21-212 Amendment #1 dated 6-26-24 Ming Fin Lee for Chinese Brush Painting Instruction1
FIRST AMENDMENT TO AGREEMENT 21-212
BETWEEN THE CITY OF CUPERTINO AND MING FEN
LEE FOR CHINESE BRUSH PAINTING INSTRUCTION
This First Amendment to Agreement 21-212 is by and between the City of Cupertino, a
municipal corporation (hereinafter "City") and MING FEN LEE, a Sole Proprietorship/Individual
(“Contractor”) whose address is 4671 ALBANY CIRCLE #128, SAN JOSE, CA 95129, and is made
with reference to the following:
RECITALS:
A. On September 15, 2021, Agreement 21-212 (“Agreement”) was entered into by and
between City and Contractor for Chinese Brush Painting Instruction.
B. 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 3 of the Agreement is modified to read as follows:
Term. This contract begins on the Effective Date and ends on 06/30/2026 (“Contract
Time”), unless extended or terminated as provided herein. Time is of the essence and
Contractor must have sufficient time, resources, and qualified staff to deliver the Services
as required. Contractor must promptly notify City of any actual or potential delays to afford
the Parties adequate opportunity to address or mitigate such delays. The City’s appropriate
department head or the City Manager may extend the Contract Time through a written
amendment to this Agreement, provided such extension does not include additional contract
funds. Extensions requiring additional contract funds are subject to the City’s purchasing
policy.
2. 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.
SIGNATURES CONTINUE ON THE FOLLOWING PAGE
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
City Attorney
ATTEST:
City Clerk
Date
MING FEN LEE
By
Title
Date
EXPENDITURE DISTRIBUTION
Item PO Number Amount
Base Amount 2022-209, 2023-66, 2024-63 36,000.00
Amendment 1 0.00
- - 36,000.00
MingLee
Brush painting instructor
Jun 26, 2024
Christopher D. Jensen
Director of Parks and Recreation
Jun 26, 2024
Jun 26, 2024
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 Ming Fen Lee.
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 ____________, 2024, at , California.
______________________________
PRINT NAME
______________________________
SIGNATURE
MingLee
26 June San Jose
MingLee
Chinese Brush Painting Instruction
Final Audit Report 2024-06-26
Created:2024-06-25
By:Webmaster Admin (webmaster@cupertino.org)
Status:Signed
Transaction ID:CBJCHBCAABAAwYDJIqI5gxyTBwdWYJkJbTDxyCzF5SV_
"Chinese Brush Painting Instruction" History
Document created by Webmaster Admin (webmaster@cupertino.org)
2024-06-25 - 11:02:12 PM GMT- IP address: 35.229.54.2
Document emailed to Araceli Alejandre (aracelia@cupertino.org) for approval
2024-06-25 - 11:02:59 PM GMT
Document approved by Araceli Alejandre (aracelia@cupertino.org)
Approval Date: 2024-06-25 - 11:07:10 PM GMT - Time Source: server- IP address: 71.204.144.228
Document emailed to minglee_06@yahoo.com for signature
2024-06-25 - 11:07:11 PM GMT
Email viewed by minglee_06@yahoo.com
2024-06-26 - 4:22:08 PM GMT- IP address: 146.75.154.0
Signer minglee_06@yahoo.com entered name at signing as MingLee
2024-06-26 - 5:18:04 PM GMT- IP address: 98.248.114.31
Document e-signed by MingLee (minglee_06@yahoo.com)
Signature Date: 2024-06-26 - 5:18:06 PM GMT - Time Source: server- IP address: 98.248.114.31
Document emailed to Christopher Jensen (christopherj@cupertino.org) for signature
2024-06-26 - 5:18:08 PM GMT
Email viewed by Christopher Jensen (christopherj@cupertino.org)
2024-06-26 - 5:27:13 PM GMT- IP address: 104.47.73.126
Signer Christopher Jensen (christopherj@cupertino.org) entered name at signing as Christopher D. Jensen
2024-06-26 - 5:28:15 PM GMT- IP address: 64.165.34.3
Document e-signed by Christopher D. Jensen (christopherj@cupertino.org)
Signature Date: 2024-06-26 - 5:28:17 PM GMT - Time Source: server- IP address: 64.165.34.3
Document emailed to Rachelle Sander (rachelles@cupertino.org) for signature
2024-06-26 - 5:28:20 PM GMT
Email viewed by Rachelle Sander (rachelles@cupertino.org)
2024-06-26 - 5:28:52 PM GMT- IP address: 104.47.73.126
Document e-signed by Rachelle Sander (rachelles@cupertino.org)
Signature Date: 2024-06-26 - 5:29:07 PM GMT - Time Source: server- IP address: 64.165.34.3
Document emailed to Kirsten Squarcia (kirstens@cupertino.org) for signature
2024-06-26 - 5:29:09 PM GMT
Email viewed by Kirsten Squarcia (kirstens@cupertino.org)
2024-06-26 - 5:31:00 PM GMT- IP address: 104.47.74.126
Document e-signed by Kirsten Squarcia (kirstens@cupertino.org)
Signature Date: 2024-06-26 - 5:31:11 PM GMT - Time Source: server- IP address: 64.165.34.3
Agreement completed.
2024-06-26 - 5:31:11 PM GMT