HomeMy WebLinkAboutGRANDE, REYNA! City of Santa Ana
Clerk of the Council V
AGREEMENT TERMINATION FORM
Please complete this form in its entirety when the attached agreement and all
amendments (if any) are no longer in effect.
Note: If your agreement is grant related, please ensure that all grant retention requirements
have been satisfied prior to signing the termination form.
Is the agreement(s) a permanent record? Yes _ No
Return form to the Clerk of the Council Office (M-30).
Call 647-1520 if you have any questions.
The agreement with
N-2018-181
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was completed on C) ,--k) Ip
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COTC OHke Use Only
City of Santa Ana
AUG o 2 2021
Clerk of the Council
and final payment has been made.
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Phone/Ext.: S Lsq
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INSURANCE ON FILE
WORK MAY PROCEED
NTIL INSURANCE EXPIRES
C CLERK Of COUNCIL
s
DATE: � P O: PRCS 2 8 2018
(f) _
Silvia Cuevas
September 17, 2018
Reyna Grande ("Speaker/Performer")
206 Pendegast St.
Woodland, CA 95695
Re: Speaker/Performer En l agement Agreement
Dear Ms. Grande:
'Phis letter represents your agreement with the City of Santa Ana ("City") as entered into on the above date for
the engagement described below:
1. Event Description: Author Reading "A Dream Called Home event. Ms. Grande will read her both "A
Dream Called Home," conduct a question and answer session with audience members, and sign copies of
her book.
2. Date(s): Saturday;_ October 20, 2018
3. Event Time(s): 1-2:30 P.M.
4. Location: Santa Ana Public Library located at 26 Civic Center Plaza, Santa Ana ("Property")
5. Compensation: $500.00 (payable by check within 30 calendar days of event); Speaker/Performer must
provide IRS form W-9 before payment can be made
6. Equipment provided by City: None
Equipment provided by Speaker/Performer: Reading materials
S. City Contact Person (for coordinating purposes only): Patty Lopez (714) 647-5325
9. Independent Contractor: Speaker/Performer shall, during the entire term of this Agreement, be construed
to be an independent contractor and not an employee of the City. This Agreement is not intended nor
shall it be construed to create an employer -employee relationship, a joint venture relationship, or to allow
the City to exercise discretion or control over the professional manner in which Speaker/Performer
performs the services that are the subject matter of this Agreement; however, the services to be provided
by Speaker/Performer shall be provided in a manner consistent with all applicable standards and
regulations. Speaker/Performer shall pay all salaries and wages, employer's social security taxes,
unemployment insurance and similar taxes relating to employees and shall be responsible for all applicable
withholding taxes.
10. Indemnification: Speaker/Performer, his or her agents, or employees (if applicable) agrees to and shall
indemnify, defend, and hold hannlcss the City, its officers, agents, employees, consultants, special
counsel, and representatives from and against all loss, expenses, or liability (including costs and attorney's
Letter Agreement — Reyna Grande
Page 2
fees) arising fi-om the negligence or willful misconduct of Speaker/Performer, his or her agents, or
employees.
11. Release: Speaker/Performer accepts the Property and any City -provided equipment used in connection
with the performance in their "as -is" condition, with all faults. Speaker/Performer fully releases, waives
and discharges forever any and all claims, demands, rights, and causes of action of any kind or nature
against, and covenants not to sue, City, its elected officials, officers, employees, agents and volunteers,
and all persons acting on behalf of, by, through or under each of them, under any present or future laws,
statutes, or regulations for any claim or event relating to the condition of the Property or City -provided
equipment or Speaker/Performer's use thereof.
12. Worker's Compensation Insurance. In accordance with the California Labor Code, Speaker/Performer, if
Speaker/Performer has any employees, is required to be insured against liability for worker's
compensation or to undertake self-insurance. If Speaker fails or refuses to produce or maintain the
insurance required by this section or fails or refuses to furnish the City with required proof that insurance
has been procured and is in force and paid for, the City shall have the right, at the City's election, to
forthwith terminate this Agreement. Such termination shall not affect Speaker's right to be paid for its
time and materials expended prior to notification of termination. Speaker waives the right to receive
compensation and agrees to indemnify the City for any work performed prior to approval of insurance by
the City
13. The City shall have the right and royalty -free license to simulcast or produce and show a tape -delayed
broadcast of Speaker/Performer's presentation to the City community or general public, through webcast
or any other means. This license shall be non-exclusive and the copyright shall remain with the
Speaker/Performer. Copies of Speaker/Performer's presentation may be maintained by the City, and
Speaker/Performer consents to use of such recordings.
14. Speaker/Performer is solely responsible for payment of royalty fees, performance fees, or similar fees that
may be required by unions or similar organizations. Speaker/Performer shall indemnify the City against
any liability or damages, including attorney's fees that may arise because of violation by
Speaker/Performer of copyright laws.
15. Speaker/Performer shall not discriminate because of race, color, creed, religion, sex, marital status, sexual
orientation, age, national origin, ancestry, disability, or any other basis protected by applicable law in
connection with any activities related to this Agreement.
16. This Agreement shall in all respects shall be interpreted, enforced, and governed exclusively by and under
the laws of the state of California. Both parties agree that Orange County, California, shall be the venue
for any action or proceeding that may be brought or arise out of, in connection with or by reason of this
Agreement.
17. This Agreement can be terminated by the City with forty-eight (48) hours written notice. Notice shall be
provided at the address listed on page 1 of this Agreement for Speaker.
18. Speaker covenants that it presently has no interests and shall not have interests, direct or indirect, which
would conflict in any manner with performance of services specified under this Agreement.
19. This Agreement is not assignable without the City's written permission.
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Letter Agreement -- Reyna Grande
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20. This Agreement represents the complete and exclusive statement between the City and Speaker/Performer
regarding the subject matter herein and supersedes any and all other agreements, oral or written, between
the parties. This Agreement may not be modified except by written instrument signed by the City and by
an authorized representative of Speaker/Performer.
21. This Agreement may be signed in sub -parts and via fax or electronic e-signature. Such signatures will
have the same force and affect as an original signature.
CITY OF SANTA ANA
RAUL GODINE I
City Manager
ATTEST:
5 Y
AR
IRA I!
t ._.,.
Clerk of the Council
SPEAKER/PERFORMER
Name: Reyna Grande
APPROVED AS TO FORM:
SONIA R. CARVALHO
City Attomey
By:\/Ia—Ua
LAURA ROSSINI
Senior Assistant City Attorney
N-2018-181
�OI�iCERS' COMPENSATION IJECLARATIOIV
I Reyna Grande hereby aftina under penalty of perjury, the
(NamQ/Tide)
following declaration
I certify on behalf of Reyna Grande that diu ing the term of my
(CoavultairUCbmpauy Nuu�e)
contract for A ({hpr Event services with the City of Santa Ana, I will
not employ any person in any manner so as to become subject to the workers'
compensation laws of California, and agree that if should become subject to the
workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith
comply with those provisions and provide proof of workers' compensation coverage.
DATE: <: 09/ 14 / 201 B
Name: Reyna Grande
Title: Author
Telephone: 3233141330
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS
UNLAWFUL, AND SEIALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES
AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000). IN
ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR
IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.