HomeMy WebLinkAboutMARTINEZ, KARINA M. 2 - 2015City of Santa Ana
C) Clerk of the Council
AGREEMENT TERMINATION FORM
Please complete this form when the attached agreement and all
amendments (if any) are no longer in effect.
Return form to the Clerk of the Council Office (M-30).
Call 647-1520 if you have any questions.
The agreement with
Use Only
, ; 21 PH I"! s 9
TY OF SANTA ANA
LERK OF COUNCIL
No. N.2015401 was completed on l and final payment has been made.
(List all amendments. Use space below if needed.)
Department: NL'sA
Phone/Ext.: ' 1IC I I\
Signature:
Date:
Revised 10-31-12
( ) : PRCSI ( G)
INSURANCE ON FILE Silvia Cuevas N-2015-101
WORK MAY PROCEED
UNTIL INSURANCE EXPIRES
(� -{ RECREATION SERVICES AGREEMENT
CLERK OF COUNCIL �
A � i 6 N ri't1lS AGREEMENT is made and entered into this 23 a of April 2015, by and between
farina M. Martinez (hereinafter "Provider") and the City of Santa Ana, a charter city and
municipal corporation organized and existing under the Constitution and laws of the State of
California (hereinafter "City").
RECITALS
A. The City desires to retain a recreation service provider having special skills, resources and
knowledge to conduct various fitness classes in its leisure class program.
B. Provider represents that Provider is able and willing to provide such services to the City.
C. In undertaking the performance of this Agreement, Provider represents that it is knowledgeable
in its field and that any services perfonned by Provider under this Agreement will be performed in
compliance with such standards as may reasonably be, expected.
NOW THEREFORE, in consideration of the mutual and respective promises, and subjeot to the
terms and conditions hereinafter set forth, the parties agree as follows:
1, SCOPE OF SERVICES
Provider shall perform those services as set forth in Exhibit A to this Agreement,
2. COMPENSATION
In consideration for the right to provide the programs set forth in Exhibit A, City agrees
to pay the Provider seventy percent (70%) of all gross revenue received from program
participants. Total revenue to Provider shall not exceed $25,000 annually. Payment to Provider
shall be made within thirty (30) days following completion of the last class taught by Provider
that month. City shall be responsible for collecting all fees from program participants. Provider
shall not collect fees but will refer all interested participants to City for registration information.
Provider agrees that City shall retain thirty percent (30%) of all gross revenue received from
prograrn participants as an administrative fee.
3. TERM
This Agreement shall be for two (2) years, commencing on July 1, 2015 and ending on
June 30, 2017, unless terminated earlier in accordance with Section 12, below.
4. INDEPENDENT CONTRACTOR
Provider 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 manner in which Provider performs
the services which are the subject matter of this Agreement; however, the sei vices to be provided
by Provider, shall be provided in a manner consistent with all applicable standards and
regulations governing such services. Provider shall pay all salaries and wages, employer's social
security taxes, unti nployment insurance and similar taxes relating to employees and shall be
responsible for all applicable withholding taxes. Provider is not an agent, representative or
employee of City and Provider shall have no authority to act on behalf of the City.
5. INSURANCE
Prior to undertaking perfonnance of work under this Agreement, Provider shall maintain
and shall require its subcontractors, if any, to obtain and maintain insurance as described below:
a. Commercial General Liability Insurance, Provider shall maintain commercial general
liability insurance which shall include, but not be limited to protection against claims arising
from bodily and personal injury, including death resulting therefrom and damage to properly,
resulting from any act or occurrence arising out of Provider's operations in the performance of
this Agreement, including, without limitation, acts involving vehicles. The amounts of insurance
shall be not less than the following: single limit coverage applying to bodily and personal injury,
including death resulting therefrom, and properly damage, in the total amount of $1,000,000 per
occurrence, and $ 2,000,000 aggregate, Such insurance shall (a) name the City, its officers,
employees, agents, volunteers and representatives as additional insured(s); (b) be primary and
not contributory with respect to insurance or self-insurance programs maintained by the City;
and (c) contain standard separation of insured's provisions.
b. Worker's Compensation Insurance. In accordance with the provisions of Section 3300
of the Labor Code, Provider, if Provider has any employees, is required to be insured against
liability for worker's compensation or to twdertake self-insurance. Prior to commencing the
performance of the work under this Agreement, Provider agrees to obtain and maintain any
employer's liability insurance with limits not less than $1,000,000 per accident.
c. The following requirements apply to the insurance to be provided by Provider pursuant
to this section:
(i) Provider shall maintain all insurance required above in full force and
effect for the entire period covered by this Agreement. Certificates
of insurance shall be furnished to the City upon execution of this
Agreement and shall be approved in form by the City,
(ii) Certificates and policies shall state that the policies shall not be canceled
or reduced in coverage or changed in any other material aspect without
thirty (30) days prior written notice to the City.
d. If Provider 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 Provider's right to be paid for its
time and materials expended prior to notification of termination. Provider waives the right to
receive compensation and agrees to indemnify the City for any work performed prior to approval
of insurance by the City.
P)
6. INDEMNIFICATION
Provider agrees to and shall indemnify and hold harmless the City, its officers, agents,
employees, contractors, special counsel, and representatives from liability for personal injury,
damages, just compensation, restitution, judicial or equitable relief arising out of claims for
personal injury, including death, and claims for property damage, which may arise from the
direct or indirect operations of the Provider or its contractors, subcontractors, agents, employees,
or other persons acting oat their behalf which relates to the services described in section 1 of this
Agreement. The Provider farther agrees to indemnify, hold harmless, and pay all costs for the
defense of the City, including fees and costs for special counsel to be selected by the City,
regarding any action by a third party asserting that personal injury, damages, just compensation,
restitution, judicial or equitable relief due to personal or property rights arising by reason of the
terms of, or effects arising from this Agreement. City may make all reasonable decisions with
respect to its representation in any legal proceeding.
7. CONFLICT OF INTEREST
Provider covenants that it presently has no interests and shall not have interests, direct or
indirect, which would conflict in any mariner with performance of services specified under this
Agreement.
8. LIVE SCAN BACKGROUND CHECK
Providers, and any employees, subcontractors or substitutes, in contact with minors under
eighteen (18) years of age shall arrange for and submit to a Live Scan electronic background
check for criminal history available through the California Department of Justice as a condition
of this Agreement and provide proof of compliance prior to performing services hereunder.
9. NOTICE
Any notice, tender, demand, delivery, or other communication pursuant to this
Agreement shall be in writing and shall be deemed to be properly given if delivered in person or
mailed by first class or certified mail, postage prepaid, or sent by fax in the manner provided in
this Section, to the following persons:
To City: Clerk of the Council
City of Santa Ana
20 Civic Center Plaza (M-30)
P.O. Box 1988
Santa Ana, CA 92702-1988
Fax (714) 647-6956
With copy to: Executive Director of Parks, Recreation and, Comrnunity Services
City of Santa Ana
26 Civic Center Plaza (M-75)
P.O. Box 1988
Santa Ana, California 92702
Fax (714•) 571-4211
To Provider, Karina M. Martinez
2342 Hans Lane
Santa Ana, CA 92706
(949)357-7509
A party may change its address by giving notice in writing to the other party. Thereafter,
any communication shall be addressed and transmitted to the new address. If sent by mail,
communication shall be effective or deemed to have been given three (3) days after it has been
deposited, in the United States mail, duly registered or certified, with postage prepaid, and
addressed as set forth above. If sent by fax, communication shall be effective or deemed to have
been given twenty-four (24) hours after the time set forth on the transmission report issued by the
transmitting facsimile machine, addressed as set forth above, For purposes of calculating these
time frames, weekends, federal, state, County or City holidays shall be excluded.
10. EXCLUSIVITY AND AMENDMENT
This Agreement represents the complete and exclusive statement between the City and
Provider, and supersedes any and all other agreements, oral or written, between the parties. In
the event of a conflict between the terms of this Agreement and any attachments hereto, the
terms of this Agreement shall prevail. This Agreement may not be modified except by written
instrument signed by the City and by an authorized representative of Provider. The parties agree
that any terms or conditions of any purchase order or other instrument that are inconsistent with,
or in addition to, the terms and conditions hereof, shall not bind or obligate Provider or the City.
Each party to this Agreement acknowledges that no representations, inducements, promises or
agreements, orally or otherwise, have been made by any party, or anyone acting on behalf of any
party, which is not embodied herein,
11. ASSIGNMENT/SUBSTITUTES
a. Assignment. The experience, knowledge, capability and reputation of Provider were a
substantial inducement for City to enter into this Agreement. Therefore, Provider may not assign,
transfer, delegate, or subcontract any interest herein without the prior written consent of the City
and any such assignment, transfer, delegation or subcontract without the City's prior written
consent shall be considered null and void„
b. Substitutes. In the event Provider is not able to teach a class due to illness or some
other cause beyond Provider's reasonable control, Provider must procure, at its sole expense, a
qualified substitute instructor to teach the class at its regular time and place, Provider shall
ensure that substitute instructors are at least twenty-one (21) years of age and comply with the
City's insurance and live scan requirements contained herein. Evidence of compliance with
City's insurance and live scan requirements shall be provided upon request. Provider must
immediately notify the City of the substitute instructor's name, qualifications, address and phone
number. If Provider cannot procure a qualified substitute and the City is unable to assist in this
regard, then the class shall be canceled and a make-up class must be added to the session.
Provider must notify participants as soon as possible of any class cancellation and make-up class.
Provider must personally teach at least seventy-five percent (75%) of its offered classes.
0
12. TERMINATION
a. This Agreement may be terminated by the City upon thirty (30) days written notice of
termination. In such event, Provider shall be entitled to receive, and City shall pay Provider,
compensation for all services rendered prior to the effective date of termination.
b. Termination or cancellation of classes by the Provider outside of Section 1 Lb. must be
given to the City at least thirty (30) days prior to termination/cancellation. Failure to provide
adequate cancellation notice to the City may put future contracting of business with the City at
risk and will result in the City's retention of ten (10%) percent of the final payment to Provider.
13. RECORDS
Provider shall use attendance sheets generated and supplied by the City to record
attendance in each class, Provider shall keep these and any other records in connection with the
work to be performed under this Agreement and shall permit City, upon request, to review such
records for a period of three (3) years from the date of final payment to Provider under this
Agreement.
14. DISCRIMINATION
Provider shall not discriminate because of race, color, creed, religion, sex, marital status,
sexual orientation, age, national origin, ancestry, or disability, as defined and prohibited by
applicable law, in the recruitment, selection, teaching, training, utilization, promotion,
termination or other employment related activities. Provider affirms that it is an equal
opportunity employer and shall comply with all applicable federal, state and local laws and
regulations.
15. .IURISDICTION - VENITE
This Agreement has been executed and delivered in the State of California and the
validity, interpretation, performance, and enforcement: of any of the clauses of this Agreement
shall be determined and governed by the laws of the State of California, Both parties further
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. LICENSES
Provider shall, throughout the term of this Agreement, maintain all necessary licenses,
permits, approvals, waivers, and exemptions necessary for the provision of the services
hereunder and required by the laws and regulations of the United States, the State of California,
the City of Santa Ana and all other governmental agencies.
17. SEVERABILITY
In the event that one or more of the phrases, sentences, clauses, paragraphs or sections
contained in this Agreement shall be declared, invalid or unenforceable by valid judgment or
decree of a court of competent jurisdiction, such invalidity or unenforceability shall not affect
any of the remaining phrases, sentences, clauses, paragraphs or sections of this Agreement,
which shall be interpreted to carry out the intent of the parties hereunder.
18. EXHIBITS
All Exhibits referenced herein and attached hereto shall be incorporated as if billy set
forth in the body of this Agreement.
19. AUTHORITY
The person(s) executing this Agreement on behalf of the parties hereto warrant that they are
duly authorized to execute this Agreement on behalf of said parties and that by so executing this
Agreement, the parties hereto are fonnally bound to the provisions of this Agreement.
IN WITNESS WHEREOF, the parties hereto have executed this Agreement the date and year
first above written.
ATTEST:
Maria D. Huizar
Clerk of the Council
APPROVED AS TO FORM:
SONIA R. CARVALHO
City Attorney
By: ftjZ -
Jolm
Assistant City Attorney
RECOMMENDED FOR
Executive Director of P rks,
Recreation and Co unity Services Agency
CITY OF SANTA ANA
David Cavazos
City Manager
6
Exhibit A
SCOPE OF SERVICES — Karina Morales Martinez
Provider shall conduct Beginning Ballet for children and adults.
A. Beginning Ballet class will consist of 4 weeks per session, held 1 day per week, 40 minutes per day,
B. Classes will be throughout the year.
C. Provider and City staff shall mutually agree upon a schedule for classes, including the location, specific
days and hours when class will be held and holidays to be observed.
A Provider shall provide materials, supplies, equipment, records and personnel. Provider shall be
responsible for clean-up of the facilities and materials and shall ensure the safety and effectiveness of
instruction.
CLASS SIZE
A. Each class must have a minimum of 5 paid students and no more than a maximum of 15 or as
established by mutual agreement of the City and Provider,
B. No registration will be accepted after the second meeting of class.
C. In the event the minimum number of enrollees is not realized by the second meeting of the class, the
class shall be cancelled. Provider will be under no obligation to provide services for the cancelled class,
and the City will have no further obligation to pay Provider compensation for the remaining classes that
were cancelled in that session.
CLASS FEES
A, Each participant shall pay class registration fees as established by the City.
B. Provider may not waive class participation/registration fees.
C. Only registered participants may participate in the class.
D. Any refunds to participants will be made in accordance with City policy.
EVANSTON INSURANCE COMPANY
CERTIFICATE NO.: 2015-23
CERTIFICATE OF INSURANCE
SPECIAL EVENT LIABILITY PROGRAM
PRODUCER
PUBLIC ENTITY (ADDITIONAL INSURED)
Alliant Insurance Services, Inc. in conjunction with
City of Santa Ana
Apex Insurance Services
20 Civic Center Plaza
P. 0, Box 6450
Santa Ana, CA 92701
Newport Beach, CA 92658
License Nru OC 36861
NAMED INSURED (EVENT HOLDER):
EVENT INFORMATION:
Karina Morales Martinez
TYPE: Ballet
9772 Santiago Blvd.
DATE(S): 02/18/15 — 12/31/15
Villa Park, CA 92867
LOCATION: Santa Anita Center
*Liquor Liability Yes ❑ No
- -
"Liquor Liability after 12 am ends before 2 am ❑
This is to certify that the insurance policy listed below has been issued to the above insured named (event holder) for the policy
period indicated. The insurance described herein is subject to all the terms, exclusions and conditions of such policy(ies) unless
amended as described in Special Conditions.
INSURANCE CARRIER: Evanston Insurance Company
MASTER POLICY NUMBER: SEP41017
MASTER POLICY DATES: EFFECTIVE: JANUARY 1, 2015 EXPIRATION: JANUARY 1, 2016
COMMERCIAL GENERAL LIABILITY
OCCURRENCE FORM
DEDUCTIBLE: NONE
General Aggregate Limit $ 2,000,000
Products at Completed Operations 1,000,000
SPECIAL CONDITIONS:
Personal & Advertising Injury 1,000,000
The tollowing endorsements attached to
Each Occurrence Limit 1,000,000
the Master Policy do not apply to this
Damage To Premises Rented To You (Any One Premises) 100,000
Certificate Of Insurance:
Medical Payments (Any One Person) 5,000
Liquor Liability (If purchased) 1,000,000
Optional Limits Purchased
0 $1,000,00053,000,000
❑ $2,000,00032,000,000
Damage To Property (It purchased)
The limits of insurance apply separately to each event insured by this policy as us separate policy of insurance has been issued for that event.
OTHER ADDITIONAL INSUREDS
CANCELLATIOM Should the above described policy be cancelled before the expiration date thereof, notice will be delivered in accordance with the policy
provisions.
AUTHORIZED REPRESENTATIVE:
DATE ISSUED:
b, '
Cuevas
p 'GSN A
EVANSTON INSURANCE COMPANY
CERTIFICATE NO.. 6358-95902164758672
CERTIFICATE OF INSURANCE
SPECIAL EVENT LIABILITYPROGRANI
PUBI.AC ENTITY (ADDITIONAL INSURED)
Alliant Insurance Services, Inc. in conjunction with
Apex Insurance Services
City of Santa Ana
P. O. Box 6450
Newport Beach, CA 92658
License No: OC 36861
NAMED I-NSURED (EVENT HOLDER):
EVENT INFORMATION:
Karina Morales
9772 Santiago Blvd i\)"
TYPE: Ballet
DATE(S): 02/04/2016 - 12/31/2016
Villa Park, CA 92867
LOCATION: Santanita Park
*Liquorl.Jability Yes o No(�)
"Liquor Liability after 12 am ends before 2 am
This is to certify that the insurance policy listed below has been issued to the above insured named (event holder) for the policy
period indicated. The insurance described herein is subject to all the terms, exclusions and conditions Of SLICh policy(ies) unless
amended as described in Special Conditions,
INSURANCE CARRIER: Evanston Insurance Company
MASTER POLICY NUMBER: SEP41020
MASTER POLICY DATES: EFFECTIVE: January 01, 2016 EXPIRATION: January 01, 2017
COMMERCIAL GENERAL LIABILITY General
OCCURUNCE FORM
DEDUCTIBLE NONE
Aggregate Limit S2,000.000
Products & Cumpleted Operations 1,000,000
personal & Advertising Injury 1,000,000
Fach OCCUrrence Limit 1,000.000
Dama-cTo Premises Rented] o You (Any One Premises) l 00,000
Medical Payments (Any One Person) 5,000
SPECIAL CO N 1) 111 ON S:
fhe following endorsements attached to
the Maoer Policy (k) not apply to this
Certificate Of Insuranre;
Liquor Liability (If purchased) 1,000,000
Optional Limits Purchased
El $1,o00,00053,000,000
❑ $2,000,00062,000,000
Property Damage (if purchased)
No Property Damage Coverage
. \e.NNe
A
The limits of insurance apply separately to each event insured by this policy as if a separate 170 �111 of incur Ne issued For that event.
Y\--
OTHER ADDITIONAL INSUREDS
CANCELLATION: Should the above described policy be cancelled before the expiration date tlrcreof, notice will be delivered in accordance with the policy
provisions,
AUTHORIZED REPRESENTATIVE:
DATE ISSUED: 01/28/2016
E"VANSTON INSURANCE COMPANY
CERTIFICATE; NO.: 2017-35
CERTIFICATE OF INSURANCE
SPECIAL EVENTLIABILITY PROGRAM
PRODUCER
PUBLIC ENTITY (ADDITIONAL INSURED)
Alliant Insurance Services, Inc. in conjunction with
City of Santa Ana
Apex Insurance Services
20 Civic Center Plaza
P. O. Box 6450
Santa Ana, CA 92701
Newport Beach, CA 92658
License No: OC 36861
NAMED INSURED (EVENT HOLDER):
EVENT INFORMATION:
Karma Morales
TYPE: Ballet
9772 Santiago Blvd
DATE(S): 03/01/17 — 12/31/17
Villa. Park, CA 92867
LOCATION: Santanita Park
➢"°' 's ���
*Liquor Liability Yes ❑ No E
"Liquor Liability after 12 am ends before 2 am El
This is to certify that the insurance policy listed below has been issued to the above insured named (event holder) for the policy
period indicated. The insurance described herein is subject to all the terms, exclusions and conditions of such policy(ies) unless
amended as described in Special Conditions..
INSURANCE CARRIER: Evanston Insurance Company
MASTER POLICY NUMBER: SEP41023
MASTER POLICY DATES: EFFECTIVE: JANUARY 1, 2017 EXPIRATION: 1ANUARY 1, 2018
COMMERCIAL. GENERAL LIABILFFY
OCCURRENCE FORM
DEDCIC71BLE: NONE
General Aggregate Limit S 2,000,000
Products & Completed Operations 1,000,000
SPECIAL CONDITIONS:
Personal & Advertising Injury 1,000,000
The following endorsements anached to
Fach Occurrence Limit I ,000,000
the Master Policy do not appiy to this
Damage To Premises Rented To You (Ally One Premises) 100,000
Certificate Of Insurance:
Medical Payment's (Any One Person) 5,000
b
Liquor Liability (If purchased) I'mo,000
Optional Limits Purchased
❑ $1,000,000/$3,000,000
~ v0
��
I
td��
❑ $2,000,000/$2,000,000
Damage To Property (if purchased)
The limits ofinsurance apply separately to each event insured by this policy as if a separate policy o ". surance hae ri itssued for that event.
OTHER ADDITIONAL INSUREDS
CANCELLATION: Should the above described policy be cancelled before the expiration date thereof, notice will be delivered in accordance with the policy
rovisio s.
AUTHORIZED REPRESENTATIVE:
DATE ISSUED: March 1, 2017 By Stella Fajardo
WORKERS' CONTPENSATIOX DECL�ATIQN
I hereby affirm under penalty of Perjury, the
following declaration
I certify on behalf of I1060- Y, 1' 0 ova that during the terns of my
contract for r, (Consultant Compiny'Name)
services with tile City of Santa Aria, I will
not employ any person in any manner so as to become sit4ject to the workers'
Compensation laws of California, and agree that if I should become subJect to the
workers' compensation provisions of Section 1700 of the Labor Code, I shall fortinvith
C0111ply with those provisions and provide proof of workers' compensation coverage,
DATE:
By
Name:
Title:
Telephone:
WARNING: FAILURE TO SECURE WORYLERS' COMPENSATION COVERA(-iE IS
UNLAWFUL. AND SHALL SUBJECT" AN E'NIPLOYERTO CR11MINAL PENALTIES
AND CIVIL FINES UP TO ONE HU NDREDTHOUSAND DOLLARS ($ 10 0,0 00). IN
ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR
IN SECTION 3706 OFT HE LABOR CODE, INTEREST, AND ATTORNEYS FEES.