HomeMy WebLinkAboutZAPATA, MICHAEL 1 -2013City of Santa Ana
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AGREEMENT TERMINATION FORM
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Please complete this form when the attached agreement and all
amendments (if any) are no longer in effect. CITY!OF SANTA ANA
CLERK OF COUNCIL
Return form to the Clerk of the Council Office (M-30).
Call 647-1520 if you have any questions.
The agreement with zaoa+(a , Mkc rke
No. N-2013-122 was completed on and final payment has been made.
(List all amendments. Use space below if needed.)
Department: Kc 6
Phone/Ext.: Qq
Signature:
Date:
Revised 10-31-12
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WlN5111E IIRSUIRANOL EXPIRES N-2013A22
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CLERK OF COUNCIL
QATE.,
�&HIS RECREATIpN SERVICES AGREEMENT made and entered into this 19"' day of August,
N% 2013 by and between Michael Zapata (hereinafter "Provider"), and the City of Santa Ana, a
CO 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 Provider having special skill and knowledge in the field of
karate to provide karate instruction through the City's 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 performed by Provider under this
Agreement will be performed in compliance with such standards as may reasonably be
expected from a professional consulting firm in the field.
N 0 W T H E R E F 0 R E, in consideration of the mutual and respective promises, and subject to the
terms and conditions hereinafter set forth, the parties agree as follows:
SCOPE OF SERVICES
Provider shall perform those services as set forth in Exhibit A to this Agreement.
COMPENSATION
In consideration for the right to provide the programs set forth in Exhibit A, City agrees
to pass through to the Provider seventy percent (70%) of all gross revenue received from
program participants. Anticipated revenue from this class shall not exceed $25,000 annually.
Payment to Provider shall be made within fifteen (15) days following completion of each class.
TERM
This Agreement shall commence on the date first written above and terminate on Rine 30,
2014, unless terminated earlier in accordance with Section 12, below. The term of this
Agreement may be extended upon a writing executed by the Executive Director of Parks,
Recreation and Community Services 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 j oint venture relationship, or
to allow the City to exercise discretion or control over the professional 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.
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 naming the City, its officers, employees, agents, volunteers and
representatives as additional insured(s) and 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
amotmt of $1,000,000 per occurrence. Provider shall supply City with a fully executed
additional insured endorsement in substantially the form attached hereto as Exhibit B upon
execution of this Agreement and shall be approved in form by the City Attorney.
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 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. Sexual Abuse & Molestation Insurance Coverage. To maintain a safe environment, the
Provider must provide a Youth Protection Policy and proof of Sexual Abuse & Molestation
insurance coverage of at least $1,000,000. Provider will be held accountable for conducting a
background clearance (live -scan) for staff that have direct interaction with youth participants.
d. 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.
(ii) Certificates of insurance shall be furnished to the City upon execution of
this Agreement and shall be approved in form by the City Attorney.
(iii) 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.
e. 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 effect 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.
INDEMNIFICATION
Provider agrees to and shall indemnify and hold harmless the City, its officers, agents,
employees, Providers, 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 health, 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 on their behalf which relates to the services described in section 1 of this
Agreement. The Provider further 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 arises 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 CLAUSE
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
Providers 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 telefacsimile or other
telegraphic communication in the manner provided in this Section, to the following persons:
To City: Cleric of the City Council
City of Santa Ana
20 Civic Center Plaza (M-30)
P.O. Box 1988
Santa Ana, CA 92702-1988
telefacsimile (714) 647-6956
With courtesy copy to:
Executive Director of Parks, Recreation and Community Services
City of Santa Ana
20 Civic Center Plaza (M-23)
P.O. Box 1988
Santa Ana, California 92702
telefacsimile (714) 571-4235
To Provider: Mr. Michael Zapata
2130 S. Lewis Street, Apt. 103
Anaheim, CA 92802
(949)294-0072
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 telefacsimile, 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 nor 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 are not embodied herein.
11. ASSIGNMENT
Inasmuch as this Agreement is intended to secure the specialized services of Provider,
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. Nothing in this Agreement
shall be construed to limit the City's ability to have any of the services which are the subject to
this Agreement performed by City personnel or by other Providers retained by City.
12. TERMINATION
This Agreement may be terminated by the City upon thirty (30) days written notice of
termination. Termination or cancellation of classes by the Provider 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.
13. 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, 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.
14. 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.
15. PROFESSIONAL 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. Provider shall notify the City
immediately and in writing of its inability to obtain or maintain such permits, licenses, approvals,
waivers, and exemptions. Said inability shall be cause for termination of this Agreement.
16. EXHIBITS
All Exhibits referenced herein and attached hereto shall be incorporated as if fully set forth
in the body of this Agreement.
IN WITNESS WHEREOF, the parties hereto have executed this Agreement the date and year
first above written.
ATTEST:
MARIILG _ZA
IA D. HUIZAR
Clerk of Clio Council
APPROVED AS TO FORM:
SONIA R. CARVALHO
City Attorney
Lisa Sforck
Assistant City Attorney
RECOMMENDED FOR APPROVAL
GERARDO MOUEf
Dircreatiector of Parks,
Re( and Co riunity Services
CITY OF SANTA ANA
KEN 'ROURKE
Interim City Manager
PROVIDER
MICHAEL ZAPATA
Exhibit A
SCOPE OF SERVICES- Michael Zapata/Karate Do Kiai
A. Provider shall conduct Martial Arts techniques for children 3'/z-16 year olds.
B. Karate Do Kiai for ages 31/2-8 year olds, class will consist of monthly session, held Monday &
Wednesday- 2 days per week, 50 minutes per day- first class is $20/per month session, second
class will be $25/oer month
C . Karate Do Kiai for ages 9-16 year olds, class will consist of monthly session, held Monday &
Wednesday- 2 days per week, 50 minutes per day- $25/per month session. Discount of$5.00 off
for f=1#6s
D. Provider will provide and be responsible for equipment, records, and personnel and cleanup of the
facilities and materials necessary to ensure the safety and effectiveness of said instruction.
E. If Provider allows others to teach his/her class, those teachers must be over 21, have obtained and
maintain an instructor rating, and be covered by Providers' insurance. Provider shall provide City
with documentation to verify instructor and insurance requirements. Black -belt rated students
may warm up beginning students, however, Provider must be present at all times.
CLASSSIZE REGISTRATION
A. The minimum number or participants is 5 per class, the maximum is 50.
B. No registration will be accepted after the second week of classes.
C . In the event the minimum number of enrollees is not realized by the second meeting of the class,
the class shall be canceled. Provider will be under no obligation to provide services and the City
will have no obligations to pay Provider compensation.
FEES
A. Each participant shall pay a $20.00/$25.00 class registration fee per monthly session.
Anticipated class revenue not to exceed $25,000.00 annually.
B. No refunds will be made to participants after the commencement of a session unless the class is
cancelled by the City.
C. The City shall collect registration fees from each participant during the registration period.
Provider shall not collect fees, but shall refer all interested participants to City for registration.
D. Provider shall receive seventy percent (70%) of the total fees collected each month. City and
Provider agree that City shall retain thirty percent (30%) of the fees collected as an
administration fee.
E. Provider agrees that City is entitled to audit Provider's records and classes to insure compliance
with this Agreement.
F. Provider may not waive class participation/registration fees.
G. City shall prepare class rosters and provide a copy to Provider. Only registered participants may
participate in class.
EVANSTON INSURANCE COMPANY
CERTIFICATE NO.: 2013-41
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 HOLDER):
EVENT INFORMATION:
Michael Zapata
TYPE: Martial Arm
2130 S. Lewis Street
DATE(S): 08114/13-12/31/13
Anaheim, CA 92802
LOCATION: Santa Anita Center
*Liquor Liability Yes ❑ No El
*'*Li uor 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. This certificate is issued as a matter of information only and confers no rights upon the certificate holder. This
certificate does not affirmatively or negatively amend, extend or alter the coverage afforded by the policy listed and it does not
constitute a contract between the insurance carrier, authorized representative, producer and certificate holder. The insurance
described herein is subject to all the terms, exclusions and conditions of such poticy(ies).
INSURANCE CARRIER: Evanston Insurance Company
MASTER POLICY NUMBER: SEP41011
MASTER POLICY DATES: EFFECTIVE: JANUARY 1,2013 EXPIRATION: JANUARY 1,20t4
COMMERCIAL GENERAL LIABILITY
OCCURRENCE FOWA
DEDUCTMLE: NONE
General Aggregate Limit. $ 2,000,000
Products& Completed Operations 1,000,000
Personal & Advertising thinly-1,000,000
Each Occurrence Limit 1,000,000
Fire Damage (Any One Fire) 100,000
Medical Payments (Any One Person) 5,000
Liquor Liability (If purchased) 1,000,000
Optional Limits Purchased
❑ $1,000,00053,000,000
❑ S2,000 00012,000,000
Tic limits of insurance apply separately to each eventinsured by this policy as if a separate policy of insurance has been issued ler that event.
"Who is insured" is amended to include, as an insured, the Peron or organization shown in this schedule, but only with respect to liability arising out of file
ownership, maintenance or use of the promises used by the named insured (event holder). 'this insurance does not apply to: Any "occurrence" which takes place
after the event holder ceases to be a tenant in that premises.
OTHER ADDITIONAL INSUREDS —
Geraldine Val.enaia
CANCELLATION, Should the above described policy be cancelled before the expiration date thereat. notice will be delivered in accordance with the policy
provisions,
a'a ..p.,
AUTHORIZED REPRESENTATIVE:
DATE ISSUED: Au ua st14,2013b BtizaMorales Revised 9/3/13 to add additional insured. B.M.
APPROVED AS TO FORM
LISA E. STORCK — +$
,Assistant City Attorney /jt
Al- c2013 -IoM
MAYOR
Miguel A. Pulido
MAYOR PRO TEM
Sal Tinalero
COUNCIL MEMBERS
Angellca Amezcua
David Benavides
Michele Martinez
Roman A. Rayne
Vincent Sermlento
October 1., 2013
CITY OF : a ri
OFFICE OF THE CITY ATTORNEY
20 CIVIC CENTER PLAZA M-29 • P.C. BOX 1988
SANTAANA, CALIFORNIA 92702
(714) 647.5201 • Fax (714) 647-6515
Mr. Michael .Zapata
2130 S. Lewis Street, Apt. 103
Anaheim, CA 92802
Re: Leisure Class Agreement
Dear Mr. Zapata:
INTERIM CITY MANAGER
Kevin O'Rourke
CITY ATTORNEY
Some R. Carvalho
CLERK OF THE COUNCIL
Maria D. Halzar
The City of Santa Ana ("City") entered into a Recreation Services Agreement ("said
Agreement") for you to provide teaching services in the City's leisure program. Said Agreement
contained insurance requirements including the requirement for sexual abuse and molestation
coverage (Section S c). At this time, the City is waiving this specific coverage.
Thank you for your service to the City.
Sincerely,
Lisa Storck ��—
Assistant City Attorney
Cc: Norma Mitre -Ramirez
Mary Fazioli
EVANSTON INSURANCE COMPANY
CERTIFICATE NO.: 2016-12
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 36961
NAMED INSURED (EVENT HOLDER):
EVENT INFORMATION:
Michael Zapata
TYPE: Martial Arts
208 W. Wilken Way
DATE(S): 01/01/16—12/31/16
Anaheim, CA 92802
LOCATION: Santa Anita and Garfield Centers
*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: 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 1,000,000
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
Darnage To Prerr iscs 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
1:1 $1,000,00063,000,000
❑ $2,000,00052,000,000
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 been i ssued for that even
OTHER ADDITIONAL INSUREDS
Geraldine Valencia
Flor .Hernandez
CANCELLATION: Should the above described policy be cancelled before the expiration date thereof, notice will b elivered iVN1N01*"- with the policy
provisions.
AUTHORIZED REPRESENTATIVE:
DATE ISSUED: December 22, 2015 by Briza Morales