17-001 7 Star Service NO. Cl of�—X01
FY 17-18
AGREEMENT BETWEEN THE CITY OF CUPERTINO AND
7 STAR SERVICE
FOR CUSTOMER EXPERIENCE INITIATIVE TRAINING
THIS AGREEMENT is by and between CITY OF CUPERTINO,a municipal corporation
(hereinafter referred to as"City"),and 7 STAR SERVICE,a COLORADO SOLE PROPRIETORSHIP,
whose address is (hereinafter
referred to as"Consultant"),and is made with reference to the following:
RECITALS:
A. City is a municipal corporation duly organized and validly existing under the laws of the
State of California with the power to carry on its business as it is now being conducted under the
Constitution and the statutes of the State of California and the Cupertino Municipal Code.
B. Consultant is specially trained,experienced and competent to perform the special
services which will be required by this Agreement;and
C. Consultant possesses the skill,experience,ability,background,certification and
knowledge to provide the services described in this Agreement on the terms and conditions described
herein.
D. City and Consultant desire to enter into an agreement for CUSTOMER EXPERIENCE
INITIATIVE TRAINING upon the terms and conditions herein.
NOW,THEREFORE,it is mutually agreed by and between the undersigned parties as follows:
1. TERM:
The term of this Agreement shall commence on WEDNESDAY,OCTOBER 18,2017,and shall
terminate on SATURDAY,MARCH 31,2018,unless terminated earlier as set forth herein.
2. SERVICES TO BE PERFORMED:
Consultant shall perform each and every service set forth in Exhibit"A"which is attached hereto
and incorporated herein by this reference.
Setup instructions are described in Exhibit"B" which is attached hereto and incorporated herein
by this reference.
3. COMPENSATION TO CONSULTANT:
Consultant shall be compensated for services performed pursuant to this Agreement in the
amount set forth below and as described in Exhibit"A"which is attached hereto and incorporated herein
by this reference. Compensation shall consist of the following: Twenty Three Thousand($23,000)plus
travel expenses(not to exceed$5,000 for all travel associated with this contract),with Fifty Percent(50%)
due upon signing the contract to confirm the dates and the remaining Fifty Percent(50%)due within
thirty days of the final session. The total compensation to the Consultant shall not exceed TWENTY-
EIGHT THOUSAND($28,000).
Consultant shall invoice the City for 50%of training costs upon signing the contract and will
invoice the city for the remaining 50%at the conclusion of all training. Consultant will invoice the City
for all travel related expenses immediately upon completion of each trip.
4. TIME IS OF THE ESSENCE:
Consultant and City agree that time is of the essence regarding the performance of this
Agreement.
FY 2017/2018
Standard Consultant Agreement 1
5. STANDARD OF CARE:
Consultant agrees to perform all services hereunder in a manner commensurate with the
prevailing standards of specially trained professionals in the San Francisco Bay Area and agrees that all
services shall be performed by qualified and experienced personnel who are not employed by the City
nor have any contractual relationship with City.
6. INDEPENDENT PARTIES:
City and Consultant intend that the relationship between them created by this Agreement is that
of an independent Consultant. The manner and means of conducting the work are under the control of
Consultant,except to the extent they are limited by statute,rule or regulation and the express terms of
this Agreement. No civil service status or other right of employment will be acquired by virtue of
Consultant's services. None of the benefits provided by City to its employees,including but not limited
to,unemployment insurance,workers'compensation plans,vacation and sick leave are available from
City to Consultant,its employees or agents. Deductions shall not be made for any state or federal taxes,
FICA payments,PERS payments,or other purposes normally associated with an employer-employee
relationship from any fees due Consultant. Payments of the above items,if required,are the
responsibility of Consultant.
7. IMMIGRATION REFORM AND CONTROL ACT(IRCA):
Consultant assumes any and all responsibility for verifying the identity and employment
authorization of all of his/her employees performing work hereunder,pursuant to all applicable IRCA or
other federal,or state rules and regulations. Consultant shall indemnify and hold City harmless from
and against any loss,damage,liability,costs or expenses arising from any noncompliance of this
provision by Consultant.
8. NON-DISCRIMINATION:
Consistent with City's policy that harassment and discrimination are unacceptable
employer/employee conduct,Consultant agrees that harassment or discrimination directed toward a job
applicant,a City employee,or a citizen by Consultant or Consultant's employee or subcontractor on the
basis of race,religious creed,color,national origin,ancestry,handicap,disability,marital status,
pregnancy,sex,age,or sexual orientation will not be tolerated. Consultant agrees that any and all
violations of this provision shall constitute a material breach of this Agreement.
9. HOLD HARMLESS:
Consultant shall, to the fullest extent allowed by law, with respect to all services performed in
connection with the Agreement,indemnify, defend, and hold harmless the City and its officers,officials,
agents,employees and volunteers from and against any and all liability,claims,actions,causes of action or
demands whatsoever against any of them, including any injury to or death of any person or damage to
property or other liability of any nature,whether physical,emotional, consequential or otherwise,arising
out, pertaining to, or related to the performance of this Agreement by Consultant or Consultant's
employees, officers, officials, agents or independent contractors. 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.
In addition to the obligations set forth above, Consultant shall indemnify, defend, and hold the
City,its elected and appointed officers, employees, and volunteers,harmless from and against any Claim
in which a violation of intellectual property rights,including but not limited to copyright or patent rights,
is alleged that arises out of, pertains to, or relates to Consultant's negligence, recklessness or willful
FY 2017/2018
Standard Consultant Agreement 2
misconduct under this Agreement. 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.
10. INSURANCE:
On or before the commencement of the term of this Agreement,Consultant shall furnish City
with certificates showing the type,amount,class of operations covered,effective dates and dates of
expiration of insurance coverage in compliance with the paragraphs below. Such certificates,which do
not limit Consultant's indemnification,shall also contain substantially the following statement: "Should
any of the above insurance covered by this certificate be canceled or coverage reduced before the
expiration date thereof,the insurer affording coverage shall provide thirty(30)days'advance written
notice to the City of Cupertino by certified mail,Attention:City Manager." It is agreed that Consultant
shall maintain in force at all times during the performance of this Agreement all appropriate coverage of
insurance required by this Agreement with an insurance company that is acceptable to City and licensed
to do insurance business in the State of California. Endorsements naming the City as additional insured
shall be submitted with the insurance certificates.
A. COVERAGE:
Consultant shall maintain the following insurance coverage:
1. Workers'Compensation:Statutory coverage as required by the State of
California.
2. Liabili :Commercial general liability coverage,including sexual abuse
and molestation coverage,in the following minimum limits:
1. Bodily Injury: $500,000 each occurrence
$1,000,000 aggregate-all other
2. 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:Proof of automobile insurance required at the California
statutory minimums.
B. SUBROGATION WAIVER:
Consultant agrees that in the event of loss due to any of the perils for which he/she has agreed to
provide comprehensive general and automotive liability insurance, Consultant shall look solely to his/her
insurance for recovery. Consultant hereby grants to City,on behalf of any insurer providing
comprehensive general and automotive liability insurance to either Consultant or City with respect to the
services of Consultant herein,a waiver of any right to subrogation which any such insurer of said
Consultant may acquire against City by virtue of the payment of any loss under such insurance.
C. FAILURE TO SECURE:
If Consultant at any time during the term hereof should fail to secure or maintain the foregoing
insurance,City shall be permitted to obtain such insurance in the Consultant's name or as an agent of the
Consultant and shall be compensated by the Consultant for the costs of the insurance premiums at the
maximum rate permitted by law and computed from the date written notice is received that the
premiums have not been paid.
FY 2017/2018
Standard Consultant Agreement 3
D. ADDITIONAL INSURED:
City,its City Council,boards and commissions,officers,employees and volunteers shall be
named as an additional insured under all insurance coverages,except any professional liability insurance,
required by this Agreement. The naming of an additional insured shall not affect any recovery to which
such additional insured would be entitled under this policy if not named as such additional insured. An
additional insured named herein shall not be held liable for any premium,deductible portion of any loss,
or expense of any nature on this policy or any extension thereof. Any other insurance held by an
additional insured shall not be required to contribute anything toward any loss or expense covered by the
insurance provided by this policy.
E. SUFFICIENCY OF INSURANCE:
The insurance limits required by City are not represented as being sufficient to protect
Consultant. Consultant is advised to confer with Consultant's insurance broker to determine adequate
coverage for Consultant.
11. CONFLICT OF INTEREST:
Consultant warrants that it is not a conflict of interest for Consultant to perform the services
required by this Agreement. Consultant may be required to fill out a conflict of interest form if the
services provided under this Agreement require Consultant to make certain governmental decisions or
serve in a staff capacity as defined in Title 2,Division 6,Section 18700 of the California Code of
Regulations.
12. PROHIBITION AGAINST TRANSFERS:
Consultant shall not assign,sublease,hypothecate,or transfer this Agreement,or any interest
therein,directly or indirectly,by operation of law or otherwise,without prior written consent of City.
Any attempt to do so without said consent shall be null and void,and any assignee,sublessee,
hypothecate or transferee shall acquire no right or interest by reason of such attempted assignment,
hypothecation or transfer. However, claims for money by Consultant from City under this Agreement
may be assigned to a bank,trust company or other financial institution without prior written consent.
Written notice of such assignment shall be promptly furnished to City by Consultant.
The sale,assignment,transfer or other disposition of any of the issued and outstanding capital
stock of Consultant,or of the interest of any general partner or joint venturer or syndicate member or
cotenant,if Consultant is a partnership or joint venture or syndicate or cotenancy,which shall result in
changing the control of Consultant,shall be construed as an assignment of this Agreement. Control
means fifty percent(50%)or more of the voting power of the corporation.
13. SUBCONTRACTOR APPROVAL:
Unless prior written consent from City is obtained,only those people and subcontractors whose
names and resumes are attached to this Agreement shall be used in the performance of this Agreement.
In the event that Consultant employs subcontractors,such subcontractors shall be required to furnish
proof of workers'compensation insurance and shall also be required to carry general,and professional
liability insurance in reasonable conformity to the insurance carried by Consultant. In addition,any work
or services subcontracted hereunder shall be subject to each provision of this Agreement.
14. PERMITS AND LICENSES:
Consultant,at his/her sole expense,shall obtain and maintain during the term of this Agreement,
all appropriate permits,certificates and licenses including,but not limited to,a City Business License,that
may be required in connection with the performance of services hereunder.
FY 2017/2018
Standard Consultant Agreement 4
15. RECORDS:
Consultant shall maintain complete and accurate records with respect to sales,costs,expenses,
receipts and other such information required by City that relate to the performance of services under this
Agreement.
Consultant shall maintain adequate records of services provided in sufficient detail to permit an
evaluation of services. All such records shall be maintained in accordance with generally accepted
accounting principles and shall be clearly identified and readily accessible. Consultant shall provide free
access to such books and records to the representatives of City or its designees at all proper times,and
gives City the right to examine and audit same,and to make transcripts therefrom as necessary,and to
allow inspection of all work,data,documents,proceedings and activities related to this Agreement. Such
records,together with supporting documents,shall be kept separate from other documents and records
and shall be maintained for a period of three(3)years after receipt of final payment.
If supplemental examination or audit of the records is necessary due to concerns raised by City's
preliminary examination or audit of records,and the City's supplemental examination or audit of the
records discloses a failure to adhere to appropriate internal financial controls,or other breach of contract
or failure to act in good faith,then Consultant shall reimburse City for all reasonable costs and expenses
associated with the supplemental examination or audit.
INTELLECTUAL PROPERTY.The following provisions shall apply with respect to
copyrightable works,trademarked concepts and ideas,training programs and worksheets,(collectively,
"Intellectual Property"):
Consultant's Intellectual Property. Consultant retains all rights to its Intellectual Property that is shared
while consulting or during training or facilitated sessions in connection with this Agreement. City
acknowledges and agrees that (a) the Services, and Documentation are protected by United States and
international copyright,trademark,patent,trade secret and other intellectual property or proprietary rights
laws,(b)Consultant retains all right, title and interest(including,without limitation,all patent,copyright,
trade secret and other intellectual property rights) in and to the Services, any Documentation, any other
deliverables,any and all related and underlying derivative works or modifications of any of the foregoing.
Licensing fee.A license to deliver the customized training sessions developed by Consultant can be
purchased but is not included in his contract. The customized training sessions developed by Consultant
for City remain the property of Consultant. Permission is NOT granted for City to deliver the material
that is created for City unless it is presented by Consultant. City shall not use the material for any other
purpose other than those expressly agreed upon and cannot be shared with other individuals or other
organizations outside of City and its affiliated facilities.The copyright and contact information of
Consultant must remain on all materials.
Audio or Video Recording of Consultant's Service Programs.No audio or video recording of Consultant's
presentations in connection with this Agreement is permitted without the prior express written consent
of Consultant.At the sole discretion of Consultant,additional fees will apply if any recording is
authorized.
16. NOTICES:
All notices,demands,requests or approvals to be given under this Agreement shall be given in
writing and conclusively shall be deemed served when delivered personally or on the second business
FY 2017/2018
Standard Consultant Agreement 5
day after the deposit thereof in the United States Mail,postage prepaid,registered or certified,addressed
as hereinafter
provided.
All notices,demands,requests,or approvals from the Consultant to the City shall be addressed to
the City at: 10300 Torre Ave.,Cupertino, CA,95014,Attention:Director of Recreation and Community
Services.
All notices,demands,requests,or approvals from City to Consultant shall be addressed to
Consultant at: Attention:RUBY NEWELL-
LEGNER.
17. TERMINATION:
In the event Consultant fails or refuses to perform any of the provisions hereof at the time and in
the manner required hereunder,Consultant shall be deemed in default in the performance of this
Agreement. If such default is not cured within the time specified after receipt by Consultant from City of
written notice of default,specifying the nature of such default and the steps necessary to cure such
default,City may terminate the Agreement forthwith by giving to the Consultant written notice thereof.
City shall have the option,at its sole discretion and without cause,of terminating this Agreement
by giving thirty(30)days'prior written notice to Consultant as provided herein. Upon termination of
this Agreement,each party shall pay to the other party that portion of compensation specified in this
Agreement that is earned and unpaid prior to the effective date of termination.
18. COMPLIANCES:
Consultant shall comply with all state or federal laws and all ordinances,rules and regulations
enacted or issued by City. Consultant shall obtain a Cupertino Business License and further comply with
the City's Minimum Wage Ordinance as set forth in Cupertino Municipal Code Chapter 3.37.
19. CONFLICT OF LAW:
This Agreement shall be interpreted under,and enforced by the laws of the State of California
excepting any choice of law rules which may direct the application of laws of another jurisdiction. The
Agreement and obligations of the parties are subject to all valid laws,orders,rules,and regulations of the
authorities having jurisdiction over this Agreement(or the successors of those authorities.)
Any suits brought pursuant to this Agreement shall be filed with the courts of the County of
Santa Clara,State of California.
20. ADVERTISEMENT:
Consultant shall not post,exhibit,display or allow to be posted,exhibited,displayed any signs,
advertising,show bills,lithographs,posters or cards of any kind pertaining to the services performed
under this Agreement unless prior written approval has been secured from City to do otherwise.
21. WAIVER:
A waiver by City of any breach of any term,covenant,or condition contained herein shall not be
deemed to be a waiver of any subsequent breach of the same or any other term,covenant,or condition
contained herein,whether of the same or a different character.
22. INTEGRATED CONTRACT:
This Agreement represents the full and complete understanding of every kind or nature
whatsoever between the parties hereto,and all preliminary negotiations and agreements of whatsoever
kind or nature are merged herein. No verbal agreement or implied covenant shall be held to vary the
FY 2017/2018
Standard Consultant Agreement 6
provisions hereof. Any modification of this Agreement will be effective only by written execution signed
by both City and Consultant.
23. INSERTED PROVISIONS:
Each provision and clause required by law to be inserted into the Agreement shall be deemed to
be enacted herein,and the Agreement shall be read and enforced as though each were included herein. If
through mistake or otherwise,any such provision is not inserted or is not correctly inserted,the
Agreement shall be amended to make such insertion on application by either party.
24. CAPTIONS:
The captions in this Agreement are for convenience only,are not a part of the Agreement and in
no way affect,limit or amplify the terms or provisions of this Agreement.
25. AGREEMENT COORDINATOR:
The Agreement Coordinator and representative for CITY shall be:Jeff Milkes,Director,
Recreation&Community Service Department.
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Standard Consultant Agreement 7
IN WITNESS,WHEREOF,the parties have caused the Agreement to be executed.
7 STAR.SERVICE CITY OF CUPERTINO
A Municipal Corporation
--- M�-
R"UBNEWELL-LE ER By: JEFF MILKES
Titl CERTIFIED SPEAKING PROF. Title: DIRECTOR,RECREATION&COMMUNITY
SERVICES
Date: Date:
APPROVED AS TO FORM:
R NDOLPH STEVENSON HOM
CITY ATTORNEY
ATTEST:
GRACE SCHMIDT r
CITY CLERK
EXPENDITURE DISTRIBUTION:
Account No: 100-60-601700-702
Amount: $2$,000
FY 2017/2018
Standard Consultant Agreement 8
EXHIBIT A
CONSULTANT SERVICES TO BE PERFORMED
The CONSULTANT will provide 7 STAR SERVICE—CUSTOMER EXPERIENCE INITIATIVE
TRAINING in,but not limited to,the following programs:
Topic/Segment Package Diseount;
Proposed Date Audience Description
Ruby presents her signature"7 Star Service
Qct 18 Culture Training Program"and then works
2017 4 Customer with the management staff to outline their 7
Service Pillars to promote a 7 Star Service Culture—
9am 4 m,
p Initiative this becomes the strategic framework for
with lunch planning the Customer Experience Initiative.
served "
Ruby presents a fun,inspiring,and
motivating/teambuilding session to build
trust and understanding. During the session,
Oct 19;
Motivating/ we will roll out the customer experience
2017
Teambuilding 35 Team Members initiative and create a Customer Experience
Mantra for the City of Cupertino Recreation $4,000
AIVI 3 hour and Community Services.We will also
session identify volunteers to serve on the
Recognition Committee.
Ruby teaches her"How to Build a
Bgms 3�d , Recognition Program to Motivate Your Staff"
week Oct Recognition A small number of to the committee via webinar and then
2Q17 an'd Committee volunteers ideally coaches the committee remotely to
roll out Creation& representing all formulate an employee recognition program $5,000
January Guidance departments for all City of Cupertino Recreation and
2018 Comm unity Services Staff.
Ruby teaches a session on dealing with upset
customers.Attendees will learn how to
January 11 diffuse their anger and turn them into
or'12,2018 Dealing with 35 Team Members lifelong fans.Topics will be customized to
Upsetspecific situations identified in the City of $4,000
1
ton-`3=. customers Cupertino Recreation and Community
hours
Services.
March 201=$ Design and 200 Employees Ruby designs and presents customized
Deliver including contractors training programs based on the specific $5,000
2 sessions of Customer and golf course staff needs of City of Cupertino Recreation and
the same Experience Community Services. Each session is
FY 2017/2018
Standard Consultant Agreement 9
Tepic%Segmenf Package Discount ,
P.,roposedtDate Audience,; D.escripion
of Service
1
program { Training for all designed to reinforce deficiencies identified,
each 23 staff and incorporate input from Leaders within
houtis d'dh the organization.Specific customer
sin the& rje experience skills and Rule/Policy
day Enforcement Etiquette will be outlined.
;j
Totals $23,000*
Location and Time of CONSULTANT Services:
Refer to table listed above for the proposed dates.The main location of the trainings will be held at the
Quinlan Community Center,at 10185 North Stelling Road,Cupertino, CA 95014. By the mutual
agreement of both parties,class schedule may change.
Performance of CONSULTANT Services:
In the case Consultant unilaterally cancels performance of a class,camp or activity without City approval,
City reserves the right to immediately and without notice cancel the remainder of programs offered by
Consultant.
In the event of an injury occurring to a participant,the Consultant 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.
FY 2017/2018
Standard Consultant Agreement 10
EXHIBIT B
RUBY'S AV AND ROOM SET UP INSTRUCTIONS
Ruby has found the following meeting room set up guidelines will support a positive learning
environment. She understands that room set ups can vary and some requests will not be
possible. With that said, here are Ruby's recommendations for a perfect set up. Please let Ruby
know if you are not able to accommodate her requests.
• If there will be other presenters using the same room before or after Ruby, please understand
that it takes up to 30 minutes to set up Ruby's AV equipment. If there is less than 30 minutes
to change from one presenter to Ruby please coordinate that switch with Ruby. Ruby is
happy to load whatever slides they have onto her computer so we don't need to switch
computers. If that is not possible, it is helpful for Ruby to set up all her equipment on an extra
AV cart (waist high) so that when the session before Ruby's is over, she can just wheel her
cart into the room and plug everything in. This can be done in 15 minutes if all the plans are
orchestrated strategically.
• Ruby prefers the front of the room where she will be presenting to be well lit. The projector
screen should be set up in the corner of the room with no light shining on the screen. If
variable light settings are not possible, it is best if the light bulbs directly above the screen are
unscrewed. This allows for the room to remain well lit without washing out the image on the
screen.
• If Ruby will be presenting on a stage, please remove everything from the stage. She will not
need a head table on the stage. If the podium is needed for announcements, Ruby prefers
that the podium is not placed on the stage or at least it is placed off to one side so she can
utilize the whole stage during her presentation. She also requests that steps be available for
both the side and the front of the stage for easy access to the audience during her
presentation. Please coordinate the screen placement with Ruby for the best set up when
there is a stage involved. It is preferred that the screen be next to but not on the stage so
speakers do not walk in front of the projector image while on stage.
• Ruby prefers to have access to her laptop while presenting. If there is a stage, Ruby
recommends that a small table be placed at floor level straddling the corner of the stage
(see diagram) so she can easily access her computer while on stage yet it will be low
enough to not block anyone's view. This does not need to be the same table where the
projector is placed and can be round, square or rectangle and large enough for Ruby's
laptop, notes and props. Please place it to the side closest to the screen.
• For safety reasons, please run the power cord so it will not be in Ruby's path walking back
and forth during her presentation. If unavoidable, please place a carpet runner over the
cord so there is a smooth transition from floor to carpet.
• If you are setting up the room using round tables, please remove some chairs so people
don't have their back to her during the presentation. Perhaps setting the chairs in a
crescent shape with no chairs placed that would cause the audience to have their back to
her would be ideal.
FY 2017/2018
Standard Consultant Agreement 11
• If you have questions regarding this set up, please contact Ruby at ruby@7StarService.com
or call the office at 303.933.9291.
If there is no stage, this set up will work.
If there is a stage-Ruby would like access to (Note table in picture is not to scale and
her computer on the table on the stage. Place table does not need to be that big-a square
on the floor at the front corner closest to the screen. 4 foot table or 2'x 6' table is fine)
STAGE O
Table for
Podium
Stairs Laptop
ABLE for
rojector
d
Projector Rubslla laptop
p P
5
3 - _ D 0
LL
AM
lift
If you are using round tables, please place chairs
Ask In
in a crescent shape around the table so no one
has their back to the front of the room
during the presentation. On 00
Adb - tz�
Meeting Room Set Up Checklist W
a Do
LCD Projection system and screenE
Sound system if more than 30 participants
Wireless lavaliere microphone with windscreen
Extension cord if needed
Power strip with 1 outlet for laptop (2 outlets if using this for projector too)
Mats to cover cords or plans to tape all cords down once set up is complete. (Please do not
place cords in the area where Ruby will be presenting. It is best to position the cord to the side
as opposed to in the area Ruby will be walking during the presentation.)
Table(s) for computer and projector
Handouts prepared for each participant
Nametags or Tent Cards with first name written very large
(identifying department and title or position is helpful too)
Someone to help distribute handouts before the session starts
Someone to help collect evaluations and distribute bonus handouts at the end of the session
Pens and/or pencils for participants
Tables and chairs for participants set up in a way that angles tables toward the front and allows
room to walk in between tables.Please refer to diagrams.
*Ruby will provide her Dell Precision 3800 PC laptop with HDMI port and mini DisplayPort. She will
bring her Mini DP/mDP Adapter Cable to connect to a VGA Cable that most LCD Projectors require.
FY 2017/2018
Standard Consultant Agreement 12
AC�� DATE(MM/DDNYYY)
CERTIFICATE OF LIABILITY INSURANCE 10/4/2017
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED
REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER.
IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(les)must have ADDITIONAL INSURED provisions or be endorsed.
If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on
this certificate does not confer rights to the certificate holder in lieu of such endorsement(s).
PRODUCER UUNIAUI
NAME: Amanda Crawford
Compass Insurance Group PHONE 3039969000 3039969001
AIC,No, (A1C,No):
7383 S Alton Way ADDRESS: amanda@quotecompass.com
INSURERS)AFFORDING COVERAGE NAIC#
Centennial CO 80112 INSURER A: SENTINEL INS CO LTD 11000
INSURED INSURER B:
Everybody's Business Inc.DBA 7 Star Service INSURER C:
INSURER D:
INSURER E: 1EEA
Littleton CO 80128 INSURER F:
COVERAGES CERTIFICATE NUMBER: REVISION NUMBER:
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER (MMIDD/YYYY) (MM/DD/YYYY) LIMITS
X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 2000000
CLAIMS-MADE ®OCCUR PREMISES(Ea occurrence) $ 1000000
MED EXP(Any ore person) $ 10000
A Y 34SBAPM0081 03/22/2017 03/22/2018 PERSONAL s ADV INJURY $ 2000000
GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 4000000
X
POLICYF—]jE O ❑LOC PRODUCTS-COMP/OP AGG $ 4000000
OTHER: EPLI $ 10000
AUTOMOBILE LIABILITY $
(Ea accident)
ANYAUTO BODILY INJURY(Per person) $
OWNED SCHEDULED BODILY INJURY Per accident
AUTOS ONLY AUTOS ( ) $
HIRED NON-OWNED HER I Y DAMAGE $
AUTOS ONLY AUTOS ONLY (Per accident) _
UMBRELLA LIABOCCUR EACH OCCURRENCE $
4DEXCESS LIAB HCLAIMS-MADE AGGREGATE $
ED I I RETENTION$ $
WORKERS COMPENSATION
AND EMPLOYERS'LIABILITY Y/N STATUTE I ER
ANY PROPRIETOR/PARTNER/EXECUTIVE❑ N/A E.L.EACH ACCIDENT $
OFFICER/MEMBER EXCLUDED? _
(Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $
If yes,describe under
DESCRIPTION OF OPERATIONS below FE.DISEASE-POLICY LIMIT $
DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required)
Per attached endorsement 11112 00,additional insured status extends to the City of Cupertino,its city council,boards and commissions,officers,employees,
&volunteers. All policy terms,conditions,and exclusions apply.
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN
City of Cupertino ACCORDANCE WITH THE POLICY PROVISIONS.
10185 N Stelling Road AUTHORIZED REPRESENTATIVE
Cupertino,CA 95014 C r.
@ 1988-2015 ACORD CORPORATION. All rights reserved.
ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD
POLICY NUMBER: 34 SBA PM0081
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
ADDITIONAL INSURED - PERSON-ORGANIZATION
LOC 001 BLDG 001
CITY OF CUPERTINO, ITS CITY COUNCIL, BOARDS AND COMMISSIONS,
OFFICERS, EMPLOYEES, & VOLUNTEERS
10185 N STELLING RD
CUPERTINO, CA 95014
Form IH 12 00 11 85 T SEQ.NO. 002 Printed in U.S.A. Page 001
Process Date: 10/03/17 Expiration Date: 03/22/18
****REPRINTED FROM THE ARCHIVE. THE ORIGINAL TRANSACTION MAY INCLUDE ADDITIONAL FORMS ****
POLICY NUMBER:
SAFECO INSURANCE COMPANY OF AMERICA
AUTOMOBILE POLICY DECLARATIONS
NAMED INSURED:
RICHARD LEGNER
RUBY NEWELL-LEGNER POLICY PERIOD FROM: OCT. 20 2016
at 12:01 A.M. standard time at
the address of the insured as
AGENT: stated herein.
COMPASS INS GROUP LLC AGENT TELEPHONE:
7383 S ALTON WAY (303) 996-9000
CENTENNIAL CO 80112-2339
RATED DRIVERS RUBY NEWELL-LEGNER
Insurance is afforded only for the coverages for which limits of liability or
premium charges are indicated.
COVERAGES PREMIUMS PREMIUMS
LIABILITY:
BODILY INJURY $
You maypay your premium in full or in installments. There is no installment fee
for the following billing plans: Full Pay. Installment fees for all other billing
plans are listed below. If more than one policy is billed on the installment bill ,
onlythe highest fee is charged. The fee is:
$2.00 per installment for recurring automatic deduction (EFT)
$5.00 per installment for recurring credit card or debit card
$5.00 per installment for all other payment methods
-CONTINUED-
P 0 BOX 515097, LOS ANGELES, CA 90051
SA-1697/EP 9/90 Page 1 of 3 DATE PREPARED: OCT. 5 2016
****REPRINTED FROM THE ARCHIVE.THE ORIGINAL TRANSACTION MAY INCLUDE ADDITIONAL FORMS ****
EM insurance..
POLICY NUMBER:
SAFECO INSURANCE COMPANY OF AMERICA
AUTOMOBILE POLICY DECLARATIONS
(CONTINUED)
NAMED INSURED:
RICHARD LEGNER
RUBY NEWELL-LEGNER POLICY PERIOD FROM: OCT. 20 2016
at 12:01 A.M. standard time at
the address of the insured as
AGENT: stated herein.
COMPASS INS GROUP LLC AGENT TELEPHONE:
7383 S ALTON WAY (303) 996-9000
CENTENNIAL CO 80112-2339
RATED DRIVERS
Insurance is afforded only for the coverages for which limits of liability or
premium charges are indicated.
COVERAGES
-CONTINUED-
P 0 BOX 515097, LOS ANGELES, CA 90051
SA-1697/EP 9/90 Page 2 of 3 DATE PREPARED: OCT. 5 2016
r_1G
****REPRINTED FROM THE ARCHIVE.THE ORIGINAL TRANSACTION MAY INCLUDE ADDITIONAL FORMS **** -
insurance.,.e.. POLICY NUMBER: Y8477207
SAFECO INSURANCE COMPANY OF AMERICA
AUTOMOBILE POLICY DECLARATIONS
(CONTINUED)
You may pa your premium in full or in installments. There is no installment fee
for the following billing plans: Full Pay. Installment fees for all other billing
plans are listed below. If more than one policy is billed on the installment bill ,
onlythe highest fee is charged. The fee is:
$2.00 per installment for recurring automatic deduction (EFT)
$5 .00 per installment for recurring credit card or debit card
$5.00 per installment for all other payment methods
YOU SAVED $349. 70 BY QUALIFYING FOR THE FOLLOWING DISCOUNTS:
Account
Anti-Theft
Advance Quoting
Accident Free
Violation Free
Coverage
Homeowners
Multi-Car
Billing Plan
YOUR POLICY INCLUDES UNINSURED/UNDERINSURED MOTORISTS BODILY
INJURY COVERAGE WITH LIMITS OF $250,000 PER PERSON/$500,000 PER
ACCIDENT. WE CHARGE ONE PREMIUM FOR THIS COVERAGE REGARDLESS OF
THE NUMBER OF VEHICLES ON YOUR POLICY. YOUR PREMIUM IS $120.80.
ULTRA COVERAGE LEVEL INCLUDES:
Accident forgiveness, diminishing deductible, dog and cat coverage, electronic
lock and key replacement, new vehicle replacement, world-wide coverage for
rental vehicles
POLICY FORMS APPLICABLE TO THIS POLICY:
SA-1697/EP 9/90, SA-2890/COEP 6/16, SA-1701/EP 9/90, SA-2893/COEP 8/13,
SA-1005/COEP 1/12
SA-1698/EP 9/90 Page 3 of 3
r_a
Contractor/Consultant Affidavit of No Employees
State of California
County of Santa Clara
City of Cupertino
I, the undersigned, declare as follows:
I am an independent contractor and the owner of 7 Star Service
I wish to enter into a services contract with the City of Cupertino. I am fully aware of the
provisions of section 3700 of the California Labor Code, which requires every employer to
provide Workers' Compensation coverage for employees in accordance with the provisions of
that Code. I am also aware that I must provide proof of workers' compensation insurance to the
City of Cupertino for any and all employees I may have,pursuant to Section 12 of the City of
Cupertino's contract.
I hereby certify that I do not have any employees nor will I have any employees working for me
or my business during the term of any service contract with the City of Cupertino. I am not
required to have Workers' Compensation insurance.
I declare under penalty of perjury under the laws of the State of California that the foregoing is
true and correct.
Executed on this 14th day of September 2017, at Littleton, Colorado.
Ruby Newell-Legner
PRINT NAME
SIGNATURE