HomeMy WebLinkAboutJJ Nguyen, Inc. (2)AGREEMENT
THIS AGREEMENT is made and entered into on the 6 \ day of AR rd 2010 by and
between the TOWN OF LOS ALTOS HILLS (hereinafter referred to as "TOWN") and JJ
NGUYEN, INC. (hereinafter referred to as "CONTRACTOR"). In consideration of their
mutual covenants, the parties hereto agree as follows:
CONTRACTOR.. Shall provide or furnish the following specified services and/or
materials:
Install lawn, plants, irrigation system, clean up, and place
mulch at Westwind Community Barn,
2. EXHIBITS, The following attached exhibits are hereby incorporated Into and made
a part of this Agreement.
Proposal from CONTRACTOR dated 3/25/10
3. TERMS. The services and/or materials furnished under this Agreement shall
commence .3/.30/201.0 and shall be completed by 4/15/2010, unless terminated
pursuant to Section 5(f).
4. COMPENSATION. For the full performance of this Agreement,-
a,
greement:
a. TOWN shall pay CONTRACTOR an amount not to exceed nine thousand five
hundre dollars and zero cents ($9,500.00) within thirty-five (35) days following
completion/delivery of services/goods as detailed in Sections 1, 2, and 3 of this
Agreement and only upon satisfactory delivery/completion of goods/services in a
marinerconsistent with professional/industry standards for the area in which
CONTRACTOR operates. TOWN is not responsible for paying for any work done
by CONTRACTOR or any subcontractor above and beyond the not to exceed
amount,
b Town shall not reimburse for any of CONTRACTOR's costs or expenses to
deliver any services/goods. Town shall not be responsible for any interest or late
charges on any payments from Town to CONTRACTOR.
c. CONTRACTOR is responsible for monitoring its own forces/employees/agents/
subcontractors. to ensure delivery of goods/services within the terms of this
Agreement. TOWN will not accept or compensate CONTRACTOR for
incomplete goods/services.
Town of Los Altos Hills Page I of 4
Not to exceed $16 000 per Ilccal year
Updated 3 17 06
5. GENERAL TERMS AND CONDITIONS.
HOLD HARMLESS CONTRACTOR agrees to indemnify, defend and hold
harmless the TOWN, its officers, agents and employees from any and all
demands, claims or liability' of personal injury (including death) and property
damage of any nature, caused by or arising out of the performance of
CONTRACTOR under this Agreement. With regard to CONTRACTOR'S work
product, CONTRACTOR agrees to indemnify, defend and hold harmless the
TOWN, Its officers, agents and employees from any and all demands, claims or
liability of any nature to the extent caused by the negligent performance of
CONTRACTOR under this Agreement.
b, INSURANCE. CONTRACTOR shall file with the TOWN a certificate of
insurance before commencing any services under this Agreement as follows:
I. WORKERS COMPENSATION INSURANCE; Minimum statutory
limits.
II. COMMERCIAL GENERAL LIABILITY AND PROPERTY DAMAGE
INSURANCE: General Liability and Property Damage Combined.
$1,000,000.00 per occurrence including comprehensive form,
personal injury, broad form personal damage, contractual and
premises/operation, all on an occurrence basis. If an aggregate limit
exists, it shall apply separately or be no less than two (2) times the
occurrence limit.
iii, AUTOMOBILE INSURANCE. $1,000,000.00 per occurrence.
iv. ERRORSAND OMISSIONS INSURANCE: $1,000,000.00 aggregate.
v. NOTICE OF CANCELLATION; The City requires 30 days written
notice of cancellation. Additionally, the notice statement on the
certificate should not include the wording "endeavor to" or "but failure
to mail such notice shall impose no obligation or liability of any kind
upon the company, its agents or representatives."
vi, CERTIFICATE OF INSURANCE: Prior to commencement of services,
evidence of insurance coverage must be shown by a properly
executed certificate of insurance and it shall name "The Town of Los
Altos Hills, its elective and appointed officers, employees, and
volunteers" as additional insureds.
vii. To prevent delay and ensure compliance with this Agreement, the
insurance certificates and endorsements must be submitted to:
Town of Los Altos Hills - Contracts
26379 Fremont Road
Los Altos Hills, CA 94022
Town of Los Altos Hills Page 2 of 4
Not to exceed $15 000 per fiscal year
tJpdoted 3 17 08
c NON-DISCRIMINATION. No discrimination shall be made in the employment of
persons under this Agreement because of the race, color, national origin, age,
ancestry, religion or sex of such person.
d. INTEREST OF CONTRACTOR. It is understood and agreed that this
Agreement is not a contract of employment and does not create an employer-
employee relationship between the TOWN and CONTRACTOR, At all times
CONTRACTOR shall be an independent contractor and CONTRACTOR is not
authorized to bind the TOWN to any contracts or other obligations without the
express written consent of the TOWN. In executing this Agreement,
CONTRACTOR certifies that no one who has or will have any financial interest
under this Agreement is an officer or employee of TOWN,
e. CHANGES. This Agreement shall not be assigned or transferred without
advance written consent of the TOWN.. No changes or variations of any kind are
authorized without the written consent of the City Manager This Agreement may
only be amended by a written instrument signed by both parties.
f. TERMINATION. This Agreement may be terminated by TOWN upon seven (7)
days written notice to CONTRACTOR. Monies owed for work satisfactorily
completed shall be paid to CONTRACTOR within 14 days of termination,
g. RECORDS. All reports, data, maps, models, charts, studies, surveys,
calculations, photographs, memoranda, plans, studies, specifications, records,
files, or any other documents or materials, In electronic or any other form, that
are prepared or obtained pursuant to this Agreement and that relate to the
matters covered hereunder shall be the property of the TOWN. CONTRACTOR
hereby agrees to deliver those documents to the TOWN at any time upon
demand of the TOWN. It Is understood and agreed that the documents and
other materials, including but not limited to those described above, prepared
pursuant to this Agreement are prepared specifically for the TOWN and are not
necessarily suitable for any future or other use. Failure by CONTRACTOR to
deliver these documents to the TOWN within a reasonable time period or as
specified by the TOWN shall be a material breach of this Agreement. TOWN
and CONTRACTOR agree that until final approval by TOWN, all data, plans,
specifications, reports and other documents are preliminary drafts not kept by
the TOWN -in the ordinary course of business and will not be disclosed to third
parties without prior written consent of both parties. All work products submitted
to the TOWN pursuant to this Agreement shall be deemed a "work for hire."
Upon submission of any work for hire pursuant to this Agreement, and
acceptance by the TOWN as complete, nonexclusive title to copyright of said
work for hire shall transfer to the TOWN. The compensation recited in Section 4
shall be deemed to be sufficient consideration for said transfer of copyright.
CONTRACTOR retains the right to use any project records, documents and
materials for marketing of their professional services.
Town of Los Altos Hills Page 3 of 4
Not to exceed m 060 perriecal year
Updated 317 OB
h.. ENTIRE AGREEMENT. This Agreement represents the entire agreement
between the Parties. Any ambiguities or disputed terms between this Agreement
and any attached Exhibits shall be interpreted according to the language in this
Agreement and not the Exhibits.
6. INVOICING. Send all invoices to the contract coordinator at the address below.
This Agreement shall become effective upon its approval and execution by TOWN. In
witness whereof, the parties have executed this .Agreement the day and year first
written above.
CONTRACT COORDINATOR and
representative for TOWN: CONTRACTOR:
Richard Chiu
Public Works Director
Town of Los Altos Hills By: 21 q b
26379 Fremont Road Signature bAte
Los Altos Hills, CA 94022
Print name, Title
TOWN OF LOS ALTOS HIL S:
By: JL L, �� � ILI �o jo
Carl Cahill, City Manager ate
Town of Los Altos Hills Page 4 of 4
Not to exceed $15.000 per NOW yoor
Vpdalod 3 17 08
JJ NGUYEN, INC
3172 Salem Dr, San Jose CA 95127
Office Phone: 408-259-7982 Fax: 408-347-8183
Los Altos Barn Proposal
Date:3/26/2010
Project Name: Los Altos Barn
Description of charge: Los Altos Barn
Clean up and Backflow Preventer
50 C.Y mulch
Lawn,plants and Irrigation
Total Cost
$1,500
$2,500.00
$ 5,500.00
t7tiC7-1717"
$ 15,500
4_6,006
`�iCob
rom, W1009
Request. for Taxpayer
Give form to the
;Rev October 2007)
identification Number and Certification
requester. Do not
N)rarrm"ni rl 1116 Treeauy
or
Send to the IRS,
1I,Iv,llyi Rovollu,o sm%wc-
number to enter
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Nnme (as shown on your Incoms t return)
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Business name. If differs t trod m above
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Check appropriate box: ❑ IndivlduaV8ola proprietor ❑ Co(poraflon ❑ Portnorahip
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❑ Limned liability company Enter the lax classification (Oudisreyardod entity, Cncarporallon, Papartnersh)p) M , , ....
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❑ othar (see iniruciions) 0-
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Address (number. street and apt or suite no)
Requester's name and address (optlonall
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a) 1a ar'
Town of Los Altos Hilts
clry stats. and zIP coda
26979 Fremont Road
v�
b Ch 5
Los Aitas HNis CA 94022
List account numbers) here (optional)
•
Taxpayer Identification Number (TIN)
Enter your TIN in the appropriate box. The TIN provided must match the name given on Me 1 to avoid
social 000urity numbor
backup wilhholding For Individuals, this Is your social security number (eSN) However, for o resident
alien. sole proprietor, or disregarded entity, see the Part I Instructions on page 3 For other entities. It is
your employer Identllicatlon number (EIN) If you do not have a number, see Now to get a 77N on page 3
or
Note It the account is In more than one name, seo the chart on page 4 for guidelines on whose
_
employer identification nun,ber l
number to enter
'D
Under penalties of perjury, I certify that:
The number shown on this form is my correct taxpayer Identification number (or I am waiting for a number to be issued to me), and
I am not subject to brickup withholding because: (a) Iran exempt from backup withholding, or (b) I have not been notlfled by the Internal
Revenue Service (IRS) that I am subject to backup withholding as a result of a failure to report all Interest or dividends, or (c) the IRS has
notified me that I am no longer subject to backup withholding. and
3 1 am a U S citizen or other U 6 person (defined below)
Certification ation Instructions, You must cross out Item 2 above R you have been notified by the IRS that you are currently subject to backup
withholding because you have Jailed to report all Interest and dividends on your tax return For real estate transactions, Item 2 does not apply
For mortgage interest paid, acquisition or abandonment of secured property, cancellation of debt. contributions to an Individual retirement
arrangement (Ifs. and generally, payme tS other than Interest and dividends. your are not required to sign the Certification. but you must
provide your correct TIN See the lirns on page 4>
Sign sianoluro of
Here I U.S, person
General Instructions
Section references are to the Internal Revenue Godo unless
otherwise noted
Purpose of Form
A person who Is required to file an information return with the
IRS must obtain your correct taxpayer Idenlitloatlon number (TIN)
to report, for example, income paid to you, real estate
transactions, mortgage Interest you paid, acquisition or
abandonment of secured property, cancellation of debt. or
contributions you made to an IRA
Use Form W-9 only if you are a U & per son (Including a
resident alien), to provide your correct TIN to the person
requesting It (the requester) and. when applicable. to:
1 Certify that the TIN you are giving Is correct (or you are
waiting for a number to be Issued),
2 Certify that you are not subject to backup wfihholding, or
3 Claim exemption from backup withholding If you are a U S
exempt payee If applicable, you are also certifying that as a
U S person. your allocable share of any partnership Income from
a U S trade or business is not subject to the withholding tax on
foreign partners' share of effectively connected Incoms
Note. If a requester gives you a form other than Form W-9 to
request your TIN. you must use the requester's form If H Is
substantially similar to this Form W-9
Date t► y'/ (0 / ./-U/ U
Definition of a U.S. person, For federal lax purposes, you are
considered a U S person if you are:
• An Individual who Is a US citizen or U S resident alien,
to A partnership. corporation, company, or association created or
organized in the United Slates or under the lawns of the United
States.
• An estate (other than a foreign estate). or
a A domestic trust (as defined In Regulations section
301 7701-7)
Special rules for partnerships- Partnerships that conduct a
trade or business In the United States are generally required to
pay a withholding lax on any foreign partners' share of Income
from such business Further, In certain cases where a Form W-9
has not been received, a partnership is required to presume that
a partner Is a foreign person, and pay the withhoiding tax
Therefore, if you are a U S person that Is a partner In a
partnership conducting a trade or business In the United Slates.
provide Form W9 to the parinershlp to establish your U S
status and avoid withholding on your share of partnership
Income
The person who gives Form W9 to the partnership for
purposes of establishing its U s status and avoiding withholding
on Its allocable share of net Income from the partnership
conducting a trade or business In the United Slates Is in the
following cases:
to The U S owner of a disregarded entity and not the entity.
Cal No 10231X Farm w -g (Rev 10-2001)
T&LLAND-111 An I
ACORDr. CERTIFICATE OF LIABILITY INSURANCE
DATE(MAUDDIYYYY)
7/s/aoo9
PRODUCER (530) 668-2777
Armstrong 8r Associates Insurance Services
License # OB50501
P.O. Box 1270
Woodland, CA 95776-1270
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
INSURERS AFFORDING COVERAGE
NAIC #
INSURED JJ Nguyen, Inc.
3172 Salem Drive
San Jose, CA 95127-
INSURER A: Golden Eagle Insurance
10836 r
INSURER B: National Union Fire Ins. Co, of Pittsburg,
INSURER C: State Compensation Insurance Fund
GENERAL LIABILITY
INSURER D:
INSURER E:
A
COVERAGES
THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING
ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR
MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH
POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
I SRDD'L I -TA
nm
TYPE F INSURANCE
POLICY NUMBER
POLICY EFFECTIVE
P Y EXPIRA N
LIMITS
GENERAL LIABILITY
EACH OCCURRENCE $ 1,000,0
A
X
X COMMERCIAL GENERAL LIABILITY
CLAIMS MADE T OCCUR
CBP8666577
5/10/2009
5/10/2010PREMISE8
Es NTED-ccqpqa 100,0
MED EXP (Any one person) $ 5,0
PERSONAL & ADV INJURY $ 1,000,0
GENERAL AGGREGATE $ 2,000,0
GEN'L AGGREGATE LIMIT APPLIES PER
PRODUCTS - COMPIOP AGO $ 2,000,0
POLICY X PR LOC
A
AUTOMOBILE
LIABILITY
ANY AUTO
BA8666477
5/10/2009
5/1012010
COMBINED SINGLE LIMIT $ 1,000,0
(Ee acddent)
130DILY INJURY 5,0
(Per person) $
X
ALL OWNED AUTOS
SCHEDULED AUTOS
BODILY INJURY1,000,0(11
(Per accident)
X
X
HIREDAUTOS
NON -OWNED AUTOS
X
Comp $500 deductible
Collision $500 deductble
_
(PoeccdeDAMAGE EX
int)
GARAGE LIABILITY
AUTO ONLY - EA ACCIDENT $
OTHER THAN EA ACC $
AUTO ONLY: AGO $
ANY AUTO
EXCESSIUMBRELLA LIABILITY
EACH OCCURRENCE $ 5,000,0
B
OCCUR CLAIMS MADE
BE063820588
6/9/2009
5/10/2010
AGGREGATE $ 5,000,0
E
$
DEDUCTIBLE
$
X RETENTION $ 10,000
C
WORKERS COMPENSATION AND
EMPLOYERS' LIABILITY
ANY pROPRIETOR/pARTNER/FJfECUTIVE
OFFICERIMEMBER EXCLUDED?
290226009
12120/2009
12/20/2010
X TNCY LI TU OER
1,000,0(
E.L.EACHACCIDENT E r
---- ---
E.L. DISEASE - EA EMPLOYEE 1,000,0
Nes describe under
SPECIAL PROVISIONS below
E.L. DISEASE POLICY LIMIT $ 1,000,0
OTHER
I
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS
10 day notice of cancellation applied for nonpayment of premium
i
Re: Westwind Community (BARN). Town of Los Altos Hills is named additional Insured in respect general liability per attached.
i
I
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATI
Town of Los Altos Hills
26379 Fremont Road
Los Altos Hills, CA 94022-
DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN
NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL
IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR
REPRESENTATIVES.
AUTHORIZED REPRESENTATIVE
1
ACORD 25 (2001/08) 0 ACORD CORPORATION 1988
T&LLAND-01 A
IMPORTANT
If the certificate holder Is an ADDITIONAL INSURED, the policy(les) must be endorsed. A statement
on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s).
If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may
require an endorsement. A statement on this certificate does not confer rights to the certificate
holder In lieu of such endorsement(s).
DISCLAIMER
The Certificate of Insurance on the reverse side of this form does not constitute a contract between
the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it
affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon.
ACORD 25 (2001108)