HomeMy WebLinkAboutDEL CARMEN BUSTOS GUTIERREZ, MARIA-2016City of Santa Ana
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AGREEMENT TERMINATION FORM
Please complete this form in its entirety when the attached agreement and all 7119 AM 22 PM q: n7
amendments (if any) are no longer in effect.
Note: If your agreement is grant related, please ensure that all grant retention requirements CITY CR S AN I A AN A
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-2016-183 was completed on p va1 ' and final payment has been made.
(List all amendments. Use space below if needed.) D
Department: 1 RG ",5 A
Phone/Ext.:
Signature: ty ld1t� reylixy,
Date:
Revised: 10-18-16
INSURANCE NOT ON FILE
WORK MAY N01 PROCEED
LERK OF COUNCIL
DATE. 'a 21 2015
O: PRCS Q )
RECREATION SERVICES AGREEMENT
N-2016-183
Silvia Cuevas THIS AGREEMENT is made and entered into this try 6 day of_l 9:2016,
by and between Maria Del Carmen Bustos Gutierrez C"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 Zamba classes to various age groups.
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 she is
Imowledgeable in her 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 THEREFORE, in consideration of the mutual and respective promises, and subject 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
program participants as an administrative fee.
3. TERM
'Thus Agreement shall commence on January 3, 2017, and terminate on December 3'1,
2017, unless terminated earlier in accordance with Section 12, below. The term of this
Agreement may be extended upon a writing executed by the City Manager and the City
Attorney.
Page 1 of 8
4. INDEPENDENT CONTRACTOR
Provider shall, during the entire term of this Agreement, be construed to bean
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.
S. 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 corrunorcial 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 negligent 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 $ I,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 (e) contain standard separation of insured provisions.
b. Worker's Compensation Insurance, In accordance with California State law,
Consultant, 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.
(ii) Certificates of insurance shall be famished to the City upon execution of this
^ Agreement and shall be approved in form by the City.
Page 11 of 8
(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.
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 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.
C. IN MEMNIFICATION
Provider agrees to and shall defend, 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 terms of or effects
arising from this Agreement. 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 terns
of, or effects, arising from 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 challenging the validity
of this Agreement, or asserting that personal injury, damages, just compensation, restitution,
judicial or equitable relief due to personal or properly rights arises by reason of the terms of, or
effects arising from this Agreement.
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
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, including any criminal history identified,
prior to performing services hereunder. The background check shall include at a minimum a state
and county criminal history investigation where such individual vesicles and a search of the
National and California State Sex Offender Registries.
Pag3 Or
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-23)
P.O. Box 1988
Santa Ana, California 92702
Fax (714) 571-4211
To Provider: Maria Del Carmen Bustos Gutierrez
1222.South Ross Street
Santa Ana, CA 92707
Cell (714) 785-2685
Email: Cartnengutiet=541 ccyahoo,cum
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 deerued 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 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 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
instnrment 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
Page 4 of 8
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. ASSIGNMENUSUBSTITUTES
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 assigmnent, 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 tcach 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 Lb. must be
given to the City at least thirty (30) days prior to ter7nination/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 tear (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. NON DISCRIMINATIONT
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,
Page 5 of 8
termination or other employment related activities, or in any activities under this Agreement.
Provider affirms that it is an equal opportunity employer and shall comply with all applicable
federal, state and local taws 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,
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.
iir -XWKWIMM
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 unenforeeability 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 attachcd hereto shall be incorporated as if fully set forth
in the body of this Agreement.
19. AUTHO12M
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 be so executing this
Agreement, the parties hereto are formally bound to the provisions of. this Agreement.
Page 6 of 3
Exhibit A
SCOPE OF SERVICES— Mania Del Carmen
A. Provider will teach Zumba for age 18yrs - 99yrs
S. 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 6ty's needs.
Zumba class will consist of 4weeks session, held 4 days per week, I hour per day,
ages 18yrs-99yrs
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.
D. 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.
& If Provider allow 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
CLASS SIZE REGISTRATION
A. Zumba class mentioned above must have a minimnrn of 5 paid students and no more than
a maximum of25 paid students.
S. If the minimum 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 further
obligations 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 City.
A. Any materials fee shall be established by mutual agreement of City and Provider and
shall be payable directly to Provider.
C. Only registered participants may participate in class.
D. Any refunds to participants will be made in accordance with City policy.
Page 8 of 8
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
City Ay
W1
Attorney
RECOMMENDED FOR APPROVAL:
iM M
GERARDO MOUET
Executive Director of Parks,
Recreation and Community Services Agency
CIT SANTA A
DAVID CAVA O
City Manager k
PROVIDER:
MARIA DEL CARMEN BUSTOS
GUTIERREZ
Page 7 of 8
EVANSTON INSURANCE COMPANY
CERTIFICATE NO.: 2017-07
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:
Maria Del Carmen Bustos Gutierrez
TYPE: Zumba
1222 S Ross St.
DATE(S): 1/01/17-12/31/17
Santa Ana, CA 92707
LOCATION: Memorial Center & S/W Senior 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. 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: JAN'UARY 1, 2018
COMMERCIAL GENERAL LIABILITY
OCClnRRENCE 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
Damage To Premises Rented To You (Any One Premises) 1.00,000
Certificate Of lnsurancc:
Medical Payments (Any One Person) 5,000
Liquor 1.aiability (If purchased) 1,000,000
Optional Limits Put -chased
, `w
❑ $1,000,000/$3,000,000
[:1$2,000,00052,000,000
V
Damage To Property (If purchased)
The limits Of insurance apply separately to each event insured by this policy as if a separate policy of insura , as bee �ssu e 'enL
OTHER ADDITIONAL INSUREDS t ,e
CANCELLATION: 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 20 2016 by Stella Fajardo