13-001 Jill LacherSS.19s _.
•
January 24, 2014
OFFICE OF THE CITY CLERK
CITY HALL
10300 TORRE AVENUE • CUPERTINO, CA 95014 -3255
TELEPHONE: (408) 777 -3223 • FAX: (408) 777 -3366
WEBSITE: www.cupertino.org
Re: Agreement
Enclosed is an original copy of the first amendment to your agreement with the City of
Cupertino. If you have any questions or need additional information, please contact the
Parks and Recreation Department at 408 -777- 3120.
Sincerely,
Dorothy Steenfott
Senior Office Assistant
Enclosure
cc: Parks & Recreation
Z0 /s
No: 58240
FY 13 -14
FIRST AMENDMENT TO AGREEMENT BETWEEN THE CITY OF CUPERTINO
AND JILL LACHER FOR CONTRCT SERVICES
This First Amendment to the Agreement between the City of Cupertino and Jill Lacher
for reference dated December 2, 2013, is by and between the CITY OF CUPERTINO, a
municipal corporation (hereinafter "City ") and -Fill Lacher a sole proprietor, whose address is
(hereinafter referred to as "Contractor "), and
is made with reference to the following:
RECITALS:
A. On October 1, 2013, the City and Contractor entered into an Agreement: and
B. City and Contractor desire to modify the Agreement on the teens and conditions set forth
herein. NOW, THEREFORE, it is mutually agreed by and between and undersigned
parties as follows:
1. The term of the Agreement shall be extended six months, from January 1, 2014
until June 30, 2014, unless terminated earlier as set forth in the Agreement; and
2. Contractor shall receive additional compensation under Paragraph 3 of the
Agreement as follows: $40 per class. The total compens�t °n under the
Agreement is not to exceed the following: $3,200 (total), $1,00 for the term of
( Q� 10/l/13 to 12/30/13, and, ;$2;20O,forsthe;tenn.of "January 17 201 -4 -to June 30; 2014:
✓�'I 3. On or before the term of this Second Amendment, Contractor shall provide the
City with a certificate of insurance and additional insured endorsement
demonstrating Contractor's ongoing compliance with the Agreement's insurance
obligations and naming the City as an additional named insured; and
4. Contractor represents, warrants, and declares that the Agreement Exhibit "C" the
"City of Cupertino Consultant Declaration" remains accurate and current.
5. Except as expressly modified herein, all other terms, covenants and conditions' 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.
Jill Lacher
Titlo.: fitness Instructor
Date: / 13 / -O / a
CITY OF CUPERTINO
A Municipal Corporation
By Colleen Ferris, Recreation Coordinato-
RECOMMENDED FOR APPROVAL:
By -__ I �, Recreation Supervisor
APPR, •�VEA5 AS TO T""O FORM:
B, T rt,' yt /- - -,City Attorney
AT�XST:
�� ,City Clerk
OFFICE OF THE CITY CLERK
CITY HALL
10300 TORRE AVENUE • CUPERTINO, CA 95014 -3255
TELEPHONE: (408) 777 -3:13 • FAX: (408) 777 -3366
WEBSITE: www.cupertino.org
CUPERTINO
October 16, 2013
Jill Lacher
Re: Agreement
Enclosed is an original copy of your agreement with the City of Cupertino. If you have any
questions or need additional information, please contact the Parks and Recreation
Department at 408 -777 -3120.
Sincerely,
L"-fL
Dorothy S enfott
Senior Office Assistant.
Enclosure
cc: Parks & Recreation
CITY OF
AGREEMENT
CITY OF CUPERTINO
10300 Tone Avenue
Vf�p�� Cupertino, CA 95014 "s CUPERTI` O
408 -777 -3200 NO.
THIS AGREEMENT, made and entered into this 1st—day of October is by and between
the CITY OF CUPERTINO (Hereinafter "CITY ") and 111 Lacher
Hereinafter "CONTRACTOR "), in consideration of their mutual covenants, the parties
agree as follows:
CONTRACTOR. shall provide or furnish the following specified services and /or
materials: Yoga instructor.
Check box if services are further described in an Exhibit.
EXHIBITS: The following attached exhibits hereby are made part of -this Agreement-
A, B, C.
TERM: The services and /or materials furnished under this Agreement shall commence
on 10/1/13 and shall be completed no later than 12/30/13.
COMPENSATION: For the full performance of this Agreement, CITY shall pay
CONTRACTOR:
$40.00 per class
California Labor Code, Section 1771 requires the payment of prevailing wages to all
workers employed on a. Public Works contract in excess of $1,000.00.
GENERAL TERMS AND CONDITIONS
Hold Harmless. Contractor shall, to the fullest extent allowed by law, indemnify,
defend, and hold harmless the City and its officers, officials, agents, employees and
volunteers against any and all liability, claims, stop notices, actions, causes of action or
demands whatsoever from and against any of them, including any injury to or death of
any person or damage to property or other liability of any nature, arising out of,
pertaining to, or related to the performance of this Agreement by Contractor or
Contractor's employees, officers, officials, agents or . independent contractors.
Contractor shall not be obligated under this Agreement to indemnify City to the extent
that the damage is! caused by the sole or active negligence or willful misconduct of City,
its agents or employees. Such costs and expenses shall include reasonable attorneys'
fees of counsel of City's choice, expert fees and all other costs and fees of litigation.
Subcontracting. Contractor has been retained due to their unique skills and
Contractor may not substitute another, assign or transfer any rights or obligations under
this Agreement. Unless prior written consent from City is obtained, only those people
whose names are listed this Agreement shall be used in the performance of this
Agreement.
Assignment. Contractor may not assign or transfer this Agreement, without prior
written consent of CITY.
Insurance. Contractor shall file with City a Certificate of Insurance consistent with the
following- requirements
Coverage:
Contractor shall maintain the following insurance coverage:
(1) Workers' Compensation::
Statutory coverage as required by the State of California
(2) Liabili -
Commercial general liability coverage in the following minimum limits:
Bodily Injury: $500,000 each occurrence
$1,000,000 aggregate -.all other
Property Damage: $100,000 each occurrence
$250,000 aggregate
If submitted, combined single limit policy with aggregate limits in the
amounts of $1,000,000 will be considered equivalent to the required
minimum limits shown above.
(3) Automotive:
Comprehensive automotive liability coverage in the following minimum
limits:
Bodily Injury: $500,000 each occurrence
Property Damage: $100,000 each occurrence
or
Combined Single Limit: $500,000 each occurrence
(4) Professional Liability:
Professional liability insurance which includes coverage for the
professional acts, errors and omissions of Consultant in the amount of at
least $1,000,000.
Subrogation Waiver. Contractor agrees that in the event of loss due to any of the perils
for which. it. has agreed to provide comprehensive general and automotive liability
insurance, Contractor shall look solely to its, insurance for recovery. Contractor hereby
grants to City, on behalf of any insurer providing comprehensive general and
automotive liability, insurance to either Contractor or City with respect to the services of
Contractor herein, a waiver of any right to Subrogation which any such insurer of said
Contractor may acquire against City by virtue of the payment of any loss under such
insurance.
Termination of Agreement. The City reserves the right to terminate this Agreement
with or without cause with a thirty (30)- day.notice. The Contractor may terminate this
Agreement with or without cause with a thirty (30) -day written notice.
Non- Discrimination. No discrirriination shall be made .in* the employment of persons
under this Agreement because of the racy., color; national origin, ancestry, religion,
gender or sexual orientation of such person
Interest of Contractor. It is understood and agreed 'that this Agreement is not a
contract of employment in the sense that the relationship 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
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. NevE,rtheless, City may, at any time, observe the
manner in which such services are being performed by the contractor.
The 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.
Changes. No changes or variations of any kind are authorized without the written
consent of the City:
CONTRACT CO- ORDINATOR and representative for CITY shall be:
NAME: Colleen Ferris DEPARTMENT: Parks and 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.
CONTRACTOR:
By
Title: F t ess instructor)
Soc. Sec. # or Tax I.D
APPROVALS
CITY OF CUPERTINO:
By Colleen Ferris
Title: Recreation Coordinator
EXPENDITURE DISTRIBUTION
DEPARTM NT HEAD D E r
ACCOUNT NUMBER
A
570 6450 7014
$1000.00
_
CITY O NE AVqA0V1ED STO ORM T
CITY ERK: ATTEST DATE
EXHIBIT A
CONSULTANT SERVICES TO BE PERFORMED
The CONSULTANT will provide Group Fitness Instruction in, but not limited to, the
following programs:
Yoga
Location and Time of CONSULTANT Services:
Cupertino Sports Center
Eligible Participant' Minimum and Maximums for CONSULTANT Services:
Minimum: 10
Maximum: 45
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
Consultant, City may cancel and withdraw from this Agreement.
Performance of CONSULTANT Services:
City shall, have no right of control as to the manner Consultant performs the services to be
performed. Nevertheless, City may, at any time, observe the manner in which such services are
being performed by the consultant.
The Consultant shall follow all guidelines pertairung to registration procedures as listed in the
quarterly recreation schedule. Participants may riot 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. Contractors are
responsible for supervising minors after class untit a parent of legal guardian has arrived.
In the event of an injury occurring to a participant, the Consultant will notify the City within 1
hour and complete an ABAG Incident Report. The ABAG Incident Report must be submitted to
the City within 24 hours of the injury occurring.
EXHIBIT B
ACKNOWLEDGEMENT OF MANDATED REPORTING REQUIREMENTS, RECEIPT
OF TRAINING, AND RECEIPT OF PENAL CODES STATUTES
A mandated reporter is an individual who is obligated by law to report suspected cases of child
abuse and neglect. In general, any individual who, in the ordinary course of their employment,
has contact with children is a mandated reporter. Mandated reporters include child care workers,
teachers and coaches. (California Penal Code 11165.7).
If your job duties as an employee or an independent contractor of Jill Lacher _include contact
with children, you are a Mandated Reporter. Prior to commencing employment and as a
prerequisite of that employment, California law requires that you sign a statement to the of ect
that you have knowledge of the provisions of the Mandated Reporter Law, and will comply with
those provisions. (California Penal Code 11166.5).
The - following are the Mandated Reporter responsibilities under California law. You are also
being provided with a separate informational document which includes the text of the California
Mandated Reporter Law and contact information for Child Abuse and Neglect Reporting for the
County of Santa Clara..Please review this information carefully and acknowledge your receipt
and understanding where indicated. If you have questions or concerns about this form or your,
Mandated Reporter responsibilities, please contact: the Recreation Supervisor at 408 - 777 -3160.
I understand that:
• By virtue of my employment or independent contractor status with, Jill Lacher
and because my employment requires me to have contact with children, I am a
Mandated Reporter as defined by California Penal Code 11165.7.
The following situations trigger mandatory reports: a) Physical Abuse (willful
harming of a child); b) Sexual abuse including sexual assault, child exploitation,
pornography, and trafficking; c) Severe or General Neglect; and d) Extreme
Corporal Punishment (resulting in injury). (Cal. Pen. Code 11165 et. seq.) I
further understand that J may, but am not required to, report suspected Emotional
Abuse.
• If I reasonably suspect that a child is being abused, I must immediately make a
telephone report. I must follow up with a written report within 36 hours. This.
report, may be made to local law enforcement, or County Sheriff's Department,
Probation Department or Child Welfare Agency. (Cal Pen. Code 11166(a)).
• I am riot required to, but I may, share information about suspected abuse with my
supervisor or management or the parents of the alleged victim.
• When I make a mandated report, 1: will be required to give my name. However,
my identity will be kept confidential unless I either consent to disclosure or if the
disclosure is made pursuant to a court order. Further, agencies investigating the
mandated report may disclose my identity to one another. (Cal Pen. Code
1 11.67(d)).
• The following agencies and individuals receiving or investigating mandated
reports may disclose my identity to one another:
o Prosecutors in a criminal prosecuting or in an action initiated under
section 602 of the Welfare and Institutions Code arising from alleged child .
abuse;
o Counsel appointed pursuant to subdivision (c) of Section 317 of the
Welfare and Institutions Code;
o A licensing agency when abuse or neglect in out -of -home care is
reasonably suspected. (Cal. Pen. Code 11167.5)
• I'maynot be disciplined, dismissed., retaliated against, discriminated against or
harassed for making a mandated report of reasonably suspected child abuse.
• As a Mandated Reporter, I have civil and criminal immunity when making a
report, (.Cal Pen. Code 1.1172).
• As a.Mandated Reporter, it is a misdemeanor to fail to comply with
Mandated Reporting laws and I can be held criminally liable for failing to
report suspected abuse. The penalty for this is up to six months in County jail, a
fine of not more than $1000, or both. I further understand I could be civilly liable
for failure to report. (Cal. Pen. Code 11166(c)).
I have been provided with a copy of California Penal Code sections 11164 - 11174.3
(Mandated Reporter Law).
T understand that I am a legally Mandated Reporter. I am aware of and understand my
responsibilities under the Mandated Reporter laws of this state and am willing and able to.
comply. I understand that a copy of this Acknowledgement will be kept in my personnel
file.
Na (
La c ke t—
Name (Print)
/o
Date
3 P-3
-3
EXHIBIT C
City of Cupertino Consultant Declaration
The undersigned does hereby certify that:
L. I am a representative of Jill Lacher _(consultant or company name); that I am familiar
with the facts herein and am authorized and qualified to execute this declaration.
2. I declare that Jill Lacher (consultant or company name) has complied with fingerprinting
and criminal background investigation requirements with respect to,all Consultant'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. That complete and accurate list of Consultant's employees; who may come in contact
with minors during the course and scope of the Agreement, are included below.
4. All of the below mentioned employees have tested negative for TB, or X -ray results for
TB, and have current documentation on file with Consultant.
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.
A List of all Consultant Employees. Working for the City of Cupertino:
N/A
6. The City of Cupertino will be notified by Consultant in writing of any new employees
and will be added to the above list prior to beginning work for the City of Cupertino.
I declare under penalty of perjury that the foregoing is true and correct:
/0/3 l CS C,
Date Place Consulta t Signature
Staff Title: Exercise Instructor