HomeMy WebLinkAboutKRUPANKSY, AMY dba AMY LEECity of Santa Ana
Clerk of the Council
AGREEMENT TERMINATION FORM
Please complete this form in its entirety when the attached agreement and call
amendments (if any) are no longer in effect.
Note: if your agreement is grant related, Tease 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 K ru
No. N-2022-099 was completed on
Mist all amendments. Use space below if needed.] '
Department:
Phone/Ext.:
Signature:
Date:
hagreementsVormsIorm - agreement termination form —golden rod. dec
COTC OffiicG Use Only
CjtV of Santca Ann,
JAN H 2024
City Clerk's Office
and final payment has been made.
INSURANCE I401 REQUIkLD
WORK MAY PROCEED
CLERK OF COUNCIL
DATE:
N April , 2022
0
Amy Krupanksy, aka Amy Lee ("Speaker/Performer")
16564 Cobblestone Road
La Mirada, CA 90638
a
Re: Speaker/Performer Engagement Agreement
N-2022-099
This 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: As further described in Exhibit A, attached hereto, Amy Lee will moderate the conversation
with author Letitia Clark, who will provide a presentation and reading of her book, Mommy is the Mayor. A Q&A
and book signing will follow the presentation.
2. Datc(s): Saturday, April 16, 2022.
3. Event Time(s): 1:00 p.m. — 2:30 p.m.
4. Location: 26 Civic Center Plaza, Santa Ana, CA 92701
5. Compensation: $250.00 (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: microphone, projector, tables and chairs.
7. Equipment provided by Speaker/Performer: All other equipment and materials necessary.
8. City Contact Person (for coordinating purposes only): Maria Castro x5269
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 harmless the City, its officers, agents, employees, consultants, special counsel, and representatives
from and against all loss, expenses, or liability (including costs and attorney's fees) arising from the negligence or
willful misconduct of Speaker/Performer, his or her agents, or employees.
11. Release: Speaker/Performer accepts 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 City -provided equipment or Speaker/Performer's use thereof.
Speaker Agreement — Amy Krupanksy N-2022-099
Page 2
12. 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.
13. 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 as a result of violation by Speaker/Performer of copyright laws.
14. 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.
15. 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.
16. 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.
CITY OF SANTA ANA SPEAKER/PERFORMER
'KMSTINE RIDGE
City Manager
RECOy�M'— ED FOR APPROVAL
Brian Sternberg
Library Services D' ector
Library Services
Am ejLj% 6llf /
Amy KYupansky (April, 2022 1X.31 PDT)
Amy Krupanksy
APPROVED AS TO FORM:
By.
Bmrr&on Salvatierra
Deputy City Attorney
Exhibit A
SCOPE OF SERVICES
VENDOR INFORMATION:
Name: Amy Lee
Address: 16564 Cobblestone Rd. La Mirada, Ca. 90638
Phone Number: NA
Email Address: lee.amyjin@gmail.com
EVENT: Author and Book Presentation, Q&A Session, and book signing
LOCATION: Santa Ana Public Library, 26 Civic Center Plaza, Santa Ana, CA 92701
TERM: One-time event: Saturday, April 16, 2022
COMPENSATION: $250.00
DESCRIPTION: Amy Lee will be moderating the conversation with author Letitia Clark, who
will provide a presentation and reading of her book, Mommy is the Mayor. A Q&A and book
signing will follow after the presentation. The presentation will be conducted in person and
attendees will be required to register in advance. It will be hosted by Patty Lopez, Principal
Librarian in charge of Adult Services at the Santa Ana Public Library. The presentation is for
families and free of charge for all attendees. It will take place one time on Saturday, April 16,
2022 from 1:00-2:30 p.m. at the Santa Ana Public Library. Amy Lee will be compensated $250.00
for her participation.