04-121 Carter RobinsonAGREI=MENT
CITY OF CUPERTINO
10300 Torre Avenue
Cupertino, CA 95014
408-777-3200
NO. ~, ~~~
BY THIS AGREEMENT made and entered into on the- 1st day of November ~s3 2004
by and between the CITY OF CUPERTINO (Hereinafter referred to as CITY) and
Name (1) Carter Robinson (2)
Address
(Hereinafter referred as CONTRACTOR), in consideration of their mutual covenants, the parties hereto agree as
follows:
CONTRACTOR shall provide or furnish the following specified services and/or materials:
Training, coordination and management of Medical Reserve Corps activities.
EXHIBITS: The following attached exhibits hereby are m~~de part of this Agreement:
TERMS: The services and/or materials furnished under this Agreement shall commence on November 1, 2004
and shall be completed before September 30, 2005__
COMPENSATION: For the full performance of this Agreement, CITY shall pay CONTRACTOR:
Twenty five dollars per hour up to 15 hours per week, not to exceed $17,625.00 total
for term of Agreement.
GENERAL TERMS AND CONDITIONS
Hold Harmless. Contractor agrees to save and hold harmless the City, its officers, agents and employees from any
and all damage and liability of every nature, including all assts of defending any claim, caused by or arising out of the
performance of this Agreement. City shall not be liable for ~~cts of Contractor in performing services described herein.
Insurance. Should the City require evidence of insurability Contractor shall file with City a Certificate of Insurance
before commencing any services under this Agreement. Said Certificate shall be subject to the approval of City's
Director of Administrative Services.
Non-Discrimination. Nodiscrimination shall be made in the employment of persons under this Agreement because
of the race, color, national origin, ancestry, religion or sex of such person.
Interest of Contractor. It is understood and agreed that tr~is Agreement is not a contract of employment in the sense
that the relation of master and servant exists between City and undersigned. 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 ~~ne who has or will have any financial interest under this
Agreement is an officer or employee of City.
Changes. This Agreement shall not be assigned or transferred without the written consent of the City. No changes
or variations of any kind are authorized without the written consent of the City.
CONTRACT CO-ORDINATOR and representative for CI-,~Y shall be:
NAME Marsha Hovey __ DEPARTMENT OES
This Agreement shall become effective upon its execution by CITY, in witness thereof, the parties have executed this
Agreement the day and year first written above.
By By
Title i t= ClA Title m r enc Services C r inator
Soc. Sec. #
APPROVALS
EXPENDITURE DISTRIBUTION
D TMENT HEA n
DATE 'ACCOUNT NUMBER AMOUNT
`/-
~~~t /C .~' 6 ~ 110-4400-6326 $17 , 625.00
CITY RK DA E
1 f ~ ~ `F-~
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CITY CL.~RK COPY