Loading...
HomeMy WebLinkAboutStein Mark and Diana; 2009-01-28;AMENDMENT NO. 1 TO EXTEND AND AMEND AGREEMENT FOR AGREEMENT FOR INDEPENDENT CONTRACTOR RESIDENT CARETAKER(S) LEO CARRILLO RANCH HISTORIC PARK - MARK STEIN AND DIANA STEIN This Amendment No. 1 is entered into and effective as of the -s4 day of Y Jkn W~V , 2010, extending and amending the agreement dated aBl dooq (the "Agreement") by and between the City of Carisbad, a Anicipal coUrporation, ("City"), and Mark Stein and Diana Stein, ("Contractor") (collectively, the "Partiesn) for The Position of Resident Caretakers - Leo Carrillo Ranch Historic Park. RECITALS A. On January 28, 2009, the Parties executed an agreement for Independent contractor Resident caretakers Carrillo Ranch; and B. The Parties desire to alter the Agreement's scope of work to extend and fund the Agreement for a period of one year; and NOW, THEREFORE, in consideration of these recitals and the mutual covenants contained herein, City and Contrador agree as follows: 1. That the Agreement, as may have been amended from time to time, is hereby extended for a period of one year ending on Januanr 28, 2011 on a time and materials basis not-to-exceed five thousand dollars {$5,000). 2. All other provisions of the Agreement, as may have been amended from time to time, will remain in full force and effect. 3. All requisite insurance policies to be maintained by the Contractor pursuant to the Agreement, as may have been amended from time to time, will include coverage for this Amendment. City Attorney Approved Version #05.22.01 4. The individuals executing this Amendment and the instruments referenced in it on behalf of Contractor each repmsent and warrant that they have the legal power, right and actual authority to bind Contractor to the terms and conditions of this Amendment. CONTRACTOR CITY OF CARLSBAD, a municipal corporation of the State of California . (sign here) Citf Manager-wMyor fiAlzkU.5 2751 (print namehitle) Id ATTEST: markskcin 3g PIAC.~~ (e-mail address) sign here) (print name/title) dtaul~. P.I/SW&LC@~~~MW% (e-mail address) v City Clerk If required by City, proper notarial acknowledgment of execution by contractor must be attached. If a Corporation, Agreement must be signed by one corporate officer fmm each of the following two groups. *Group A. Chairman, President, or Vice-President **Group B. Secretary, Assistant Secretary, CFO or Assistant Treasurer Otherwise, the corporation must attach a resolution certified by the secretary or assistant secretary under corporate seal empowering the officer(s) signing to bind the corporation. APPROVED AS TO FORM: n City Attorney Approved Version M5.22.01 2 CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT State of California I County of On I " b? a - / 0 before me, Date personally appeared 3 I o nu 5 h 1 n MGC*~&G C%W Name($ of Signer@) who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s)yrfare subscribed to the within instrument and acknowledged to me that @/$elthey executed the same in M's/Mr/their authorized capacity(ies), and that by hidlhdltheir signature($ on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument. I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is Cornmisalon # 1 727064 true and correct. Place Notary Seal Above S~gnature of Notary Publ~c Though the information below is not required by law, it may prove vdable to petSbns relying on the document and could prevent fraudulent removal and reattachment of this form to another document. Description of Attached Document Title or Type of Document: Document Date: Number of Pages: Signer(s) Other Than Named Above: Capacity(ies) Claimed by Signer(s) Signer's Name: Individual Corporate Officer - Title(s): Partner - Limited General Attorney in Fact 0 Trustee Guardian or Conservator Other: Signer's Name: Individual Corporate Officer - Title(s): Partner - Limited General Attorney in Fact Trustee Guardian or Conservator Other: Signer Is Representing: Signer Is Representing: ' - 02007 Nat~onal Notary Association* 9350 De Soto Ave., pO.Box 2402 ~Chatsworth, CA 91313-2402. www.NationalNotary.org Item #5907 Re0rder:CallToll-Free 1-800-876-6827 The City of Carlsbad AGREEMENT FOR INDEPENDENT CONTRACTOR RESIDENT CARETAKER(S) LEO CARRILLO RANCH HISTORIC PARK This Agreement for Independent Contractor Resident Caretaker (Agreement) is entered into on ^H? SHJJJLAJUI^ ^ & £LQQ °\ between the City of Carlsbad (City) and Mark and Diana (gtein, for the position of Resident Caretaker(s) at the Leo Carrillo Ranch Historic Park. WHEREAS, the City owns and operates parks throughout the City of Carlsbad, including Leo Carrillo Ranch Historic Park; and WHEREAS, the City has a Resident Caretaker program that is administered by the Recreation Department (Department) whereby the City contracts for an Independent Contractor to provide 25 - 30 hours of work service per week at Leo Carrillo Ranch Historic Park, 6200 Flying LC Lane, Carlsbad, CA, 92009 (Property) in exchange for an annual stipend and the financial benefit of living in the City owned residence located on the Property; and WHEREAS, the City desires to procure an Independent Contractor to be the Resident Caretaker of the Property and to provide 25-30 hours of work per week at the Property, and WHEREAS, the City will compensate the Independent Contractor (Resident Caretaker) with an annual stipend and to use and occupy an unfurnished two bedroom/two bathroom manufactured home (Residence), with all utilities paid as compensation for the work performed on the Property; and WHEREAS, the purpose of this Agreement is to set forth the terms and conditions that will govern the relationship of the parties and the work to be performed by the Resident Caretaker(s) while occupying the Residence. NOW, THEREFORE, the parties agree as follows: 1. The Resident Caretaker(s) is/are not City employee(s) and this Agreement shall not be construed to create an employer-employee relationship. The parties acknowledge and agree that the Resident Caretaker(s) is an Independent Contractor hired to perform the services at the Property as described herein. Resident Caretaker(s) will be under the control of City only as to the results to be accomplished. -1- 2. The Resident Caretakers) shall provide the services as detailed below. It is estimated that the Resident Caretaker(s) will spend approximately 25-30 hours of service per week at the Property. It is understood that the Resident Caretaker shall be responsible for the end results; and that it is conceivable that depending on the Resident Caretakers efforts, it may take more or less than the estimated number of hours per week to perform the services required under this Agreement. The Resident Caretaker's scope of duties shall include: Grounds Maintenance: Raking, sweeping, and trash collection associated with pre- and post special events and facility rentals at the Property Building and Facility Maintenance: Restroom cleaning, reflecting pool cleaning and maintenance; maintain Residence, and surrounding grounds in good condition "Eyes and Ears" Security and Non-confrontational Patrol: Patrol, surveillance, and condition report of the Property and structures within the designated park boundaries, and respond to building alarms unless personal safety is at risk The Resident Caretaker(s) shall meet with the Department's Recreation Services Manager, at least once per month, to discuss any specific issues or tasks that the Recreation Services Manager needs addressed/completed by the Resident Caretaker(s). The City may, in its sole discretion, provide tools and equipment to the Resident Caretaker(s) to assist the Resident Caretaker(s) in the performance of his/her duties. The parties agree that should the City provide any tools and equipment to the Resident Caretaker(s) for use in performing the Resident Caretaker's services, the City's providing of tools and equipment shall not create an employee-employer relationship, hi the event that the Resident Caretaker uses any tools or equipment provided by the City, Resident Caretaker shall be solely responsible for any loss or damage to the tools or equipment and shall replace or repair the lost or damaged tools or equipment provided by the City. 3. The City will provide an unfurnished two bedroom/two bathroom (1,752 square foot) manufactured Residence on the Property where the Resident Caretaker(s) may live, and a $5,000 annual stipend payable in equal monthly installments. Utilities will be provided (water and electricity) at no cost to the Resident Caretaker(s). The appraised value of lodging ($19,200) and the yearly stipend ($5,000) provided by the City of Carlsbad will be reported annually to the Internal Revenue Service (IRS) on form 1099-MISC and state Franchise Tax Board. -2- 4. Resident Caretakers) shall not make any improvements or other modifications to the Residence or to the Property without the express written consent of the City. Violation of this section shall be grounds for immediate termination of this Agreement. 5. Security Deposit. The Resident Caretaker(s) shall post to the City, prior to occupancy of the Residence, a security deposit hi the sum of one thousand ($1,000.00) dollars, the receipt of which is hereby acknowledged as having been heretofore deposited with the City in conjunction with the Agreement of January 14,2009, to be held as security for any damages to the Residence, or as payment, in whole or in part, for any costs or expenses incurred by the City resulting from the failure of the Resident Caretaker(s) to surrender the Residence and the surrounding premises in the condition described hi Paragraph 18 herein. Unless withheld by the City, hi whole or in part, by reason of any damage to the Residence, the security deposit shall be returned to the Resident Caretaker(s) within thirty (30) days after the termination of this Agreement, provided that the Resident Caretaker(s) has delivered to the City a forwarding address, hi writing, at or prior to the date the Resident Contractor(s) surrendered the Residence to the City. 6. Liability Insurance. Resident Caretaker shall have personal liability insurance to cover the use and occupancy of the Residence on the Property, in an amount of not less than $500,000. The City of Carlsbad shall be added as Additional Insured by separate endorsement. All Risk Insurance. A standard fire policy including all risk or special form perils, providing Replacement Cost Coverage, without deduction for depreciation for (i) Resident Caretaker's personal property, (ii) fixtures owned by Resident Caretaker, and (iii) any items identified hi this Agreement as improvements to the Residence constructed and owned by Resident Caretaker(s). The deductible for the required fire insurance policy shall not exceed $1,000 per occurrence and shall be borne by the Resident Caretaker(s). Incidental Worker's Compensation. A policy of California Workers' Compensation coverage hi statutory amount and Employer's Liability coverage for no less than $500,000 per occurrence for all employees of the Resident Caretaker(s) engaged hi services or operations at the direction of Resident Caretaker(s) at the Residence and/or Property. Evidence of Insurance. No later than the effective date of the Agreement, Resident Caretaker(s) shall provide to the City a certificate of insurance and copy of the General Liability Additional Insured endorsement. Thereafter, certificates and separate Additional Insured endorsement shall be provided to the City within 30 days of expiration of the required policy. -3- Policy Provisions. Resident Caretaker(s) shall provide the City with at least 30 days written notice before any cancellation, lapse, reduction or other adverse change in the insurance policies specified above is effective. Ten-day notice of cancellation for non-payment of premium is acceptable. Right to Review. The City retains the right to review the coverage, form and amount of insurance required and may require Resident Caretaker(s) to obtain insurance reasonably sufficient in coverage, form and amount to provide adequate protection against the kind and extent of risk which exists at the time a change in insurance is required. City requirements shall be reasonable. City retains the right to receive a certified copy of any required insurance policy after 15 days notice to Resident Caretaker(s). 7. Resident caretaker(s) must be well groomed with a high standard of attire that is clean, neat and professional in appearance at all times. Resident Caretaker(s) must wear name tags provided while performing duties at the Property. 8. The Resident Caretaker(s) will comply with all state and federal laws and City laws and policies regarding appropriate behavior while under contract with the City. This includes The City's Respectful Workplace Policy valuing respectfulness at all City Facilities, and prohibits any form of discrimination and harassment that would otherwise conflict with these values. The Resident Caretaker(s) will conduct him/herself with the highest standards of professional and ethical conduct. Resident Caretaker(s) shall not, for personal benefit, use the name, emblem, endorsement, services or property of the City, nor seek any financial advantage or gain as the result of City affiliation. Resident Caretaker(s) may not utilize any City affiliation in connection with the promotion of partisan policies, religious matters or positions on any issue not in conformity with the position of the City. Disclosure of confidential City information that is available solely as a result of your Resident Caretaker efforts is prohibited. 9. Resident Caretaker(s) is responsible for monitoring their own work per week and keeping accurate records. If a dispute arises over the performance of this Agreement, the City reserves the right, but not the obligation, to audit the Resident Caretaker(s) hours. Misrepresentation of the hours worked or services performed shall be grounds for immediate termination of this Agreement. 10. It is the policy of the City to promote a safe work environment for all. In support of this policy, the City takes the position that a threat of violence or any violent act at Leo Carrillo Ranch Historic Park is in no way permitted. All threats or acts of violence will be taken seriously and acted upon. -4- Personal safety is of paramount importance. The City never wants to put a Resident Caretaker(s) in harm's way. If you feel the situation is unsafe in any way, please remove yourself from the danger. This includes the "eyes and ears" responsibility under this Agreement. The Recreation Services Manager is expected to educate and enforce the safety rules for all persons, including Resident Caretaker(s) at Leo Carrillo Ranch Historic Park. If you are unfamiliar with any City equipment or observe a safety hazard, please contact the Recreation Services Manager. Safety is everyone's responsibility. 11. City will evaluate Resident Caretaker's duties pursuant to this Agreement to determine whether disclosure under the Political Reform Act and City's Conflict of Interest Code is required of Resident Caretaker(s). Should it be determined that disclosure is required, Resident Caretaker(s) will complete and file with the City Clerk those schedules specified by City and contained in the Statement of Economic Interests Form 700. Resident Caretaker(s) warrants that by execution of this Agreement, that they have no interest, present or contemplated, in the projects affected by this Agreement. Resident Caretaker(s) further warrants mat Resident Caretaker(s) does not have any ancillary real property, business interests or income that will be affected by this Agreement or, alternatively, that Resident Caretaker(s) will file with the City an affidavit disclosing this interest. 12. Resident Caretaker(s) warrants that he/she possess sufficient strength and stamina to lift, carry and manipulate objects weighing up to 25 pounds and to perform sustained physical labor. Further that he/she is willing to work outdoors in all weather conditions, and be exposed to potentially hazardous conditions. 13. If at any time after the effective date of this Agreement, any Resident Caretaker(s) who develops a condition or circumstance that might adversely impact the performance of their duties should notify the Recreation Services Manager immediately. 14. Resident Caretaker(s) is/are responsible for his/her own self employment, income and other taxes that may be incurred as a result of this Agreement. For purposes of federal and state income tax, the City will report to the federal and state taxing authorities the fair market value of the Resident Caretaker's residence, utilities and annual stipend as the total value of the compensation received by the Resident Caretaker(s) under this Agreement. 15. Resident Caretaker(s) is/are responsible for his/her own benefits, not otherwise specifically provided for in this Agreement. -5- 16. Termination. Termination of Agreement for Cause: The City may terminate this Agreement for cause without any ability to cure a breach. These grounds may include, but are not limited to: • Substance abuse, stealing, physical and verbal abuse, weapons hi the park, or any criminal activity. • Performance, behavior or conduct incompatible with City goals, objectives or mission. Termination of Agreement for Noncompliance: The City may terminate this Agreement for noncompliance, upon written notice of termination to the Resident Caretaker(s). Termination for noncompliance includes without limitation, when the Resident Caretaker(s) has failed to fulfill his/her obligations under this Agreement. In such an event, said termination may either be effective immediately or City may, in its sole discretion allow an opportunity for the Resident Caretaker(s) to cure the breach within 5 days of the notice of termination. In the event of immediate termination, Resident Caretaker(s) shall immediately vacate the City owned Residence located at 6200 Flying LC Lane, Carlsbad, CA, 92009. Examples of noncompliance may include, but are not limited to: • Ineffective/deficient work performance • Failure to adhere to scope of work outlined hi Paragraph 2 of Agreement • Inability to get along with staff or the public • Inability to perform j ob • Unexcused or extensive absences from the Property 17. At termination of the Agreement, the Resident Caretaker(s) shall vacate the residence on the Property IMMEDIATELY WITHOUT FURTHER NOTICE. To vacate the Residence, the Resident Caretaker(s) shall remove all of his/her personal property and move any personal vehicles out of the park. Any and all personal property not removed by the Resident Caretaker(s) after termination may be disposed of by the City pursuant to law. 18. The Resident Caretaker(s) acknowledges that: (i) he/she is not a tenant of the City; (ii) this Agreement does not convey an estate or other possessory interest in real property or the Residence; (iii) his/her occupancy of the City owned Residence on the Property is incidental to his/her status as a Resident Caretaker(s); (iv) upon or at termination of the Agreement, the Resident Caretaker(s)' right to occupy the Residence on the Property is -6- automatically terminated and simultaneously surrendered without further notice or grounds; and. (v) Resident Caretaker(s) is not entitled to any relocation benefits upon or at the termination of Agreement. 19. The Resident Caretaker(s) shall keep the Residence and the surrounding grounds adjacent to the Residence clean and orderly at all times. This shall include, but not be limited to the following: • A neat, clutter-free interior and exterior, with Fire Code approved accessibility and storage of household hazardous materials; • Sanitary conditions within the interior and exterior, compliant with all applicable Health Code provisions; • Interior window coverings that do not permanently block natural light or ventilation to the residence; • A litter-free and debris-free exterior porch/patio, with proper maintenance of all wood surfacing; • A dirt and dust rinsed exterior, which will include all siding, doors, and windows; • A healthy, adequately watered, fertilized, and maintained exterior landscape, and; • The lack of storage of abandoned/inoperable vehicles, trailers, equipment, or large tools on site. 20. The Resident Caretaker(s) shall not keep any pets or other animals at the Residence or on the Property without first obtaining the written permission of the Recreation Services Manager. Dogs are prohibited on park property (CMC § 11.32.030(23)). 21. The Resident Caretaker(s) shall not park or store a non-operable vehicle of any kind at the Residence or on the Property. 22. The Resident Caretaker(s) may park no more than two vehicles at the Residence or on the Property. Each vehicle shall be registered to the Resident Caretaker(s) and the Resident Caretaker(s) shall maintain insurance on each vehicle in accordance with California law. Resident Caretaker(s) may, at their sole discretion, insure the vehicle(s) in an amount greater than the State of California minimum insurance requirements. For the purposes of this Agreement, the term "vehicle" shall mean a passenger vehicle or motorcycle only; vehicle does not include trucks or vehicles used for recreation, such as, recreational vehicles, boats, off-road all-terrain style vehicles or the like. One additional vehicle may be allowed for registered overnight guests. 23. The Resident Caretaker(s) shall not have anyone, other than minor children for which he/she/they is/are the parent or legal guardian, living with him/her/them, unless the Resident Caretaker(s) first: (i) obtains the written -7- permission of the City Manager for each person who will be living with the Resident Caretaker(s); and (ii) each person who will be living with the Resident Caretaker(s) signs an Acceptance of Non-Tenant Status. 24. All overnight guests visiting the site must be registered in advance with the Recreation Services Manager. A maximum of two overnight guests will be authorized at any one time (not to exceed a total of eight guests per calendar year), and are limited to a 14 day stay each, per calendar year. For the purposes of this section, the term "guest" means a person over the age of five years. 25. The Park's Conditional Use Permit (CUP) requires that designated quiet hours must be observed. Quiet hours are 8:00 p.m. to 7:30 a.m. Sunday through Thursday, and 10:00 p.m. to 7:30 a.m. on Friday and Saturday. 26. Resident Caretaker(s) shall be required to remain on the Property 50 weeks per year. Resident Caretaker(s) will provide a minimum of two weeks written notice to the Recreation Services Manager as to the dates that the Resident Caretaker will be off the Property. 27. The Recreation Services Manager is responsible for conducting a review of the Resident Caretaker(s) adherence to the Agreement and scope of work. This review will be used, in part, to determine whether the Agreement should be extended for an additional term. 28. The term of this Agreement shall be one year, from January 14, 2009, through January 14,2010. This Agreement may be extended for two additional one year terms, or a portion thereof, so long as the parties execute a written amendment amending the term of this Agreement. Resident Caretaker Resident Caretaker City Manager for the City of Carlsbad ATTEST:Approvl^ 1 as to Form RONAi»EWR, BALL, City Attorney Assistant City Attorney -8- CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT State of California County of _y On ij gfl Date personally appeared before me, C-^.r\ Here InsertName and Tfrle oi theOfficer Kj _Name(s) of Signer(s) X)i'ajn<v iSKtV \e^v , _ ) SHEILA RENAE COHAN Commission i 1539531 Notary Pubfc - CoJtfomia San Diego County who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is^r^ subscribed to the within instrument and acknowledged to me that ho/chtffihe^ executed the same in bie/he0hei?) authorized capacityljes), and that by his/hen^ejr^ignature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument. I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. WITNESS my hand and official seal. Place Notary Seal Above Signature OPTIONAL - Though the information below is not required by law, it may prove valuable to persons relying on the document and could prevent fraudulent removal and reattachment of this form to another document. Description of Attached Document Title or Type of Document: Document Date:. Number of Pages: Signer(s) Other Than Named Above: Capacity(ies) Claimed by Signer(s) Signer's Name: H Individual D Corporate Officer — Title(s): D Partner — D Limited D General D Attorney in Fact D Trustee D Guardian or Conservator D Other: RIGHTTHUMBPRINT OF SIGNER Top of thumb here Signer Is Representing:. Signer's Name: D Individual D Corporate Officer — Title(s): D Partner — D Limited D General D Attorney in Fact D Trustee D Guardian or Conservator D Other: Signer Is Representing: RIGHTTHUMBPRINT OF SIGNER Top of thumb here ©2007 National Notary Association • 9350 De Soto Ave., P.O. Box 2402 • Chatsworth, CA 91313-2402 • www.NationalNotary.org Item #5907 Reorder: Call Toll-Free 1 -800-876-6827 CERTIFICATE OF EXEMPTION FROM WORKERS COMPENSATION/ EMPLOYERS' LIABILITY INSURANCE We, Mark and Diana Stein, are the sole proprietors of Signature Surroundings. I hereby certify that Signature Surroundings has no employees and is not required by law to maintain workers compensation or employers' liability insurance. Should Signature Surroundings employ any person during the term of the Agreement with the City of Carlsbad for Agreement for Independent Contractor Resident Caretaker Leo Carrillo Ranch Historic Park, then workers compensation and employers' liability insurance will be obtained. Executed on this 14th day of January 2009 . at Carlsbad California. Mark Stein Signature Surroundings Diana Stein Signature Surroundings CITY ATTORNEY APPROVED VERSION 09.05.01 REQUEST FORM - AUTO LIABILITY FACTORS IN SUPPORT OF REQUEST TO MODIFY AUTOMOBILE INSURANCE REQUIREMENT(S) Generally, a modification to the coverage requirement will be accepting a lower limit of coverage or waiving the requirement(s) entirely. Requested by: Mick Calarco, Recreation Services Manager, Leo Carrillo Ranch Historic Park December 30.2008 (Date) The proposed modification(s) to the insurance requirement for Resident Caretaker is: a Coverage in the amount of: $ X Waiver Requested FACTOR(S) IN SUPPORT OF MODIFICATION(S) a Category Assumptions) NA: Category assumptions are not applicable.* X No Auto Use Required: All work is done off-site and/or requires no use of an automobile.* a Amount of driving required: Occasional meetings with staff or one/few site visits for a service such as maintenance.* a Significance of Contractor: Contractor has previous experience with the City that is important to the efficiency of completing the scope of work and the quality of the work-product.* a Significance of Contractor: Contractor has unique skills and there are few if any alternatives. * X Contract Amount/Term of Contract: $5.000. Work will be completed over a period of one year.* a Other*: "Employment" below must be completed. Employment: There is a negligible chance that the City will be liable for damages related to a vehicle accident because the risk of a finding that the Contractor is employed by the City is negligible. Approved by City Attorney for this contract only: (Signature) (Date) CITY OF CARLSBAD RECREATION DEPARTMENT LEO CARRILLO RANCH HISTORIC PARK 6200 Flying LC Lane Carlsbad, CA 92009 ACKNOWLEDGEMENT OF INDEPENDENT CONTRACTOR STATUS AGREEMENT We, the undersigned agree and understand that any work we perform at Leo Carrillo Ranch Historic Park ("Property") on behalf of the City of Carlsbad will be provided by me as an independent contractor. We agree that we will not expect or receive any compensation other than what is provided for in the License Agreement for Resident Caretaker(s) Agreement that is concurrently signed herewith for performing such work, we further understand and agree that my position as an independent contractor does not constitute an employee-employer relationship with the City of Carlsbad and that we serve at the discretion of die Director. We understand that we are not entitled to any relocation benefits upon the termination of my independent contractor status and to the extent that any relocations benefits are required under any applicable law, we hereby waive any and all relocation benefits. We understand that as an independent contractor, we are responsible for providing for all of my own needs, including without limitation, paying for my own health and insurance benefits and all federal and state income taxes. In the event that my spouse or significant other reside with me on the Property and is not designated as a joint caretaker of the Property, we acknowledge that we are responsible as the sole caretaker of the Property. / ' I f ^7 Signature of Independent Contractor Date Name of Independent) Contractor' jjtfgnature of Joint Independent Contractor Date ST~£ i Printed Name of Joint Independent Contractor Recreation Services Manager Date