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22-001 James Colvin Amendment #3 dated 4-29-25 for Fitness Instruction1 THIRD AMENDMENT TO AGREEMENT 22-001 BETWEEN THE CITY OF CUPERTINO AND JAMES COLVIN FOR FITNESS INSTRUCTION This Third Amendment to Agreement 22-001 is by and between the City of Cupertino, a municipal corporation (hereinafter "City") and JAMES COLVIN, a Sole Proprietorship/Individual (“Contractor”) whose address is and is made with reference to the following: RECITALS: A. On July 12, 2022, Agreement 22-001 (“Agreement”) was entered into by and between City and Contractor for Fitness Instruction. B. On March 16, 2023, City and Contractor agreed to the First Amendment for Fitness Instruction. C. On July 1, 2024, City and Contractor agreed to the Second Amendment for Fitness Instruction. D. The Agreement, First Amendment, and Second Amendment are collectively referred to as the Agreement unless otherwise indicated. E. City and Contractor desire to modify the Agreement on the terms and conditions set forth herein. NOW, THEREFORE, it is mutually agreed by and between the undersigned parties as follows: 1. Paragraph 4 of the Agreement is modified to read as follows: Compensation. City will pay Contractor for satisfactory performance of the Services an amount that will be based upon actual costs but that will be capped so as not to exceed $109,000.00 (“Contract Price”), based upon the Scope of Services, budget, performance schedule, and rates included in Exhibit A. The maximum compensation includes all costs, expenses, and reimbursements and will remain in place even if Contractor’s actual costs exceed the capped amount. Contractor must submit invoices and the information required in Exhibit A in order to receive payment. City will compensate Contractor within thirty (30) days after approval of written invoices. Invoices are subject to review and audit by City during regular business hours upon 24 hours’ notice. Contractor must maintain complete and accurate records of payrolls, expenditures, disbursements and other cost items charged to City or establishing the basis for an invoice, for a minimum of four (4) years from the date of the final payment. 2. Exhibit A of the Agreement is modified as follows, under the following section(s): Compensation for CONTRACTOR Services The total compensation to the Contractor shall not exceed $109,000.00. 3. Except as expressly modified herein, all other terms and covenants set forth in the Agreement shall remain the same and shall be in full force and effect. 2 IN WITNESS WHEREOF, the parties hereto have caused this modification of Agreement to be executed. CITY OF CUPERTINO By Title Date APPROVED AS TO FORM Interim City Attorney ATTEST: City Clerk Date JAMES COLVIN By Title Date EXPENDITURE DISTRIBUTION Item PO Number Amount Base Amount 2023-75, 2024-113, 2025-135 40,000.00 Amendment 1 28,000.00 Amendment 2 27,000.00 Amendment 3 14,000.00 - - 109,000.00 Apr 28, 2025 Fitness Instructor Apr 29, 2025 Director of Parks and Recreation Apr 29, 2025 Updated 06/23/21 EXHIBIT C AFFIDAVIT OF NO EMPLOYEES State of California County of Santa Clara City of Cupertino I, the undersigned, declare as follows: I am an independent contractor and the owner of JAMES COLVIN . I wish to enter into a services contract with the City of Cupertino. I am fully aware of the provisions of section 3700 of the California Labor Code, which requires every employer to provide Workers' Compensation coverage for employees in accordance with the provisions of that Code. I am also aware that I must provide proof of workers’ compensation insurance to the City of Cupertino for any and all employees I may have, pursuant to Section 12 of the City of Cupertino’s contract. I hereby certify that I do not have any employees nor will I have any employees working for me or my business during the term of any service contract with the City of Cupertino. I am not required to have Workers’ Compensation insurance. I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct. Executed on this ____day of ____________, 2025, at , California. ______________________________ PRINT NAME ______________________________ SIGNATURE Jim Colvin CupertinoApril28 Fitness Instruction Final Audit Report 2025-04-29 Created:2025-04-17 By:Webmaster Admin (webmaster@cupertino.org) Status:Signed Transaction ID:CBJCHBCAABAAQRYMUTmBRHZEmWdoDYWAgBr1cD2rG4YD "Fitness Instruction" History Document created by Webmaster Admin (webmaster@cupertino.org) 2025-04-17 - 2:30:36 PM GMT- IP address: 35.229.54.2 Document emailed to Araceli Alejandre (aracelia@cupertino.org) for approval 2025-04-17 - 2:32:29 PM GMT Email viewed by Araceli Alejandre (aracelia@cupertino.org) 2025-04-17 - 2:33:37 PM GMT- IP address: 44.203.221.169 Document approved by Araceli Alejandre (aracelia@cupertino.org) Approval Date: 2025-04-17 - 5:17:19 PM GMT - Time Source: server- IP address: 71.202.76.156 Document emailed to Jim Colvin ( for signature 2025-04-17 - 5:17:22 PM GMT Email viewed by Jim Colvin ( 2025-04-28 - 6:22:00 PM GMT- IP address: 70.134.60.126 Document e-signed by Signature Date: 2025-04-28 - 6:28:54 PM GMT - Time Source: server- IP address: 70.134.60.126 Document emailed to Floy Andrews (floya@cupertino.gov) for signature 2025-04-28 - 6:28:57 PM GMT Email viewed by Floy Andrews (floya@cupertino.gov) 2025-04-28 - 6:29:05 PM GMT- IP address: 3.236.37.132 Document e-signed by Floy Andrews (floya@cupertino.gov) Signature Date: 2025-04-29 - 0:11:56 AM GMT - Time Source: server- IP address: 24.6.67.144 Document emailed to Rachelle Sander (rachelles@cupertino.org) for signature 2025-04-29 - 0:11:59 AM GMT Email viewed by Rachelle Sander (rachelles@cupertino.org) 2025-04-29 - 0:12:26 AM GMT- IP address: 44.193.201.69 Document e-signed by Rachelle Sander (rachelles@cupertino.org) Signature Date: 2025-04-29 - 3:19:01 PM GMT - Time Source: server- IP address: 64.165.34.3 Document emailed to Kirsten Squarcia (kirstens@cupertino.org) for signature 2025-04-29 - 3:19:03 PM GMT Email viewed by Kirsten Squarcia (kirstens@cupertino.org) 2025-04-29 - 3:19:11 PM GMT- IP address: 44.201.61.28 Document e-signed by Kirsten Squarcia (kirstens@cupertino.org) Signature Date: 2025-04-29 - 4:03:53 PM GMT - Time Source: server- IP address: 64.165.34.3 Agreement completed. 2025-04-29 - 4:03:53 PM GMT