Independent Contractor Agreement - Resort Sitters (Page 2 of 2) in pdf

Independent Contractor Agreement - Resort Sitters Page 2

5. I am a self-employed independent contractor.

I want to be an independent contractor, not an

employee, to have the benefits of controlling the details of my work, setting my own schedule,

deciding which appointments I accept, retaining the right to have my own babysitting clients and to

accept appointments from other babysitting referral agencies, and other benefits. I am not covered by

BI/RS workers’ compensation insurance or benefits for on-the-job injuries. I am not covered by BI/RS

unemployment insurance or benefits.

I am not covered by BI/RS liability insurance.

As a self-

employed independent contractor, I may obtain workers’ compensation, unemployment, liability

and/or any other type of insurance at my own expense.

______________________________________

(Independent Contractor Signature)

STATE OF COLORADO

COUNTY OF ____________________________

This document was subscribed and sworn before me on ________________ [date]

by ____________________________________ [printed name of independent contractor].

[Notary Seal, if any]:

_______________________________

(Signature of Notarial Officer)

Notary Public for the State of Colorado

My commission expires: ___________________

Page 2 of 2

Independent Contractor Agreement - Resort Sitters Page 2