HomeMy WebLinkAboutJJ Nguyen, Inc. (3)AGREEMENT
THIS AGREEMENT is made and entered into on the I" day of $V�- 2009 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:
1. CONTRACTOR. Shall provide or furnish the following specified services and/or
materials:
Perform additional landscape services and maintenance
along the pathway at Foothill College and EI Monte Road
2. EXHIBITS. The following attached exhibits are hereby incorporated into and made
a part of this Agreement:
Proposal from CONTRACTOR dated 9/08/09
3. TERMS. The services and/or materials furnished under this Agreement shall
commence 9/28/2009 and shall be completed by 10/09/2009, unless terminated
pursuant to Section 5(f).
4. COMPENSATION. For the full performance of this Agreement:
a. TOWN shall pay CONTRACTOR an amount not to exceed Ten thousand seven
hundred sixty-four dollars and thirty cents ($10,764.30) 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 manner consistent 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
Not to exceed $16.000 per fiscal year
Updated 3.17.08
Page 1 of 4
5. GENERAL TERMS AND CONDITIONS.
a. 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:
WORKERS COMPENSATION INSURANCE: Minimum statutory
limits.
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. ERRORS AND 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
Updated 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.
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, non-exclusive 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 $15,000 per fiscal year
Updated 3.17.08
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:
Richard Chiu
Public Works Director
Town of Los Altos Hills
26379 Fremont Road
Los Altos Hills, CA 94022
Town of Los Altos Hills
Not to exceed $15,000 per fiscal year
Updated 3.17.08
CONTRACTOR:
By:�-
Signature batd
Ak % t, ct V1 Tav" I�Jaw�te,,,—
Print name, Title 3
TOWN OF LOS ALTOS HILLS:
By: 9/,Yog
Carl Cahill, City Manager ate
Page 4 of 4
JJ NGUYEN INC.
UNION LANDSCAPE CONTRACTOR
3172 Salem Dr.
San Jose CA. 95127
Tel. (408) 259 -7982 -Fax (408) 347-8183
Lic.# 857202
PROPOSAL Revised
DATE 9/8/09
TO: JOHN CHAU
PROJECT: FOOTHILL COLLGE PATH
The following is c is our quote to furnish and install as per plans and specifications
Station
Description
Unit of
Quantity Unit Price
Total
Measure
10+80 toll 1+25
1 gal Ceanothus Joyce coutler
ea
10
10
100
5 gal Arctostaphylos D. Howard
ea
3
30
90
Mulch 3 "
LS
1
120.00
120
Bubber
ea
13
10
130
Lateral line and connect to A2
LS
1
300
300
13+20 tol3+60
1 gal Ceanothus Joyce coutler
ea
10
10
100
Mulch 3 "
LS
1
100
100
Bubber
ea
10
10
100
Lateral line and connect to A3
LS
1
200
200
Reverse Bench
LS
1
200
200
14+25 to 16+00
5 gal Arctostaphylos D. Howard
ea
20
30
600
Mulch 3 "
LS
1
150
150
Bubber
ea
20
10
200
Lateral line and connect to A10
LS
1
250
250
CHANGE bubbler to 1402
ea
6
6
36
17+50 to 18+00
24 " box
ea
3
350
1050
1 gal Ceanothus Joyce coutler
ea
8
10
80
5 gal Arctostaphylos D. Howard
ea
4
30
120
Mulch 3 "
LS
1
150
150
Bubber
ea
14
10
140
LS
1
250
250
Verify ex. Lateral line and upgrade
LS
1
200
200
20+28 to 21+25
24" box
ea
1
300
300
1 gal Ceanothus Joyce coutler
ea
57
10
570
Mulch 3 "
LS
1
350
350
Bubber
ea
7
10
70
Lateral line and connect to All 0
LS
1
150
150
Reverse Bench
LS
1
200
200
5 gal
ea
8
30
240
shurb spray
ea
6
20
120
Lateral line and connect to A14
LS
1
300
300
23+75 to 23+83
Lateral and bubber
LS
1
60
60
1 gal Violacea
ea
1
25
25
27+20 to 28+56
1 gal Violacea
ea
19
25
475
Bubber
ea
19
10
190
Lateral line and connect to A22
LS
1
250
250
SubTOTAL
7966
ADM
LS
5%
398.3
Maintenance
LS
2400
Total
$ 10,764.3
Formw-9
Request for Taxpayer
Give form to the
(Rev. October 2007)
Identification Number and Certification
requester. Do not
Department of the Treasury
_ -
sent) to the IRS,
Internal Revenue Service
number to enter.
Name (as showyn on yyour�isncco`me return)
N
pt'a"x
) °-�' t� _y�
w
1 V l�
tM
Business name, if different frorril above
c
0
w o
Check appropriate box: L1IndividuallSals proprietor .<Corporation 1:1Partnership
Limited liability Enter the tax ►
Exempt
(]
company. classification (D=disregarded entity, C=corporation, P=partnership)
Other (see instructions) 10 --
payee
Address (number, street, and apt. or suite no.)
Requester's
name and address (optional)
IL
0 ._ ler" ✓`
Town of Los Altos Hills
City, state and ZIP code
sy��
y��— `7
u
w
26879 Fremont Road
to
c-, i
Los Altos Hills, GA 94022
w
List account number(s) here (optional)
Taxpayer Identification Number (TIN)
Enter your TIN in the appropriate box. The TIN provided must match the name given on Line 1 to avoid
Social security number 1
backup withholding, For individuals, this Is your social security number (SSN). However, for a resident
alien, sole proprietor, or disregarded entity, see the Part I instructions on page 3, For other entities, it is
Your employer identification number (EIN). If you do not have a number, see How to get a TIN on page 3,
or
Nate, If the account is in more than one name, see the chart on page 4 for guidelines on whose
Em,tloyer identification number
�:M
number to enter.
Under penalties of perjury, I certify that:
1. The number shown on this form is my correct taxpayer identification number (or l am waiting for a number to be issued to rne), and
2. 1 am not subject to backup withholding because:; (a) I am exempt from backup withholding, or (b) I have not been notified 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 ani no longer Subject to backup withholding, and
3. I am a U.S. citizen or other U.S'. person (defined below).
Certification Instructions.' YOU must cross out item 2 above If you have been notified by the IRS that you are currently subject to backup
withholding because you have failed 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 (IRA), and generally, payments other than interest and dividends, you are not required to sign the Certification, but you must
provide your correct TIN. See the,rinstructlons on page 4.
Sign Signature of_
Here U.S, person 00-// bate 00-
General Instructions
Section references are to the Internal Revenue Code unless
otherwise noted.
A person who is required to file an information return with the
IRS must obtain your correct taxpayer identification 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 rade to an IRA.
Use Form W-9 only if you are a U.S. person (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 withholding, 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 income.
Notre. If a requester gives you a form other than Form W-9 to
request your TIN, you must use the requester's form if it Is
substantlall similar to this Form W-9
Definition of a U.S. person. For federal tax purposes; you are
considered a U,S. person if you are:.
• An individual who Is a U,S, citizen or U.S. resident alien,
• A partnership, corporation, company, or association created or
organized in the United States or under the laws of the United
States,
• An estate (other than a foreign estate), or
e 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 tax 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 withholding tax
Therefore, if you are a U.S. person that is a partner in a
partnership conducting a trade or business in the United States,
provide Form W-9 to the partnership to establish your U.S,
status and avoid withholding on your share of partnership
income.
The person who gives Form W-9 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 States is In the
following cases:
Y • The U.S, owner of a disregarded entity and not the entity,
Cat. No. 10231X Form W-9 (Rev. 10-2007)
T&ELAND-01 ADNI
ACORV,,, CERTIFICATE
OF LIABILITY INSURANCE
DATE(MMIDDIYYYY)
POLICIES, AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
INSRDD'L
L
9/2112009
IRODUCER (530) 668-2777
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
Armstrong & Associates Insurance Services
POLICY EXPIRATION
DATE (MMIDDrYYi
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
License # OB50501
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
P.O. Box 1270
A
X
Woodland, CA 95776-1270
CBP8656577
INSURERS AFFORDING COVERAGE NAIC #
INSURED JJ Nguyen, Inc.
PREMISES Ea occurence $ 100,000
INSURER A: Golden Eagle Insurance 10836
3172 Salem Drive
INSURER B: National Union Fire Ins. Co. of Pittsburg, Penn.
San Jose, CA 95127 -
INSURER c: Endurance Reinsurance Corp of America
PERSONAL & ADV INJURY $ 1,000,000
INSURER D:
INSURER E:
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.
INSRDD'L
L
N R
TYPE OF INSURANCE
POLICY NUMBER
POLICY EFFECTIVE
DATE IDD
POLICY EXPIRATION
DATE (MMIDDrYYi
LIMITS
GENERAL LIABILITY
EACH OCCURRENCE $ 1,000,000
A
X
X COMMERCIAL GENERAL LIABILITY
CLAIMS MADE ® OCCUR
CBP8656577
5/10/2009
5/10/2010
PREMISES Ea occurence $ 100,000
MED EXP (Any one person) $ 5,000
PERSONAL & ADV INJURY $ 1,000,000
GENERAL AGGREGATE $ 2,000,000
GEN'L AGGREGATE LIMIT APPLIES PER:
PRODUCTS - COMP/OP AGG $ 2,000,000
POLICY PE O LOC
A
AUTOMOBILE
LIABILITY
ANY AUTO
BA8666477
5/10/2009
5/10/2010
COMBINED SINGLE LIMIT $ 1,000,000
(Ea accident)
BODILY INJURY$ 5,000
(Per person)
X
ALL OWNED AUTOS
SCHEDULED AUTOS
X
X
HIRED AUTOS
NON -OWNED AUTOS
BODILY INJURY $ 1,000,000
(Per accident)
X
X
Comp $500 deductible
Collision $500 deductible
PROPERTY DAMAGE $
(Per accident)
GARAGE LIABILITY
AUTO ONLY - EA ACCIDENT $
OTHER THAN EA ACC $
ANY AUTO
AUTO ONLY: AGG $
EXCESSIUMBRELLA LIABILITY
EACH OCCURRENCE $ 5,000,000
B
OCCUR CLAIMS MADE
BE063820588
6/9/2009
5/10/2010
AGGREGATE $ 5,000,000
$
DEDUCTIBLE
X RETENTION $ 10,000
$
C
WORKERS COMPENSATION AND
EMPLOYERS' LIABILITY
ANY PROPRIETOR/PARTNER/EXECUTIVE
OFFICER/MEMBER EXCLUDED?
WEN002992602
_
9/11/2008
9/11/2009
X WC STATU- OTH-
TORY LIMITS I I ER
E.L. EACH ACCIDENT $ 1,000,000
E.L. DISEASE - EA EMPLOYEq $ 1,000,000
If es, describe under
SPECIAL PROVISIONS below
E.L. DISEASE - POLICY LIMIT $ 1,000,000
OTHER
DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS
10 day notice of cancellation applied for nonpayment of premium
Re: Landscape maintenance along the pathway at Foothill College and EI Monte Road. Town of Los Altos Hills is named additional insured in
respect general liability per attached'.
L;LK I II-IUA I t HL)LULK
Town of Los Altos Hills
26379 Fremont Road
Los Altos Hills, CA 94022 -
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
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 C�M �.^
ACORD 25 (2001108) 0 ACORD CORPORATION 1988
T&LLAND-01 ADNI
IMPORTANT
If the certificate holder is an ADDITIONAL INSURED, the policy(ies) 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 26 (2001/08)
POLICY NIJMBER: CBP8656577 CG 20 10 07 04
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
k11tP1111 - 4?A'
CONTRACTORS - SCHEDULED PERSON OR.
ORGANIZATION
"!'his endorsement modifies insurance provided under the following:
COMMERCIAL GENERAL LIABILITY COVERAGE PART
SCIIEDULE
Name Of Additional Insured Person(s)
Or Organization(s):
Location(s) Of Covered Operations
Town ofLos Altos Hills
Landscape maintenance along the pathway
26379 Fremont Road
at Foothill College and El Monte Road
Los Altos Hills, CA. 94022
Information required to cmilplete this Schedule, if not shown above, will
be shown in the Declarations.
A. Section I:1— Who is An Insured is amended
to include as an additional insured the
person(s) or organization(s) shown in the
Schedule, but only with respect to liability for
"bodily injury", "property damage" or
"personal and advertising injury" caused, in
whole or in part, by:
1. Your acts or omissions; or
2. The acts o.r. omissions of those acting on
your behalf;
in the performance of your ongoing
operations for additional insured(s) at the
location(s) designated above.
B. With respect to the insurance afforded to
these additional insureds, the following
additional exclusions apply:
This insurance does not apply to "bodily injury"
or "property damage" occurring after:
I. Afl. work, including materials, parts or
equipment furnished in connection with
such work, on the project (other than
service, maintenance or repairs) to be
performed by or on behalf of the additional
insured(s) at the location of the covered
operations has been completed; or
2. That portion of "your work" out of which
the injury or damage arises has been put to
its intended use by any person. or
organization other than another contractor
or subcontractor engaged in performing
operations for a principal as a part of the
same project.
CG 20 10 07 04 @ ISO Properties, Inc., 2004 Page 1 of 1