Independent Contractor Invoice/pay Sheet Template (Page 3 of 3) in pdf

INDEPENDENT C ONTRACTOR – A GREEMENT/CONTRACT

BETWEEN

The California Dressage Society (Society), and __________________________, an independent

contractor (Contractor) enter into this Agreement as of the ____ day of__________, 2 0__.

The Independent Contractor shall be identified as follows:

Name:_______________________________________________________________________________

Business Name (doing business as):____________________________________________________________________

Check payable to (if different):_______________________________________________________________________

Type of Entity: (check one) ( ) Individual ( ) Sole proprietorship (

) Partnership/Corporation

Address:_____________________________________________________________________________

Telephone:_____________________________________SSN/EIN:______________________________

IN CONSIDERATION of the promises and mutual covenants and agreements contained herein, the parties agree as follows:

Identify s cope o f w ork h ere o r a ttach a s E xhibit A ): T he Contractor will __________________________________________

__________________________________. Contractor will report directly to _______________ o r an assigned designee of the Society in connection with

the performance of the duties under this Agreement and shall fulfill any other duties reasonably requested by the Society and agreed

to by the Contractor.

TERM: T his engagement shall commence on ____________ and terminate on _____________ or earlier upon completion of the

Contractor’s duties under this Agreement. The Agreement may only be extended thereafter by mutual agreement, unless terminated

earlier in accordance with the Agreement.

COMPENSATION: A s full compensation for the services rendered pursuant to this Agreement, the Society shall pay the Contractor the

sum of ________________, to be paid within 10 days of receipt of Contractor’s invoice for services rendered.

REIMBURSEMENT O F E XPENSES: D uring the term of this Agreement, the Contractor shall bill and the Society shall reimburse the

Contractor for all reasonable and approved out-of-pocket expenses which are incurred in connection with the performance of the duties

herein. Notwithstanding the foregoing, expenses for the time spent by Contractor in traveling to and from Society facilities shall not be

reimbursable.

INDEPENDENT C ONTRACTOR: T he Society shall neither pay nor withhold federal, state, or local income tax or payroll tax of any kind

on behalf of the Contractor or the employees of the Contractor. The Contractor shall not be treated as an employee for the services

performed hereunder for federal, state, or local tax purposes. The Contractor agrees that he/she is responsible for all such taxes. If the

Contractor fails to be declared an Independent Contractor, the Contractor will indemnify the Society. The Society does not carry

Workman’s Compensation, Health Insurance or provide Retirement.

ATTORNEY F EES: I f legal action or Arbitration is necessary to enforce the terms of this agreement then the prevailing party shall be

entitled to their reasonable attorney fees and costs.

TERMINATION: T he Society may terminate this Agreement at any time by 10 working days’ written notice to the Contractor. In

addition, if the Contractor is convicted of any crime or offense, fails or refuses to comply with the written policies or reasonable

directive of the Society, is guilty of serious misconduct in connection with performance hereunder, or materially breaches provisions of

the Agreement, the Society at any time may terminate the engagement of the Contractor immediately and without prior written notice

to the Contractor.

I hereby acknowledge and agree that I am retained by the California Dressage Society (CDS) chapter (if applicable) as

an Independent Contractor and not as an Employee of CDS or said chapter. I shall be responsible for all with-holding or

income taxes owed by reason of the amounts I receive hereunder. I also acknowledge that because I am retrained as

an Independent Contractor, CDS and/or said chapter do not provide Workmen’s Compensation, I agree to look solely

to my own Insurance, Workmen’s Compensation or otherwise for recover and hereby release, CDS and THE chapter (if

applicable) from responsibility or liability with respect thereto.

IN WITNESS WHEREOF the undersigned have executed this Agreement as of the day and year first written above. The parties hereto

agree that facsimile signatures shall be as effective as if originals.

California Dressage Society - Representative

Independent Contractor –

Authorized Signatory (Chapter:____________________)

Name:______________________________________________

Name:________________________ ____________________

Title: ______________________________________________

Signature:__________________________________________

Signature:____________________________________________

REV3-2012IC

Independent Contractor Invoice/pay Sheet Template Page 3

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