Letter Of Agreement With Independent Contractor Template

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LETTER OF AGREEMENT WITH INDEPENDENT CONTRACTOR
DATE OF WORK OR
SERVICES TO BE
PERFORMED:
LOCATION OF WORK OR
SERVICES TO BE
PERFORMED:
DESCRIPTION OF WORK OR
SERVICES TO BE
PERFORMED:
COMPENSATION:
ADDITIONAL DETAILS:
THIS AGREEMENT is made as of this ______ day of __________________, ________, by and between
_____________________________ hereinafter called "Purchaser," and __________________________
hereinafter called "Independent Contractor" for the work or services described above and is subject to the
following conditions:
1.
The Independent Contractor agrees to conduct the performance of the work or services described
above in a workmanlike and professional manner and in conformity with all laws, rules, regulations and
codes of ethics binding upon or applicable to one doing the type of work or services provided for herein.
2.
It is agreed between the parties that the Independent Contractor will be responsible for his
equipment, transportation, insurance, and all of his own expenses in connection with the furnishing of the
work or services described above, and will pay his own and his employees' FICA and other taxes. As part
of this Agreement, the Independent Contractor warrants that he has sufficient Workers' Compensation
insurance in place to cover his employees working at the above location and performing the work or
services pursuant to or in connection with this Agreement.
3.
It is distinctly understood and agreed that the Independent Contractor is not an employee, servant
or agent of Purchaser, but is an Independent Contractor on his own.
PURCHASER
INDEPENDENT CONTRACTOR
____________________________________
______________________________________
Please sign and return both copies of this letter indicating your acceptance and approval of its contents.
nkf/u’writing/claims kit 9 (Rev.4/01)

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