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Home My WebLink AboutCAMPOS, FLOR (3)City of Santa Ana JA City Clerk AGREEMENT TERMINATION FORM City Clerk's Office Use Only (,- ZoZ3 Please complete this form in its entirety when the attached agreement and all amendments (if any) are no longer in effect.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 City Clerk's Office (M-30). Call 647-6520 if you have any questions. The agreement with COIm oS flc)y,- N-2023-290 No. was completed on and final payment has been made. (List all amendments. Use space below if needed.) Department: Phone/Ext.. X � Signature: Date: Oagreementslformslform - agreement termination form_go€denrod.dac N-2023-290 INSURANCE NOT REQUIRED WORK MAY PROCEED CITY CLERK DATE: October 18, 2023 N o Flor Campos (Speaker/Performer) "a 256 S. Flower Street, #E c� Orange, CA 92868 U Sipandpaintoueenna,gmail.com O Re: Speaker/Performer Engagement Agreement 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, Flor Campos will provide a step by step instructional painting workshop for adults, including all workshop materials. The workshop will be conducted in person and is free for everyone. It will be hosted by Olga Morphew, Senior Librarian in Adult Services at the Santa Ana Public Library. 2. Date(s): Wednesday, November 1, 2023 3. Event Time(s): 6:00 — 7:30 p.m. 4. Location: Santa Ana Public Library, 26 Civic Center Plaza, Santa Ana, CA 92701 5. Compensation: An amount not to exceed $375.00 under this Agreement (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: Speaker/Performer will provide all workshop materials. 7. Equipment provided by Speaker/Performer: All equipment and materials necessary. 8. City Contact Person (for coordinating purposes only): Ella 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. 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 N-2023-290 Speaker Agreement — Flor Campos Page 2 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. 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 Steven A. Mendoza Acting City Manager ATTEST: enm or 1 City C FOR APPROVAL Brian Stemberg Library Services Library Services for M. Ca&, od Flor k Campos (Oct 19, 20 13:16 PDT) Flor Campos Artist APPROVED AS TO FORM: SONIA R. CARVALHO City Attorney By: B on Salvatierra Deputy City Attorney Exhibit A SCOPE OF SERVICES VENDOR INFORMATION: Name: Flor Campos Address: 256 S. Flower St. # B Orange, Ca. 92868 Phone Number: 714 809-4893 Email Address: sipandnaintgueenAgmail.com EVENT: Painting Workshop LOCATION: Santa Ana Public Library, 26 Civic Center Plaza, Santa Ana, CA 92701 TERM: One-time event: Wednesday, Nov. 1, 2023 COMPENSATION: $375.00 DESCRIPTION: Flor Campos will be providing a step by step instructional painting workshop for adults. The presentation will be conducted in person and is free for everyone. It will be hosted by Olga Morphew, Senior Librarian in Adult Services at the Santa Ana Public Library. The presentation will take place one time on Wednesday, November 1, 2023, 6 p.m.- 7:30 p.m. at the Santa Ana Public Library. The presentation is free for all adults. Flor Campos will be compensated $375.00 for her workshop.