Standard Services Contract

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STANDARD SERVICES CONTRACT
For Independent Contractors who are NOT Current Lamar Employees
With few exceptions you have the right to request, receive, review and correct information about yourself using this form
The undersigned Contractor(s) and Purchaser agree to the following terms and conditions for the provision of services, herein
described below, by the contractor(s):
(1) Date of Agreement: _________________________________________________
(2) Contractor name:
_____________________________________________________________________________________
Home Address:
_____________________________________________________________________________________
_____________________________________________________________________________________
(3) Taxpayer I.D. # or SS # as shown on attached W-9 form: ______________________________________________________
(4) Name of Purchaser: Lamar University
(5) Description of Services: _________________________________________________________________________________
________________________________________________________________________________________________________
(6) Dates & Times of Professional Services:
DATE
DAY
TIME
# OF HOURS
____________________
___________________
__________________
____________ _______
____________________
___________________
__________________
___________________
____________________
___________________
__________________
____________ _______
____________________
___________________
__________________
___________________
____________________
___________________
__________________
____________ _______
TOTAL _________ Hours X $ ____________ Per Hour = TOTAL DUE $______________
----- OR ----- $____________ Flat Fee
Additional expenses (travel/room etc.) please list and attach receipts: ________________________________________________
_______________________________________________________________________________________________________
TOTAL AMOUNT DUE FOR PROFESSIONAL SERVICES & EXPENSES: $ __________________
It is understood that the contractor(s) executes this agreement as an independent contractor and is not an employee of the
Purchaser and that the contractor(s) shall have the exclusive control over the means, method, and details of fulfilling the
obligation under this contract, except for the dates that the services are to be performed.
The contractor(s) agrees to perform and discharge all obligations as an independent contractor under any and all laws, whether
existing or in the future, in any way pertaining to the engagement hereunder, including but not limited to Social Security laws,
Workman’s Compensation Insurance, Income Taxes, State Employment Insurance taxes or contributions, Public Liability
Insurance; and contractor(s) will hold Purchaser harmless against any such laws as well as against Union claims for welfare
payments. Contractor(s) understands and agrees that the purchaser will make no payments for health insurance or other
employee benefits. Any controversies arising between the contractor(s) and the Purchaser pertaining to this contract shall be
resolved by the Courts of the State of Texas in the County of Jefferson.
The Purchaser, in signing this contract warrants that he/she signs as a properly authorized representative of Lamar
University/Lamar Institute of Technology and does not assume any personal liability for meeting the terms of the contract.
The payment for the above-described services will be reported at calendar year-end on a 1099 MISC to the Internal Revenue
Service. The contractor(s) copy of the 1099 will be mailed to the address as listed above.
Signed:_______________________________________________
_______________________________________________
Contractor
Date
Department
Date
If applicable, attach this completed form to a
_______________________________________________
F4.7 and a W-9 and forward to
Contract Administrator
Date
Accounts Payable
Form Revised 12.03.2015

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