in this agreement; or (ii) the broader coverage and maximum limits of coverage of any insurance policy, whichever is greater. b. Additional Insured coverage under Consultant's policy shall be "primary and non-contributory," will not seek contribution from City’s insurance/self-insurance, and shall be at least as broad as ISO Form CG 20 01 (04/13). c. The limits of insurance required may be satisfied by a combination of primary and umbrella or excess insurance, provided each policy complies with the requirements set forth in this Contract. Any umbrella or excess insurance shall contain or be endorsed to contain a provision that such coverage shall also apply on a primary basis for the benefit of City before the City’s own insurance or self - insurance shall be called upon to protect City as a named insured. 2. Automobile Liability: Proof of Contractor’s personal auto insurance with limits required by state law. (Contractor shall not transport or use its personal vehicle to transport participants or perform work under this contract.) 3. Workers’ Compensation: Contractor Must Sign Affidavit of No Employees 4. 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. Insurance coverage required may be satisfied by a combination of Primary and Excess/Umbrella insurance. OTHER INSURANCE PROVISIONS The aforementioned insurance shall be endorsed and have all the following conditions and provisions: Additional Insured Status The City of Cupertino, its City Council, officers, officials, employees, agents, servants and volunteers (“Additional Insureds”) are to be covered as additional insureds on Consultant’s CGL and automobile liability policies. General Liability coverage can be provided in the form of an endorsement to Consultant’s insurance (at least as broad as ISO Form CG 20 10 (11/ 85) or both CG 20 10 and CG 20 37 forms, if later editions are used). Exh. B Insurance for Recreation Contracts Updated May 2020 2 Primary Coverage Coverage afforded to City/Additional Insureds shall be primary insurance. Any insurance or self-insurance maintained by City, its officers, officials, employees, or volunteers shall be excess of Consultant’s insurance and shall not contribute to it. Notice of Cancellation Each insurance policy shall state that coverage shall not be canceled or allowed to expire, except with written notice to City 30 days in advance or 10 days in advance if due to non-payment of premiums. Waiver of Subrogation Consultant waives any right to subrogation against City/Additional Insureds for recovery of damages to the extent said losses are covered by the insurance policies required herein. Specifically, the Workers’ Compensation policy shall be endorsed with a waiver of subrogation in favor of City for all work performed by Consultant, its employees, agents and subconsultants. This provision applies regardless of whether or not the City has received a waiver of subrogation endorsement from the insurer. Deductibles and Self-Insured Retentions Any deductible or self-insured retention must be declared to and approved by the City. At City’s option, either: the insurer must reduce or eliminate the deductible or self -insured retentions as respects the City/Additional Insureds; or Consultant must show proof of ability to pay losses and costs related investigations, claim administration and defense expenses. The policy shall provide, or be endorsed to provide, that the self-insured retention may be satisfied by either the insured or the City. Acceptability of Insurers Insurers must be licensed to do business in California with an A.M. Best Rating of A-VII, or better. Verification of Coverage Consultant must furnish acceptable insurance certificates and mandatory endorsements (or copies of the policies effecting the coverage required by this Contract), and a copy of the Declarations and Endorsement Page of the CGL policy listing all policy endorsements prior to commencement of the Contract. City retains the right to demand verification of compliance at any time during the Contract term. Subconsultants Consultant shall require and verify that all subconsultants maintain insurance that meet the requirements of this Contract, including naming the City as an additional insured on subconsultant’s insurance policies. Higher Insurance Limits If Consultant maintains broader coverage and/or higher limits than the minimums shown above, City shall be entitled to coverage for the higher insurance limits maintained by Consultant. Adequacy of Coverage City reserves the right to modify these insurance requirements/coverage based on the nature of the risk, prior experience, insurer or other special circumstances, with not less than ninety (90) days prior written notice. 1223215.2 Updated 6/23/21 EXHIBIT D Contractor’s Mandated Reporter Declaration The undersigned does hereby certify that: 1. I am a representative of LI FEN LIN; that I am familiar with the facts herein and am authorized and qualified to execute this declaration. 2. I declare that LI FEN LIN 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. I 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”): Self 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. CONTRACTOR By Name Title Date 1386923.1 Li-Fen Lin Li-Fen Lin Zumba Instructor Mar 25, 2024 Fitness Instruction Final Audit Report 2024-03-26 Created:2024-03-15 By:Webmaster Admin (webmaster@cupertino.org) Status:Signed Transaction ID:CBJCHBCAABAAoNnkCfFpMA9GTUgZSiGvwl9EaKdNv78Y "Fitness Instruction" History Document created by Webmaster Admin (webmaster@cupertino.org) 2024-03-15 - 4:00:05 PM GMT- IP address: 35.229.54.2 Document emailed to Araceli Alejandre (aracelia@cupertino.org) for approval 2024-03-15 - 4:02:01 PM GMT Document approved by Araceli Alejandre (aracelia@cupertino.org) Approval Date: 2024-03-18 - 4:21:09 PM GMT - Time Source: server- IP address: 71.204.144.228 Document emailed to lifen628@gmail.com for signature 2024-03-18 - 4:21:10 PM GMT Email viewed by lifen628@gmail.com 2024-03-18 - 4:21:23 PM GMT- IP address: 74.125.209.34 New document URL requested by lifen628@gmail.com 2024-03-25 - 11:02:48 PM GMT- IP address: 76.133.72.211 Email viewed by lifen628@gmail.com 2024-03-25 - 11:02:54 PM GMT- IP address: 74.125.209.32 Signer lifen628@gmail.com entered name at signing as Li-Fen Lin 2024-03-25 - 11:18:19 PM GMT- IP address: 76.133.72.211 Document e-signed by Li-Fen Lin (lifen628@gmail.com) Signature Date: 2024-03-25 - 11:18:21 PM GMT - Time Source: server- IP address: 76.133.72.211 Document emailed to christopherj@cupertino.org for signature 2024-03-25 - 11:18:22 PM GMT Email viewed by christopherj@cupertino.org 2024-03-25 - 11:22:07 PM GMT- IP address: 104.47.74.126 Signer christopherj@cupertino.org entered name at signing as Christopher D. Jensen 2024-03-25 - 11:22:19 PM GMT- IP address: 136.24.22.194 Document e-signed by Christopher D. Jensen (christopherj@cupertino.org) Signature Date: 2024-03-25 - 11:22:21 PM GMT - Time Source: server- IP address: 136.24.22.194 Document emailed to Rachelle Sander (rachelles@cupertino.org) for signature 2024-03-25 - 11:22:22 PM GMT Email viewed by Rachelle Sander (rachelles@cupertino.org) 2024-03-25 - 11:24:51 PM GMT- IP address: 104.47.73.126 Document e-signed by Rachelle Sander (rachelles@cupertino.org) Signature Date: 2024-03-25 - 11:25:35 PM GMT - Time Source: server- IP address: 64.165.34.3 Document emailed to Kirsten Squarcia (kirstens@cupertino.org) for signature 2024-03-25 - 11:25:37 PM GMT Email viewed by Kirsten Squarcia (kirstens@cupertino.org) 2024-03-26 - 3:12:04 PM GMT- IP address: 172.226.212.3 Document e-signed by Kirsten Squarcia (kirstens@cupertino.org) Signature Date: 2024-03-26 - 3:12:18 PM GMT - Time Source: server- IP address: 174.194.130.18 Agreement completed. 2024-03-26 - 3:12:18 PM GMT