HomeMy WebLinkAboutHOANG, KHAI (2)-20160City of Santa Ana
Clerk of the Council
AGREEMENT TERMINATION FORM
COTC Office Use Only
Please complete this form in its entirety when the attached agreemenmj 22 PH !!' %
amendments (if any) are no longer in effect.
Note: If your agreement is grant related, please ensure that all grant retention requirements C IT Y OF S A H TA ANA
have been satisfied prior to signing the termination form. CLERK OF COUNCIL
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
No. N-2016-170 was on completed 11
p / oZDl and final payment has been made.
(List all amendments. Use space below if needed.)
Department: PRGEj A
Phone/Ext.: Li , lo\
Signature:
Date:
Revised: 10-18-16
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DATE, 20 RECREATION SERVICES AGREEMENT
THIS AGREEMENT is made and entered into this 23`d day of November 2016, by and
Silvia CuevausetGveen IChai Hoang ("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
("City ),
RECITALS
A. The City desires to retain a recreation service provider having special skills, resources and `
knowledge to provide dance/fitness classes in its leisure class program.
B, Provider represents that he is able and willing to provide such services to the City.
C. In undertaking the performance of this Agreement, Provider represents that he is
knowledgeable in his field and that any services performed by Provider under this
Agreement will be performed in compliance with such standards as may reasonably be
expected.
NOW T1IEREF'ORE, in consideration of the mutual and respective promises, and subject to the
terms and conditions hereinafter set forth, the parties agree as follows:
I. SCOPE OF SERVICES
Provider shall perform those services as set forth in Exhibit A to this Agreement,
2. COIMPENSATION
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 monthly within. thirty (30) clays following completion of the last class taught by
Provider the prior 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 front program participants as an administrative fee,
1 TERM
This Agreement shall commence on January 1, 2017 and end on December 31, 2017,
unless terminated earlier in accordance with Section 12 below. The term of this Agreement may
be extended by a writing executed by the City Manager and the City Attorney.
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 services 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, unemployment 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 performance 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 property,
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 property damage, in the total amount of $1,000,000 per
occurrence and $2,000,000 in the 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 ofinsured's provisions.
b. Worker's Compensation Insurance. In accordance with California State law, Provider,
if Provider has any employees, is required to be insured against liability for worker's
compensation or to undertake 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 terminate this
Agreement. Such termination shall not affect Provider's right to he 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.
6. INDEMNIFICATION
Provider agrees to and shall indemnify and hold harmless the City, its officers, agents,
employees, consultants, special counsel, and representatives from liability: (1) 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
negligent operations of the Provider or its contractors, subcontractors, agents, employees, or
other persons acting on their behalf which relates to the services described in section 1 of this
Agreement; and (2) from any claim that personal injury, damages, just compensation, restitution,
judicial or equitable relief is due by reason of the terns of or effects arising from this Agreement,
to the extent that the injury, damages, just compensation, restitution, judicial or equitable relief is
caused by the negligence of the Provider. This indemnity and hold harmless agreement applies to
all claims for damages, just compensation, restitution, judicial or equitable relief suffered, or
alleged to have been suffered, by reason of the events referred to in this Section or 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. In no case will Provider be required to
indemnify or hold harmless the City from injury, damages, just compensation, restitution,
judicial or equitable relief caused by the negligence of the City.
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 manner with performance of services specified under this
Agreement.
8. LIVE SCAN BACKGROUND CHECK
Provider, 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 or other telegraphic
communication 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 Community 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: Khai Hoang
14401 Poplar Drive
Tustin, CA 92780
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 die
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 regarding the subject matter herein, 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 terns 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. ASSIGNMENTISUBSTITUTES
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 assigrvnent, 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,
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 I.b. 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. NQN DISCRIMINATION
Provider shall not discriminate because of race, color, creed, religion, sex, marital status,
sexual orientation, age, national origin, ancestry, disability, or any other basis prohibited by
applicable law in any obligation or activities under this Agreement. If applicable, Provider
affirms that it is an equal opportunity employer and shall comply with all applicable federal, state
and local laws and regulations,
15. JURISDICTION —VENUE
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,
pan -nits, 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, SEVEI3ABILITY
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 heretuder.
18. EXHIBITS
All Exhibits referenced herein and attached hereto shall be incorporated as if fully 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
duty authorized to execute this Agreement on behalf of said parties and that be so executing this
Agreement, the parties hereto are formally 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:
Q Maria, D. Huizar
7� Clerk of theCouncil
CITY OF SANTA ANA
Davi 'Cavazos
City Manager
-- signature page continues on next page —
APPROVED AS TO FORM:
SONIA R. CARVALHO
City Attorney
.� I
J M. Funk
Assistant City Attorney
RECOMMENDED FOR APPROVAL:
GERARDO MOUET
Executive Director of Parks,
Recreation and Community Services Agency
PROVIDER:
t•` (/ l4'-g Khai P
Exhibit A
SCOPE OF SERVICES — Dancing for Fitness Class
A. Provider shall conduct Dancing for Fitness classes for adults.
B. Provider shall teach such or similar classes (1) at the times below at a facility to be
designated by the City or (2) on a schedule otherwise agreed upon by the parties for each
class session or term, including the location, specific days and hours when classes will be
held, and holidays to be observed, in accordance with City's needs.
Dancing for Fitness classes will consist of monthly sessions, held I day per week,
2 hours per day
C. Provider will provide and be responsible for equipment, records, and personnel and
clean-up of the facilities and materials necessary to ensure the safety and effectiveness of
said instruction.
CLASS SIZE / REGISTRATION
A. Each class must have a minimum of 10 paid students and no more than a maximum of 60.
B. No registration will be accepted after die second meeting of class,
C. If the minirnurn registration has not been reached by the second class, the class may be
cancelled by mutual agreement of Provider and City. Provider will be under no
obligation to provide services for the cancelled classes, and the City will have no ftirther
obligations to pay Provider compensation for the remaining classes that were cancelled
in that session,
CLASS FEES
A. Each participant shall pay class registration fee as established by City.
B. Provider may riot waive class participation/registration fees.
C. Only registered participants may participate in class.
D. Any refunds to participants will be made in accordance with City policy.
E. Any material fee shall be established by mutual agreement of City and Provider and shall
be payable directly to Provider.
EVANSTON INSURANCE COMPANY
CERTIFICATE NO.: 2016-08
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. O. Box 6450
Santa Ann, CA 92701
Newport Beach, CA 92658
License No: OC 36861
NAMED INSURED (EVENT HOLDER):
EVENT INFORMATION:
Khai (Kevin) Iloang 1� - 1 S'�- 1Q0
TYPE: Dance/Fitness
14401 Poplar
DATE(S): 01l01/16- 12/31/16
Tustin, CA 92780
LOCATION: Southwest Senior Center/Garfield Center
*Liquor Liability Yes ❑ No
"Liquor Liability after 12 am ends before 2 ant ❑
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: SEP41020
MASTER POLICY DATES: EFFECTIVE: JANUARY 1, 2016 EXPIRATION: JANUARY 1, 2017
COMMERCIAL GENERAL LIABILITY
OCCURRENCE FORM
DEDUCTIBLE; NONE
General Aggregate Limit $ 2,000,000
Products & Completed Operations I,000,000
SPECIAL CONDITIONS:
Personal & Advertising Injury 1,000,000
The following endorsements attached to
Each Occurrence Limit 1,000,000
the Master Policy do not apply to this
Damage'ro Premises Rented To You (Any One Premises) 100,000
Certificate Ofhtsurcum
Medical Payments (Any One Person) 5,000
Liquor Liability (If purchased) 1,000,000
Optional Limits Purchased
❑ $1,000,000/$3,000,000
6`I�eVJ
❑ $2,000,000/$2,000,000
t
Damage To Property (If purchased)
.
uQva>,r
`rhe limits of insurance apply separately to each event insured by this policy as if separate polic msurim
t 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
revisions.
AUTHORIZED REPRESENTATIVE:
DATE ISSUED: December 16 2015 by Briza Morales
WORKERS' COMPENSATION DECLARATION
I HIM4 j1'04W4"hereby affirm under penalty of perjury, the
(Name/Title)
following declaration
I certify on behalf of k NVAIV'yr'' that during the teen of my
(ConsultantlCompany Name)
contract for x L"� $ i /1N -Z 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 I 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:
By:
Name:
Title: -C _'r 4C1Pk_
Telephone: 7/z/ — 26 2 — 3jyJ—
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS
UNLAWFUL, AND SHALL 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.
�l
�e_� j
9q
EVANSTON INSURANCE COMPANY
CERTIFICATE NO.: 2017-16
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. O. Box 6450
Santa Ana, CA 92701
Newport Beach„ CA 92658
License No: OC 36861
NAMED INSURED (EVENT 1lOLDER):
EVENT INFORMATION:
Khai (Kevin) Hoang
TYPE: Fitness
14404 Poplar
DATE(S): 01/01/17—12/31/17
Tustin, CA 912780
LOCATION: Southwest Sr. Center/Jerome Center
� � (
*Liquor Liability Yes ❑ No Z
"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. 'rhe 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: JANUARY 1, 2018
COMMERCIAL GENERAL LIABILITY OCCURRENCE FORM & FDUCTIBLE.; NONE'
General Aggregate Limit $ 2,000,000
Products & Completed Operations 1,000,000 SPECIAL CONDITIONS:
Personal & Advertising Injury 1,000,000 The following endorsements attached to
Each Ciccnrrence L.intit 1,000,000 the Cvlaster Policy do not apply to this
Damage To Premises Eentcd To You (Any One Premises) 100,000 Certificate Of Insurance:
Medical Payments (Any One Person) 5,000
Liquor Liability (If purchased) I,00o,000 °
Optional Limits Purchased '
❑ $1,000,000/9,000,000
❑ $2,000,000/$2,000,000
Damage To Property (If purchased) ,
The limits of insurance apply separately to each event insured by this policy as if a separate policy of insurance has beers od''for that event.
OTHER ADDITIONAL. INSUREDS
C'ANC.ELLA PION: 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: December 28 2016b Stclla Fajardo