08-001 Anna M. George
AGREEMENT
CITY OF CUI'ERTINO
10300 Torre Avenue
6 Cupertino, CA 95014
~J / (408) 777-3200 /
Fiscal Year
BY THIS AGREEMENT made and entered into on the 21 ciay of September , 2008 by and between the CITY OF
CUPERTINO, CA (Hereinafter referred to as CITY) and (1) Anina M. George
Address: 1155 Hollenbeck Ave. City: Sunnwale _Zip: 94087 Phone ,408) 733-4743
(Hereinafter referred to 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:
Watershed education and field studies leadership
EXHIBITS: The following attached exhibits hereby are made fart of this Agreement: Exhibit A and B
TERMS: The services and/or materials furnished under this Agreement shall commence on September 30, 2008 and
shall be completed before June 30, 2009.
COMPENSATION: For the full performance of this Agreement., CITY shall pay CONTRACTOR:
518.00/hour, not to exceed 100 hours
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 costs of defending any claim, caused by or arising out of the
performance of this Agreement. CITY shall not be liable for acts 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. It is understood and agreed that this Agreement is not a contract of empbyment in the sense that
the relation of master and servant exists befilveen C[TY 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 one who has or will have any financial interest
under this Agreement is an officer or employee of CITY.
Changes. This Agreement shat{ not be assigned or transfern~ without the written consent of the CITY. No changes or
variations of any kind are authorized without the written consent of the CITY.
CONTRACT COORDINATOR and representative for CITY shGlll be: ~''~'~' p'9
~",
NAME: Barbara Banf'ield DEPARTMENT: Parks E- Recreation
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.
CONTRACT CITY OF CUPERTINO:
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By: ~~ By
Itle: -~ N 5 fl' c.[sJ'D ~ Title: Naturalist
Social Security #: 5 3 S 'q Z - ~ 31j LJ
APPROVALS
E:I(PENDITURE DISTRIBUTION
DEPARTMENT HEAD ,4000UNT NUMBER AMOUNT
:580~34~-7014 ~ 1,800.00
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DATE
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EXHIBIT A
1. The City reserves the right to terminate this Agreement with 30 days notice. The Contractor may terminate this
Agreement with a 30-day written notice.
2. In the event that the contractor has employees who will as:~ist in the performance of this Agreement, Contractor shall
file with City a Certificate of Worker's Compensation insurance and for those instructing persons 18 years and
younger, provide fingerprint clearance and current T.B. test.
3. In the event that less than the required minimum number of participants shall request and pay for services prior to the
agreed upon time for the commencement of services to be performed by Contractor, City may cancel and withdraw
from this Agreement.
4. 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.
5. The Contractor shall comply with all applicable Federal, Suite, and local laws and ordinances including, but not limited
to, unemployment insurance benefits, F.I.C.A. laws, and the City business license ordinance.
6. The Contractor shall not promote his/her business to participants registered in the City's programs.
EXHIBIT B (Services)
1. The services to be performed by CONTRACTOR:
Contractor will assist staff with 3`~ Grade Creek Education Program presenting information on storm water pollution,
watersheds, and riparian ecology. She will guide students in aquatic macroinvertebrate sampling and identification. The
contractor may also assist with other youth or family nature classes held at McClellan Ranch Park as needed.
2. The times and places CONTRACTOR will perform the services:
Programs will be conducted at McClellan Ranch Park.
3. Payment to CONTRACTORS for services:
Payments will be made within four weeks of the services rendered.
REQUEST FOR LIVE SCAN SERVICE
ApAlicant Submission
ORI: ~ ~ g rJ ~ Type of Application: C~NTk:I}CT`o jZ
Code assigned by DOJ
Job Title or Type of License, Certification or Permit: ~'NSTF'-UGT-c~2
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Agency Address Set Contributing Agency:
CITY or CtJAC1~TiN0 ~ HUMAIJ REsoU~'cEs Q~~63
Agency authorized to receive criminal history information Mail Code (five digit code assigned by DOJ)
ro3o~ ?~k'~t a~~•
Street No. Street or P.O. Box Contact Name (Mandatory for all school submissions)
Cl~I~E-ZTrNa C~1 g5vly (`fig )'77~7'32O/
City ~ State Zip Code Contact Telephone No.
Name of Applicant: L) ~ ~~ i/~- C_ ~lii li lLg /mil
(please print) Last first MI
Alias: 2 ~-L c~
Driver's License No. ~ T r / ~~ U
Last First
Date of Birth: ~ ~ g ~ ~~ Sex: ^Male Female Misc. No. BIL - ~,~ ~ j ~~
AgerVcy Billing Number (if applicable)
Height: 5 ' ~ /~ Weight: ~ ~ ~-Cb Misc. No:
Eye Color. ~ ~hU2 Hair Color: ~-~~~ Home Address: _ _1I SS JTyII Gh ~ C~~ ~1/~
Street or P.O. Box
Place of Birth: ~ ~' ~~/ ~1 S yl ~ /slit G~/g ~ V1 !~L ~ ~ 9y0
City, State and ode
soc: 53 ~- 9Z - 5"3~
Your Number: Level of Service ®DOJ ~ FBI
OCA No. (Agency Identifying No.)
If resubmission, list Original ATI No.
Employer: (Additional response for agencies specified by statute)
h~
Employer Name
Street No. Street or P.O. Box Mail Code (five digit code assigned by DOJ)
City State Zip Code (~
Agency Telephone No. (optional)
Live Scan Transaction Completed By: Date:
Name of Operator
Transmitting Agency ATI No. Amount Collected/Billed
Bcll $o~s (Rev oa/o~> ORIGINAL-Live Scan Operator; SECONC) COPY-Requesting;.~gency; THIRD COPY-Applicant
OSP Ot 61351