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AGREEMENT TERMINATION FORM
Please complete this form in its entirety when the attached agreement and all
amendments (if any) are no longer in effect.
Nate: If your agreement is grant related, please ensure that all grant retention requirements
have been satisfied prior to signing the termination form.
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Return form to the City Clerk's Office (M-30).
Call 647-6520 if you have any questions.
The agreement with
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C 2D23
City of Santa Aria
JAN 11 2024
city Clark,.; OfiCE!
No. - N-202-3-103 was completed on S j U 173 and final payment has been made.
(List all amendments.
Use space below if needed.)
Department:'
Phone/Ext.: 9
Signature:
Date:
iAagreementsVormsVorm - agreement termination form —golden rod. doc
INSURANCE NOT REQUIRED
WORK MAY PROCEED
CLERK Of COUNCIL
DATE: MAY 0 3 2023
Q-.L%1'J IP/tAv) (ELI&S
April 26, 2023
Can Lac Be Tinh Nghe Si ("Speaker/Performer")
Attn: Anthony Hung Cao
2200 Harbor Blvd., Ste. B-230
Costa Mesa, CA 92627
anthonvhungcao(a),gmail. corn
Re: Speaker/Performer Engagement Agreement
N-2023-103
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, artist group Can Lac Bo Tinh Nghe Si will
perform an Ao Dai (a traditional Vietnamese dress) dance performance at the Newhope Library.
2. Date(s): Saturday, May 6, 2023.
3. Event Time(s): 2:00 p.m. — 3:15 p.m.
4. Location: Santa Ana Public Library, Newhope Branch, 122 N Newhope St., Santa Ana, CA 92703
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: 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 Sepulveda x5265
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.
it. 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
N-2023-103
Speaker Agreement — Cau Lac Bo Tinh Nghe Si c/o Anthony Hung Cao
Page 2
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.
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
Kristine Ridge
City Manager
ATTEST:
ennif 11
ity Clerk
REC�ONDED FOR APPROVAL
Brian Stember
Library Services Director
Library Services
SP AKER/PERFORMER
Anthony Hung Cao
APPROVED AS TO FORM:
By. /
don Sal vatierra
Deputy City Attorney
Exhibit A
SCOPE OF SERVICES
VENDOR INFORMATION:
Name: Can Lac Bo Tinh Nghe Si c/o Anthony Hung Cao
Address: 2200 Harbor Blvd. Ste. B-230, Costa Mesa, CA 92627
Phone Number: 714-403-9315
Email Address: anthonyhungcao@gmail.com
EVENT: Asian American Pacific Islanders Heritage Month
LOCATION: Santa Ana Public Library, Newhope Branch, 122 N Newhope St, Santa Ana, CA 92703
TERM: One-time event — May 6 — Saturday — 2-3:15 p.m.
COMPENSATION: $ 500.00
DESCRIPTION:
To celebrate the Asian American Pacific Islanders Heritage Month, Can Lac Bo Tinh Nghe Si, an artist
club and non-profit organization, will perform an Ao Dai (A traditional Vietnamese dress) dance
performance. The performance will accentuate the traditional and cultural importance of the famous dress.
In addition, this will highlight the cultural rich and diversity in the Santa Ana community. This is an
outreach event and the objective is to connect communities within the great City of Santa Ana through the
understanding of each other's culture. The event is free for everyone — all ages.